PATRICK DIOR JACKSON (NPI# 1871141457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871141457 |
Entity Type | Individual |
Full Name | PATRICK DIOR JACKSON |
Practice Address |
5111 S 3rd St Louisville KY 40214-2601 |
Mailing Address |
811 Stonebench Cir Jeffersonvlle IN 47130-4220 |
Practice Telephone | 5026901511 |
Mailing Telephone | 8125575365 |
Enumeration Date | 2019-08-28 |
Last Update Date | 2019-08-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YS0200X |
Counselor Specialization: School |
201114318 | KY | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295341097 | Patrick Dale Jackson | Pharmacist | 19300 S Hamilton Ave Ste 170-180, Gardena, CA 90248-4400 | 2020-09-17 |
1962968560 | Patrick Jackson | Behavior Technician | 918 Eisenhower Dr, Rock Springs, WY 82901-4449 | 2019-02-19 |
1427273713 | Patrick Louis Jackson Sr. | Durable Medical Equipment & Medical Supplies | 58110 W W Harleaux St, Plaquemine, LA 70764-3230 | 2007-04-13 |
1093253833 | Patrick Jackson | Chiropractor | 630 National Hwy, Thomasville, NC 27360-2601 | 2017-02-01 |
1629414701 | Patrick Jackson | Emergency Medicine | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2013-05-16 |
1548587835 | Patrick E Jackson | Internal Medicine | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2010-04-26 |
1619062908 | Patrick Jackson | Dentist | 16 Washington St, Toms River, NJ 08753-7643 | 2006-10-04 |
1508865940 | Patrick Jackson | Surgery | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2005-07-19 |
Street Address |
5111 S 3RD ST |
City | LOUISVILLE |
State | KY |
Zip Code | 40214-2601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477058659 | Abcdentistry | Clinic/Center | 5316 S 3rd St, Louisville, KY 40214 | 2018-03-28 |
1538591300 | Byrne Dental,psc | Dentist | 4739 So. Third Street, Louisville, KY 40214 | 2013-08-05 |
1205110400 | Michael Wayne Probst | Pharmacist | 5201 South Third Street, Louisville, KY 40214 | 2011-10-06 |
1871876920 | Cindy Eillene Ohlmann | Pharmacist | 5400 New Cut Road, Louisville, KY 40214 | 2011-09-26 |
1801129960 | Deborah Suzanne Slusher | Speech-Language Pathologist | 109 Seneca Trail, Louisville, KY 40214 | 2009-09-08 |
1255592267 | Mitisha Nichole Martin | Dentist | 5316 S. 3rd Street, Louisville, KY 40214 | 2008-06-23 |
1588862361 | Kentucky Eye Surgery Associates Psc | Ophthalmology | 4940 Hazelwood Avenue, Louisville, KY 40214 | 2007-07-03 |
1558565739 | James Latroy Burks | Counselor | 927 Southview Rd, Louisville, KY 40214 | 2007-06-12 |
1770792475 | Kimberly Lynn Wheatley | Physical Therapist | 250 Kenwood Hill Road, Louisville, KY 40214 | 2007-05-21 |
1821219601 | Courtney Marie Smith | Speech-Language Pathologist | 3222 Rolling Oak Blvd, Louisville, KS 40214 | 2007-05-01 |
Find all providers in zip 40214 |
Taxonomy Code | 101YS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255732442 | Kathryn Temple | Counselor | 320 Owl Dr, Louisville, CO 80027-2242 | 2014-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740821255 | Mackenzie Erin Kennett | Counselor | 636 Central Pike, Harrodsburg, KY 40330-7718 | 2019-10-06 |
1124501101 | Callie Elizabeth Quillen | Counselor | 915 N Laurel Rd, London, KY 40741-9029 | 2018-09-14 |
1588873988 | Shauna Vanessa Bratton | Counselor | 3825 Dixie Hwy, Elsmere, KY 41018-1809 | 2007-05-22 |
1811025075 | Grayson County Board of Education | Counselor | 909 Brandenburg Rd, Leitchfield, KY 42754-2001 | 2007-03-01 |
1346881885 | Pamela Justice Stewart | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2019-10-07 |
1356713804 | Mindy Pfau | Counselor | 374 N Ky 7, Sandy Hook, KY 41171-7938 | 2015-10-23 |
1457768780 | Russ White | Counselor | 3025 Clay St, Paducah, KY 42001-4071 | 2014-07-18 |
1205060274 | Angelia Campbell | Counselor | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2009-05-06 |
1386855401 | Randi Beth Sutnick | Counselor | 3629 Church St, Covington, KY 41015-1430 | 2007-05-24 |
1407066202 | Christina Ann Hill | Counselor | 3629 Church St, Covington, KY 41015-1430 | 2007-05-23 |
Find all providers with the same taxonomy |
City | LOUISVILLE |
Zip Code | 40214 |
Please comment or provide details below to improve the information on PATRICK DIOR JACKSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.