PROF. JACQUELINE T DOODLEY (NPI# 1942848619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942848619 |
Entity Type | Individual |
Full Name | PROF. JACQUELINE T DOODLEY |
Credential | OCPRS |
Practice Address |
2475 Perdue Ave Columbus OH 43211-1876 |
Practice Telephone | 6144402737 |
Mailing Telephone | 6144402737 |
Enumeration Date | 2019-12-12 |
Last Update Date | 2019-12-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | 01249 | OH | Other Service Providers |
Street Address |
2475 PERDUE AVE |
City | COLUMBUS |
State | OH |
Zip Code | 43211-1876 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851751317 | Brittany A Flora | Social Worker | 2440 Dawnlight Avenue, Columbus, OH 43211 | 2016-02-26 |
1003289240 | Akialah Haynes | Specialist | 1768 Cleveland Ave, Columbus, OH 43211 | 2015-11-10 |
1477955805 | Geraldine Hopkins | Home Health Aide | 2382 Marcia Dr., Columbus, OH 43211 | 2014-09-17 |
1932460284 | Moses Moiba | Home Health Aide | 2110 Homestead Dr, Columbus, OH 43211 | 2012-06-04 |
1912237298 | Rhonte Latrice Alexander | Registered Nurse | 2703 Clubhouse Dr., Columbus, OH 43211 | 2010-01-08 |
1982811030 | Patrick Donald Murphy I | Contractor | 2205 Medina, Columbus, OH 43211 | 2007-05-17 |
1053449926 | Project Linden, Inc. | Community/Behavioral Health | 1410 Cleveland Ave., Suite #2, Columbus, OH 43211 | 2007-03-01 |
1124180062 | Chester Ronald Corbitt | Dentist | 1598 Cleveland Ave, Columbus, OH 43211 | 2006-12-15 |
1861418295 | Annette P Hilaman | Dentist | 2345 Cleveland Ave, Columbus, OH 43211 | 2006-07-15 |
1023065703 | Maplewood Medical Center, Inc | Family Medicine | 2052 Cleveland Ave, Columbus, OH 43211 | 2006-05-28 |
Find all providers in zip 43211 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467068692 | Ryan Bailey | Peer Specialist | 1576 Omar Dr, Columbus, OH 43207-2746 | 2020-09-22 |
1467062117 | Julie A Leach | Peer Specialist | 36 Santa Maria Ln, Columbus, OH 43213-1843 | 2020-08-07 |
1932739042 | Michael Stephen Barrett | Peer Specialist | 490 Forest St, Columbus, OH 43206-2316 | 2020-01-17 |
1225678386 | John William Burdeshaw | Peer Specialist | 3916 Valley Rd, Columbus, GA 31907-5657 | 2020-01-07 |
1679114508 | Jacqueline Johnson | Peer Specialist | 773 Gilbert St, Columbus, OH 43206-1516 | 2019-10-02 |
1184275992 | Steven Sweatte | Peer Specialist | 311 Taylor Ave, Columbus, OH 43203-1757 | 2019-09-23 |
1184279671 | Anthony B Cook | Peer Specialist | 2834 S High St, Columbus, OH 43207-3660 | 2019-08-02 |
1801448717 | Cale Burke | Peer Specialist | 1796 Stilton Ave, Columbus, OH 43228-4574 | 2019-07-10 |
1326608043 | Erica N Tynes | Peer Specialist | 6370 Ambleside Dr Apt C, Columbus, OH 43229-1994 | 2019-06-14 |
1114586534 | Paul Kendall Vandoorn | Peer Specialist | 5500 Millersfield Dr Apt 104, Columbus, OH 43232-7765 | 2019-06-10 |
Find all providers in COLUMBUS |
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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.