MR. JACSUN JAIMS KELLOGG (NPI# 1992950414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992950414 |
| Entity Type | Individual |
| Full Name | MR. JACSUN JAIMS KELLOGG |
| Credential | PMHCNS |
| Practice Address |
388 S Main St Akron OH 44311-1064 |
| Mailing Address |
1 Perkins Sq Akron OH 44308-1063 |
| Practice Telephone | 3305438590 |
| Practice Fax Number | 3305433856 |
| Mailing Telephone | 3305438590 |
| Mailing Fax Number | 3305433856 |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2015-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
COA-10466-NS | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
388 S MAIN ST |
| City | AKRON |
| State | OH |
| Zip Code | 44311-1064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215927728 | Malinda Marie Bragg | Physical Therapist | 388 S Main St, Ste 205, Akron, OH 44311-1064 | 2005-10-26 |
| 1750851606 | Ashley Six | Registered Nurse | 388 S Main St, Akron, OH 44311-1064 | 2018-12-03 |
| 1609364934 | Belinda Ann Bognar | Nurse Practitioner | 388 S Main St, Ste 330, Akron, OH 44311-1044 | 2018-04-23 |
| 1316302524 | Main Street Preparatory Academy | Local Education Agency (LEA) | 388 S Main St, Akron, OH 44311-1064 | 2015-12-15 |
| 1194121830 | Beth Ellen Palmer | Counselor | 388 S Main St, Akron, OH 44311-1064 | 2014-11-07 |
| 1114223922 | Pathway To Success Akron | Local Education Agency (LEA) | 388 S Main St, Akron, OH 44311-1064 | 2011-01-27 |
| 1831333004 | Charles Alfred Brown | Psychiatry & Neurology | 388 S Main St, Akron, OH 44311-1064 | 2009-04-30 |
| 1245495688 | Holly M Wanchick | Counselor | 388 S Main St, Ste. 205, Akron, OH 44311-1064 | 2008-07-24 |
| 1952571093 | Nathan Ray Sole | Counselor | 388 S Main St, Akron, OH 44311-1064 | 2008-03-05 |
| 1215113337 | Summa Physicians Inc | Family Medicine | 388 S Main St, Suite 201, Akron, OH 44311-1064 | 2008-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669967170 | Floyd Scott Garrett | Home Health Aide | 795 Kenyon St., Akron, OH 44311 | 2018-06-27 |
| 1730673740 | Breyana Jequei Burch | Technician | 909 Sherman St, Akron, OH 44311 | 2018-06-22 |
| 1265922090 | Axesspointe Community Health Center Inc | Pharmacy | 676 S Broadway St Ste 105, Akron, OH 44311 | 2018-05-17 |
| 1154848760 | Michael L Hakes Jr. | Counselor | 264 East Crosier Street, Akron, OH 44311 | 2017-08-24 |
| 1033635768 | Michael James Gasparri | Counselor | 234 E Crosier St, Akron, OH 44311 | 2017-08-15 |
| 1558881854 | Seth Auman | Counselor | 580 Grant St., Akron, OH 44311 | 2017-06-27 |
| 1881120210 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 375 S Main St Ste 108, Akron, OH 44311 | 2017-05-04 |
| 1861527582 | Mary Ann Thomas Cooper | Homemaker | 47 W Bartges St, Margaret Lockett, Akron, OH 44311 | 2007-02-22 |
| 1962502674 | Marianne Goldyn | Clinical Nurse Specialist | Community Support Services Inc, 150 Cross Street, Akron, OH 44311 | 2006-09-23 |
| 1174621221 | Manzoor E Elahi | Psychiatry & Neurology | 150 Cross Street, Community Support Services Inc, Akron, OH 44311 | 2006-09-20 |
| Find all providers in zip 44311 | ||||
| Taxonomy Code | 364SP0807X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326224445 | Kathy Carol Royer | Clinical Nurse Specialist | 1 Perkins Sq, Akron, OH 44308-1063 | 2008-01-18 |
| 1396938577 | Megan Marie Clark | Clinical Nurse Specialist | 18 N Forge St, Akron, OH 44304 | 2007-08-22 |
| 1871684043 | Diana M Marshall | Clinical Nurse Specialist | 1 Perkins Sq, Akron, OH 44308-1063 | 2006-09-27 |
| 1952333452 | Holly A Berchin | Clinical Nurse Specialist | 388 S Main St, Akron, OH 44311-1064 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518388644 | Nanci J Morris Rn Msn LLC | Clinical Nurse Specialist | 151 Mill St, # 104, Gahanna, OH 43230-1715 | 2013-12-16 |
| 1154578383 | Laura Jane Abels | Clinical Nurse Specialist | 150 N Miller Rd Ste 450a, Fairlawn, OH 44333-3773 | 2008-08-19 |
| 1790807006 | Toby Bourisseau | Clinical Nurse Specialist | 10524 Euclid Ave Ste 1155a, Cleveland, OH 44106-2205 | 2007-04-06 |
| 1285704601 | Trena Jill Goodwin | Clinical Nurse Specialist | 10200 Alliance Rd, Suite 150, Blue Ash, OH 45242-4753 | 2006-11-09 |
| 1598775306 | Charlotte Hannah | Clinical Nurse Specialist | 3095 Ketttering Blvd, Dayton, OH 45439 | 2006-08-08 |
| 1053741702 | Stephanie Noel Eggert | Clinical Nurse Specialist | 5642 Hamilton Ave, Cincinnati, OH 45224-3114 | 2013-11-16 |
| 1740628536 | Melissa Weisbrodt | Clinical Nurse Specialist | 3333 Burnet Ave, Ml 3014, Cincinnati, OH 45229-3026 | 2013-06-13 |
| 1265777460 | Kristina Fisher | Clinical Nurse Specialist | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2012-11-29 |
| 1619249000 | John J Adamo | Clinical Nurse Specialist | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2012-02-01 |
| 1306140785 | T B F Inc | Clinical Nurse Specialist | 6480 Crooked Elm Ct, Delaware, OH 43015-8462 | 2010-12-29 |
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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.