Jessica Noenickx

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

7940 Issued in TN

Practice address

215 Dunbar Cave Rd Ste a
Clarksville, TN 37043-8850

Phone

(800) 920-0834

NPI assigned

Apr 23, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650672000000",
    "number": "1023752391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2934 DUNLOP LN APT 1022",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370431590",
            "telephone_number": "978-807-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 DUNBAR CAVE RD STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438850",
            "telephone_number": "800-920-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOENICKX",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-23",
        "last_updated": "2022-04-23",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "9770",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "7940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanne Sky Nixon, BS-PSYCHOLOGY
• Crystal Noaks-Carter
• Darrell Paul Noble
• Lauren Noel
• Trinitee Noel
• Scarlett Nolan, MSN APRN FNP-C
• Mya Noles
• Courtney Noll
• Kacie Jo Noll, LMSW
• Lisa Marie Norby, DDS

• Physical Therapy Assistant in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.