Sheena N Jackson

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

201126652 Issued in KY

Practice address

303 White Dogwood Dr
Bowling Green, KY 42101

Phone

(270) 799-8662

NPI assigned

Aug 27, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Growing Foundations LLC

  • Early Intervention Provider Agency
  • Bowling Green, KY
  • NPI 1265144638

  Developmental Therapist

  NPD Authorized official

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

{
    "created_epoch": "1472256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1194271502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 WHITE DOGWOOD DR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421017536",
            "telephone_number": "270-799-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 WHITE DOGWOOD DR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42101",
            "telephone_number": "270-799-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHEENA",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-27",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "KY",
            "license": "201126652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Ryan Jackson, O.D.
• Lori Ann Jackson, ARNP
• Megan Kay Jackson, APRN
• Milton Schreiner Jackson, MD
• Miranda Hulett Jackson, PHARM D
• Veronica Jackson
• Jennifer A Jacobs, SLP
• Beverly G. Jaggers, APRN
• Manisha Jain, MD
• James M Rynerson MD PSC

• Developmental Therapist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Developmental Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.