Jacqueline Louise Carbasho

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

39500 Issued in WV

Practice address

68353 Bannock Rd
Saint Clairsville, OH 43950-9736

Phone

(740) 695-9344

Fax

(740) 695-7787

NPI assigned

Dec 20, 2022

Last updated

Dec 20, 2022By the provider in NPPES

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

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1851003016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68353 BANNOCK RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509736",
            "telephone_number": "740-695-9344",
            "fax_number": "740-695-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68353 BANNOCK RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509736",
            "telephone_number": "740-695-9344",
            "fax_number": "740-695-7787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 S Main St",
            "address_purpose": "LOCATION",
            "city": "Cadiz",
            "state": "OH",
            "postal_code": "439071193",
            "country_code": "US",
            "telephone_number": "740-942-4905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37990 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Woodsfield",
            "state": "OH",
            "postal_code": "437939247",
            "country_code": "US",
            "telephone_number": "740-472-0753",
            "fax_number": "740-472-0130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARBASHO",
        "first_name": "JACQUELINE",
        "middle_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "39500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Jo Campbell, MED LPCC
• Selena M Campbell
• Sheri R Cannon, LPN
• Amy Capers
• Nicholas C Capp, DMD
• Julie Gail Carpenter, LPN
• Kimberly K Carrel
• David Wayne Carter
• Nikole Case
• Cindy Cash, RPH

• Licensed Practical Nurse in Saint Clairsville, OH
• Providers in Saint Clairsville, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.