JESSICA JEAN BUCKLEY (NPI# 1043571169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043571169 |
Entity Type | Individual |
Full Name | JESSICA JEAN BUCKLEY |
Credential | BSW |
Practice Address |
1407 Saint Andrew St Ste 100 La Crosse WI 54603-3301 |
Mailing Address |
215 S Lincoln St Shawano WI 54166-2421 |
Practice Telephone | 6087894837 |
Mailing Telephone | 6083043553 |
Enumeration Date | 2012-06-05 |
Last Update Date | 2012-06-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | 10976.120 | WI | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043559917 | Jessica Anne Buckley | Specialist | 52 Sherbrooke Rd, Lindenhurst, NY 11757-1643 | 2013-02-12 |
1194036970 | Jessica Woods Buckley | Social Worker | 58 Sullivan St Unit 1, Charlestown, MA 02129-2433 | 2010-06-28 |
1184251035 | Jessica Leigh Buckley | Registered Nurse | 112 Southampton St, Boston, MA 02118-2711 | 2020-03-23 |
1861048068 | Jessica Buckley | Physical Therapist | 4200 Park Ave, Bridgeport, CT 06604-1049 | 2019-08-13 |
1134635550 | Jessica Buckley | Behavior Technician | 80 Washington St Bldg P, Norwell, MA 02061-1740 | 2017-12-20 |
1629502174 | Jessica Buckley | Student in an Organized Health Care Education/Training Program | 33 Sylvan Ave, Apt 710, New Haven, CT 06519-1056 | 2017-04-11 |
1770996704 | Jessica Buckley | Physical Therapist | 4820 W Newberry Rd, Gainesville, FL 32607-2249 | 2014-06-06 |
1518245620 | Jessica Sara Buckley | Speech-Language Pathologist | 345 Fortune Blvd, Milford, MA 01757-1723 | 2011-07-25 |
1396947529 | Jessica Buckley | Pediatrics | 7601 Stoneridge Dr, Kaiser Medical Office, Pleasanton, CA 94588-4501 | 2007-06-01 |
1396828992 | Jessica Bloom Buckley | Registered Nurse | 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2006-10-24 |
Street Address |
1407 SAINT ANDREW ST STE 100 |
City | LA CROSSE |
State | WI |
Zip Code | 54603-3301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770608192 | Aaron Jay Berg | Case Manager/Care Coordinator | 1407 Saint Andrew St, Ste 100, La Crosse, WI 54603-3301 | 2007-03-21 |
1699222687 | Lacey Jean Quale | Case Manager/Care Coordinator | 1407 Saint Andrew St, Suite 100, La Crosse, WI 54603-3301 | 2016-09-07 |
1194186395 | Nan Olson | Registered Nurse | 1407 Saint Andrew St, La Crosse, WI 54603-3301 | 2016-03-15 |
1841651296 | Eva Gleason | Case Manager/Care Coordinator | 1407 Saint Andrew St, La Crosse, WI 54603-3301 | 2016-03-14 |
1497129837 | Stephanie Johnson | Registered Nurse | 1407 Saint Andrew St, La Crosse, WI 54603-3301 | 2015-11-23 |
1114309689 | Sonja Beth Benrud | Case Manager/Care Coordinator | 1407 Saint Andrew St, Suite 100, La Crosse, WI 54603-3301 | 2015-06-22 |
1720468960 | Kayla Owens | Registered Nurse | 1407 Saint Andrew St, Ste 100, La Crosse, WI 54603-3301 | 2015-06-03 |
1679951081 | Antoinette Campbell | Case Manager/Care Coordinator | 1407 Saint Andrew St, Suite 100, La Crosse, WI 54603-3301 | 2015-05-18 |
1356736003 | Julie Blaha | Registered Nurse | 1407 Saint Andrew St, Suite 100, La Crosse, WI 54603-3301 | 2015-03-31 |
1942691522 | Trischa Wiste | Case Manager/Care Coordinator | 1407 Saint Andrew St, Ste 100, La Crosse, WI 54603-3301 | 2015-02-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215581855 | Sophia Buchda | Behavior Technician | 901 Caledonia Street, La Crosse, WI 54603 | 2019-08-01 |
1891142865 | Hha of Wisconsin, LLC | Home Health | 2400 Rose St Ste 14, La Crosse, WI 54603 | 2016-05-19 |
1225415540 | Alexander Blaschke | Podiatrist | 1009 Caledonia St, La Crosse, WI 54603 | 2015-05-06 |
1982986345 | Christopher W Hutchinson | Pharmacist | 2626 Rose Street, La Crosse, WI 54603 | 2011-09-12 |
1932284494 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | 3800 State Road 16, La Crosse, WI 54603 | 2006-10-25 |
1083618722 | Teddy Leonard Thompson | Family Medicine | 1526 Rose Street, La Crosse, WI 54603 | 2005-06-10 |
1518459155 | Alexis Ericson | Occupational Therapy Assistant | 901 Caledonia St, La Crosse, WI 54603 | 2018-05-30 |
1578925046 | Vicki Lynne Iverson | Registered Nurse | 1407 St. Andrew St., La Crosse, WI 54603 | 2016-03-24 |
1194158865 | John Patrick Smieja | Pharmacist | 2400 Rose St, La Crosse, WI 54603 | 2013-08-16 |
1275726663 | Jacqueline Berry Newcomb | Case Manager/Care Coordinator | 1407 St Andrew St, Suite 100 Lacrosse Co Human Services, La Crosse, WI 54603 | 2007-08-20 |
Find all providers in zip 54603 |
Taxonomy Code | 171M00000X |
Grouping | Other Service Providers |
Classification | Case Manager/Care Coordinator |
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356615942 | Tou Yah | Case Manager/Care Coordinator | 2726 Harvey St, La Crosse, WI 54603-1635 | 2012-02-29 |
1083853394 | Sara L Kensmoe | Case Manager/Care Coordinator | 1407 Saint Andrew St Ste 1000, La Crosse, WI 54603-3301 | 2009-02-10 |
1740435577 | Lisa Louise Massman | Case Manager/Care Coordinator | 1407 St Andrews St, Ste 100, La Crosse, WI 54603-7981 | 2008-11-20 |
1851506240 | Margaret Ann Bell | Case Manager/Care Coordinator | 1407 St Andrew, La Crosse County Human Services, La Crosse, WI 54601-2378 | 2007-05-11 |
1568680585 | Melinda Marie Gelder | Case Manager/Care Coordinator | 1407 St Andrew Street Ste 100, La Crosse, WI 54603-2378 | 2007-04-23 |
1447477963 | Cindy A Bahls | Case Manager/Care Coordinator | 1407 St. Andrew Street, Suite 100, La Crosse, WI 54603-2378 | 2007-04-18 |
1770608192 | Aaron Jay Berg | Case Manager/Care Coordinator | 1407 Saint Andrew St, Ste 100, La Crosse, WI 54603-3301 | 2007-03-21 |
1699222687 | Lacey Jean Quale | Case Manager/Care Coordinator | 1407 Saint Andrew St, Suite 100, La Crosse, WI 54603-3301 | 2016-09-07 |
1841651296 | Eva Gleason | Case Manager/Care Coordinator | 1407 Saint Andrew St, La Crosse, WI 54603-3301 | 2016-03-14 |
1144695537 | Amy Sackmaster | Case Manager/Care Coordinator | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2015-12-10 |
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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.