EDWARD J ANDERSON (NPI# 1053561365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053561365 |
| Entity Type | Individual |
| Full Name | EDWARD J ANDERSON |
| Credential | CM |
| Practice Address |
32 Conrad Dr Jackson TN 38305-2801 |
| Mailing Address |
238 Summar Dr Jackson TN 38301-3906 |
| Practice Telephone | 7315418344 |
| Practice Fax Number | 7319358327 |
| Mailing Telephone | 7315418344 |
| Mailing Fax Number | 7319358327 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775309 | Edward Earl Anderson Jr. | Community Health Worker | 64 Poydras St, Hyde Park, MA 02136-6419 | 2020-09-17 |
| 1699886457 | Edward Andrew Anderson | Dentist | 302 2nd Ave Sw, Jamestown, ND 58401-4157 | 2006-08-31 |
| 1366445462 | Edward Anderson | Podiatrist | 411 Letcher St, Henderson, KY 42420-4245 | 2005-05-23 |
| 1447864673 | Edward Anderson | Licensed Practical Nurse | 2470 Mall Dr, N.charleston, SC 29406 | 2020-09-04 |
| 1043596026 | Edward Anderson | Pharmacist | 22303 Mountain Hwy E, Spanaway, WA 98387-7529 | 2011-10-22 |
| 1942592498 | Edward Jermaine Anderson | Physical Therapist | 33600 W 85th St, De Soto, KS 66018-8118 | 2011-05-03 |
| 1750561577 | Edward Anderson | Counselor | 5755 North Point Parkway, Suite 90, Alpharetta, GA 30022 | 2007-11-08 |
| 1740493568 | Edward Charles Anderson | Chiropractor | 19 Franklin St, Cambridge, MD 21613-1916 | 2007-05-08 |
| 1508998931 | Edward D Anderson | Physical Therapist | 6703 W Rio Grande Ave, Kennewick, WA 99336-2623 | 2007-03-12 |
| 1700911328 | Edward Scott Anderson | Internal Medicine | 205 Page Rd, Pinehurst, NC 28374-8749 | 2007-02-22 |
| Street Address |
32 CONRAD DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043460355 | Ulonda Renay Bailey | Case Manager/Care Coordinator | 32 Conrad Dr, Jackson, TN 38305-2801 | 2008-09-23 |
| 1881950277 | Wilma R Tyus | Case Manager/Care Coordinator | 32 Conrad Dr, Jackson, TN 38305-2801 | 2012-04-10 |
| 1477856722 | Felicia Sherrell Lacy | Case Manager/Care Coordinator | 32 Conrad Dr, Jackson, TN 38305-2801 | 2010-12-08 |
| 1659699809 | Sharon Haley Haynes | Counselor | 32 Conrad Dr, Jackson, TN 38305-2801 | 2010-05-12 |
| 1568692952 | Kara Deanne Moss | Case Manager/Care Coordinator | 32 Conrad Dr, Jackson, TN 38305-2801 | 2009-07-20 |
| 1154571461 | Kelly Lindsay Adams | Case Manager/Care Coordinator | 32 Conrad Dr, Jackson, TN 38305-2801 | 2008-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| 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 |
|---|---|---|---|---|
| 1023644135 | Leslie Sue Krantz | Case Manager/Care Coordinator | 8431 Oakpoint Dr, Jackson, MI 49201-9229 | 2020-03-20 |
| 1669008405 | Alt Best Practices Bhom2, LLC | Case Manager/Care Coordinator | 81 Crooked Stick Rd, Jackson, NJ 08527-4032 | 2020-03-12 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1336601459 | Richard Daniel Bryant | Case Manager/Care Coordinator | 950 W Monroe St Ste 600a, Jackson, MI 49202-2079 | 2019-04-05 |
| 1013478643 | Makeshia Warden | Case Manager/Care Coordinator | 655 Pine Ln, Jackson, MS 39212-3563 | 2019-03-27 |
| 1053893792 | Allison Brynne Liljestrom | Case Manager/Care Coordinator | 355 Arapahoe Ln, Jackson, WY 83001-8607 | 2018-08-29 |
| 1033691845 | Debra Ann Hathcock | Case Manager/Care Coordinator | 724 W Snow King Ave # 7825, Jackson, WY 83001-8498 | 2018-08-29 |
| 1053809053 | Natasha W Tyler | Case Manager/Care Coordinator | 5615 Brentwood Dr, Jackson, MS 39211-4233 | 2018-04-25 |
| 1245690924 | Darlene Bell | Case Manager/Care Coordinator | 546 Clydes Way, Jackson, GA 30233-1891 | 2016-02-24 |
| 1598134256 | Theodore Weber Shoaf | Case Manager/Care Coordinator | 3405 S Winding Trail Dr, Jackson, WY 83001-9257 | 2015-09-23 |
| Find all providers in JACKSON | ||||
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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.