KAYBRIANA I JACKSON (NPI# 1104333509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104333509 |
| Entity Type | Individual |
| Full Name | KAYBRIANA I JACKSON |
| Practice Address |
413 W Tyler Ave West Memphis AR 72301-4149 |
| Mailing Address |
3012 Turman Dr Jonesboro AR 72404-8998 |
| Practice Telephone | 8707331200 |
| Mailing Telephone | 8708190200 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
413 W TYLER AVE |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301-4149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629082979 | Sandra Gathright | Social Worker | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2006-07-29 |
| 1376177485 | Lynda Townsend | Day Training/Habilitation Specialist | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2020-02-27 |
| 1710479340 | Tiffany T Sims | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-05-30 |
| 1205326949 | Beatrice M Woods | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-05-17 |
| 1942790688 | Inman Phillips | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-05-17 |
| 1487144127 | Jasmine C Winda | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-05-17 |
| 1942718564 | Brianna D Crayton | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-01-17 |
| 1487161881 | Kirsten Holiman | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-01-08 |
| 1669989067 | Shalondra R Smith | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-01-08 |
| 1760995450 | Kelly J Warren | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2017-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1336787035 | Yolanda Monique Fulton | Assisted Living Facility | 711 Purduve Ave, West Memphis, AR 72301 | 2019-12-13 |
| 1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
| 1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
| 1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
| 1043715329 | Crossroads Treatment Center of West Memphis, PC | Clinic/Center | 103 S Avalon St, West Memphis, AR 72301 | 2018-03-28 |
| 1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
| 1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
| Find all providers in zip 72301 | ||||
| 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 |
|---|---|---|---|---|
| 1447668496 | Pilah Caldwell | Case Manager/Care Coordinator | 801 Auburn Ave, West Memphis, AR 72301-5108 | 2014-07-22 |
| 1063823334 | Denise Williams | Case Manager/Care Coordinator | 763 W Mcauley Dr, West Memphis, AR 72301-3350 | 2014-05-08 |
| 1457527426 | Annie Seal Pruitt | Case Manager/Care Coordinator | 1410 Clover Ln, West Memphis, AR 72301-1718 | 2008-04-30 |
| 1568015204 | Francine Ellise Hunter | Case Manager/Care Coordinator | 905 N 7th St, West Memphis, AR 72301-2001 | 2019-07-22 |
| 1669025300 | Jessica Nicole Trippe | Case Manager/Care Coordinator | 905 N 7th St, West Memphis, AR 72301-2001 | 2019-07-22 |
| 1497307326 | Cotrena Rae Baker | Case Manager/Care Coordinator | 905 N 7th St, West Memphis, AR 72301-2001 | 2019-07-11 |
| 1780241232 | Gwendolyn La Battes Richmond | Case Manager/Care Coordinator | 905 N 7th St, West Memphis, AR 72301-2001 | 2019-05-21 |
| 1679030837 | Kendra Deshawn Stackhouse | Case Manager/Care Coordinator | 905 N 7th St, West Memphis, AR 72301-2001 | 2019-02-25 |
| 1942782214 | Shericka Lewis | Case Manager/Care Coordinator | 304 N 6th St, West Memphis, AR 72301-3221 | 2018-09-04 |
| 1730660721 | Taylor Danielle Wilson | Case Manager/Care Coordinator | 905 N 7th St, West Memphis, AR 72301-2001 | 2018-08-27 |
| Find all providers in WEST MEMPHIS | ||||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
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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.