MS. SHELBIE M JACKSON


Address: 8220 S San Pedro St, Los Angeles, CA 90003-3030
Phone: 3235700445

MS. SHELBIE M JACKSON (NPI# 1114483724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114483724
Entity Type Individual
Full Name MS. SHELBIE M JACKSON
Practice Address 8220 S San Pedro St
Los Angeles
CA 90003-3030
Practice Telephone 3235700445
Mailing Telephone 3235700445
Enumeration Date 2019-02-19
Last Update Date 2019-02-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator CA Other Service Providers

Office Location

Street Address 8220 S SAN PEDRO ST
City LOS ANGELES
State CA
Zip Code 90003-3030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114052818 Tenika Louise Jackson Psychologist 8220 S San Pedro St, Los Angeles, CA 90003-3030 2007-02-22
1811526262 Elisabet Medina Case Manager/Care Coordinator 8220 S San Pedro St, Los Angeles, CA 90003-3030 2020-04-07
1265073316 Sherrion Rasco Social Worker 8220 S San Pedro St, Los Angeles, CA 90003-3030 2019-09-30
1144870130 Riana Bell Case Manager/Care Coordinator 8220 S San Pedro St, Los Angeles, CA 90003-3030 2019-09-12
1578118220 Ayanna Monique Brown Case Manager/Care Coordinator 8220 S San Pedro St, Los Angeles, CA 90003-3030 2019-08-08
1710539218 Jasmine Rose Case Manager/Care Coordinator 8220 S San Pedro St, Los Angeles, CA 90003-3030 2019-07-15
1902467681 Tiiunique Turner Case Manager/Care Coordinator 8220 S San Pedro St, Los Angeles, CA 90003-3030 2019-06-24
1104383991 Nicole Hymes Case Manager/Care Coordinator 8220 S San Pedro St, Los Angeles, CA 90003-3030 2019-02-27
1548724453 Amber Nicole Tellez Case Manager/Care Coordinator 8220 S San Pedro St, Los Angeles, CA 90003-3030 2019-01-24
1417426016 Cherise Austin Case Manager/Care Coordinator 8220 S San Pedro St, Los Angeles, CA 90003-3030 2018-11-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043831878 Didi Hirsch Psychiatric Service Community/Behavioral Health 9179 S Main Street, Los Angeles, CA 90003 2020-05-04
1780227207 Herminia E Galvez Counselor 8005 S. Figueroa Street, Business, Los Angeles, CA 90003 2019-10-28
1720567548 Banty Dental Corporation Clinic/Center 5971 S Main Street, Los Angeles, CA 90003 2018-08-13
1932623030 Mireya Melendez Case Manager/Care Coordinator 5849 Crocker Street Unit L, Los Angeles, CA 90003 2017-07-31
1356865810 Oscar Montes Jr. Social Worker 8220 San Pedro St., Los Angeles, CA 90003 2017-07-26
1619407483 Tonja Benetta Jordan Registered Nurse 5850 South Main St, Los Angeles, CA 90003 2017-06-14
1194254581 Janae Wilson Shepherd Registered Nurse 5850 S Main Street, Los Angeles, CA 90003 2017-06-08
1649709049 Eisha Eishawndra Purvis Registered Nurse 5850 S. Main Street, Los Angeles, CA 90003 2017-06-08
1689022477 Ladan Hariri Psychiatry & Neurology 1200 N.state St., Los Angeles, CA 90003 2016-06-02
1811330772 David Chavez Dental Assistant 358 East 76st, Los Angeles, CA 90003 2013-04-10
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285242594 Rocio Jimenez Case Manager/Care Coordinator 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 2020-07-22
1245855725 Ashley Ivette Berumen Case Manager/Care Coordinator 1900 W Slauson Ave, Los Angeles, CA 90047-1129 2020-06-10
1356965776 Jennifer Yanovski Case Manager/Care Coordinator 316 W 2nd St Ste 202, Los Angeles, CA 90012-3527 2020-06-01
1841820560 Kiara Imani Thomas Case Manager/Care Coordinator 226 E 103rd St, Los Angeles, CA 90003-4720 2020-01-22
1023648748 Christopher Rivas Case Manager/Care Coordinator 1410 N Kenmore Ave Apt 5, Los Angeles, CA 90027-5826 2020-01-22
1396383782 Candace Laolagi Case Manager/Care Coordinator 246 E 47th St, Los Angeles, CA 90011-3908 2019-12-16
1902448343 Aster Libasu Case Manager/Care Coordinator 2619 Wilshire Blvd Apt 1005, Los Angeles, CA 90057-3461 2019-10-16
1831749456 Jasmine Lynn Martinez Case Manager/Care Coordinator 6768 Lexington Ave, Los Angeles, CA 90038-1234 2019-09-16
1033762547 John Charles Gutierrez Case Manager/Care Coordinator 4265 S Normandie Ave, Los Angeles, CA 90037-2324 2019-07-23
1609429976 Vianey Colon Case Manager/Care Coordinator 11601 S Western Ave # O, Los Angeles, CA 90047-5006 2019-07-16
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Competitor

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City LOS ANGELES
Zip Code 90003

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Dataset Information

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.

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