JACKIE COOPER (NPI# 1205327707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205327707 |
| Entity Type | Individual |
| Full Name | JACKIE COOPER |
| Practice Address |
12511 Jones Maltsberger Rd Apt 2205 San Antonio TX 78247-4286 |
| Practice Telephone | 2108337163 |
| Practice Fax Number | 2108557471 |
| Mailing Telephone | 2108337163 |
| Mailing Fax Number | 2108557471 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013425941 | Jackie Cooper | Specialist | 3938 John F Kennedy Pkwy Unit 11c, Fort Collins, CO 80525-3087 | 2018-01-12 |
| 1184921926 | Jackie Lou Cooper | Counselor | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2011-02-14 |
| Street Address |
12511 JONES MALTSBERGER RD APT 2205 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78247-4286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487134466 | Minerva Desdemona Williams | Occupational Therapy Assistant | 1 Heartland Drive, San Antonio, TX 78247 | 2018-08-18 |
| 1730698903 | Stefanie Anne Gray | Psychologist | 14802 Jones Maltsberger Rd Ste 1201, San Antonio, TX 78247 | 2017-09-20 |
| 1710405618 | Denisa Nicole Lopez | Physical Therapist | 16506 Blanco Key, San Antonio, TX 78247 | 2017-08-31 |
| 1114458361 | H-e-b, Lp | Eyewear Supplier (Equipment, not the service) | 17238 Bulverde Rd, San Antonio, TX 78247 | 2017-03-21 |
| 1376083899 | H-e-b, Lp | Clinical Medical Laboratory | 17238 Bulverde Road, San Antonio, TX 78247 | 2017-03-02 |
| 1417494659 | Cook Childrens Home Health | Durable Medical Equipment & Medical Supplies | 11911 Starcrest Drive, San Antonio, TX 78247 | 2017-01-26 |
| 1245772268 | Sarah Rudd | Specialist/Technologist | 5126 Spring Bridge, San Antonio, TX 78247 | 2016-11-08 |
| 1477903938 | Kadie Patricia Kress | Physical Therapist | 4718 Cypress Mill Dr, San Antonio, TX 78247 | 2016-06-15 |
| 1649653288 | Regina Giannola | Perfusionist | 6742 Manor Hill Dr., San Antonio, TX 78247 | 2015-07-01 |
| 1538565189 | Swift Eye Care, Pllc | Optometrist | 17230 Bulverde Rd, Suite 104, San Antonio, TX 78247 | 2014-11-10 |
| Find all providers in zip 78247 | ||||
| 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 |
|---|---|---|---|---|
| 1992305999 | Jonah Micah Reyes | Case Manager/Care Coordinator | 94 Briggs St Ste 450, San Antonio, TX 78224-1294 | 2020-10-28 |
| 1326658261 | Jasmine Capers | Case Manager/Care Coordinator | 5700 N Knoll Apt 201, San Antonio, TX 78240-2253 | 2020-08-05 |
| 1417586934 | Heather E Tye | Case Manager/Care Coordinator | 9100 W Interstate 10 Ste 210, San Antonio, TX 78230-3149 | 2020-04-06 |
| 1962046888 | Jared A Carter | Case Manager/Care Coordinator | 9100 W Ih 10 Ste 210, San Antonio, TX 78230-3149 | 2019-11-04 |
| 1053952259 | R & B Counseling Services | Case Manager/Care Coordinator | 2040 Babcock Rd Ste 404, San Antonio, TX 78229-4428 | 2019-09-30 |
| 1821557588 | Tamara Elizabeth Imken-betz | Case Manager/Care Coordinator | 7791 Woodchase Apt 1009, San Antonio, TX 78240-2964 | 2019-03-13 |
| 1649654757 | Josephine Booker | Case Manager/Care Coordinator | 522 Pletz Dr, San Antonio, TX 78226-1216 | 2015-07-17 |
| 1245638444 | Sean Baker | Case Manager/Care Coordinator | 138 Kiefer Rd, San Antonio, TX 78220-2117 | 2014-12-21 |
| 1700298668 | Teena Dailey | Case Manager/Care Coordinator | 7803 S New Braunfels, Apt. 13106, San Antonio, TX 78235-1025 | 2014-05-27 |
| 1275944100 | Rechetta Kirby | Case Manager/Care Coordinator | 6443 Mineral Bay, San Antonio, TX 78244-1674 | 2014-05-14 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78247 |
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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.