MS. VERNITA M. JACKSON (NPI# 1235799875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235799875 |
| Entity Type | Individual |
| Full Name | MS. VERNITA M. JACKSON |
| Credential | CM |
| Practice Address |
928 22nd Ave S St Petersburg FL 33705-2934 |
| Mailing Address |
Po Box 10970 St Petersburg FL 33733-0970 |
| Practice Telephone | 7273277656 |
| Practice Fax Number | 7273222110 |
| Mailing Telephone | 7273277656 |
| Mailing Fax Number | 7273222110 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| 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 |
928 22ND AVE S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33705-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801949938 | P. Lynn Peggs Nunez | Social Worker | 928 22nd Ave S, St Petersburg, FL 33705-2934 | 2007-01-20 |
| 1225668338 | David Greene | Counselor | 928 22nd Ave S, St Petersburg, FL 33705-2934 | 2020-01-17 |
| 1841837150 | Regina Edwards | Counselor | 928 22nd Ave S, St Petersburg, FL 33705-2934 | 2019-12-05 |
| 1801456298 | Kumudini D. Tularam | Case Manager/Care Coordinator | 928 22nd Ave S, St Petersburg, FL 33705-2934 | 2019-06-18 |
| 1861055089 | David F. Welch | Counselor | 928 22nd Ave S, St Petersburg, FL 33705-2934 | 2019-04-15 |
| 1154778587 | Rebekah Lorenz | Social Worker | 928 22nd Ave S, St Petersburg, FL 33705-2934 | 2016-05-16 |
| 1952765364 | Shivan Sitahal | Counselor | 928 22nd Ave S, St Petersburg, FL 33705-2934 | 2016-04-12 |
| 1962869156 | Brenda Smith-jones | Social Worker | 928 22nd Ave S, St Petersburg, FL 33705-2934 | 2016-01-20 |
| 1477928497 | Holly Janicki | Social Worker | 928 22nd Ave S, St Petersburg, FL 33705-2934 | 2015-12-02 |
| 1902234149 | Amedeo Colucci | Counselor | 928 22nd Ave S, St Petersburg, FL 33705-2934 | 2013-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
| 1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
| 1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
| 1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
| 1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
| 1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
| Find all providers in zip 33705 | ||||
| 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 |
|---|---|---|---|---|
| 1740760669 | Dotheria Elaine Bradley | Case Manager/Care Coordinator | 1918 45th St S, St Petersburg, FL 33711-3042 | 2018-08-20 |
| 1902257116 | Anthony Costanzo | Case Manager/Care Coordinator | 5047 2nd Ave N, St Petersburg, FL 33710-8207 | 2016-06-29 |
| 1568823284 | Sisouk Rattanachane | Case Manager/Care Coordinator | 1501 83rd Ave N, St Petersburg, FL 33702-2851 | 2016-03-08 |
| 1952719858 | Elizabeth Lent | Case Manager/Care Coordinator | 350 79th Ave N Apt 302, St Petersburg, FL 33702-4459 | 2014-07-24 |
| 1346653458 | Leslie Swain | Case Manager/Care Coordinator | 7316 33rd St N, St Petersburg, FL 33702-5540 | 2014-06-05 |
| 1215364575 | Melissa Moody | Case Manager/Care Coordinator | 11401 Dr Martin L King St N, Apt.2404, St Petersburg, FL 33716-2345 | 2013-10-02 |
| 1558610436 | Jennifer Potter | Case Manager/Care Coordinator | 785 100th Ave N # 108, St Petersburg, FL 33702 | 2012-09-06 |
| 1538418520 | Nanci Nolan | Case Manager/Care Coordinator | 2401 3rd Ave N, St Petersburg, FL 33713-7909 | 2012-09-05 |
| 1932454212 | Carol Rose Opitz | Case Manager/Care Coordinator | 205 Martin Luther King Dr, St Petersburg, FL 33701-3109 | 2012-07-23 |
| 1336438688 | Bridget Denise Herring-daniels | Case Manager/Care Coordinator | 205 Mlk St N, St Petersburg, FL 33701-3109 | 2011-04-06 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33705 |
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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.