TYLER DREW JACKSON (NPI# 1245560002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245560002 |
| Entity Type | Individual |
| Full Name | TYLER DREW JACKSON |
| Practice Address |
11059 E Bethany Dr Ste 200 Aurora CO 80014-2637 |
| Practice Telephone | 3036172300 |
| Practice Fax Number | 3036172397 |
| Mailing Telephone | 3036172300 |
| Mailing Fax Number | 3036172397 |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2009-12-29 |
| 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 |
|---|---|---|---|---|
| 1295355816 | Tyler Jackson | Emergency Medicine | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-04-23 |
| 1033693155 | Tyler Jackson | Social Worker | 26184 Outer Dr, Lincoln Park, MI 48146-2084 | 2018-09-25 |
| 1225518426 | Tyler Dean Jackson | Social Worker | 4455 Ne Hwy 20, Corvallis, OR 97330 | 2018-08-16 |
| 1306342084 | Tyler Jackson | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2018-04-02 |
| 1336594696 | Tyler Jackson | Specialist/Technologist | 1400 Montgomery Ave, Bryn Mawr, PA 19010-1631 | 2016-04-25 |
| 1023489796 | Tyler Jackson | Physical Therapist | 20823 Stevens Creek Blvd, Cupertino, CA 95014-2108 | 2015-10-07 |
| 1952583528 | Tyler Bradley Jackson | Occupational Therapy Assistant | 907 N 2nd St, Albemarle, NC 28001-3317 | 2007-12-05 |
| Street Address |
11059 E BETHANY DR STE 200 |
| City | AURORA |
| State | CO |
| Zip Code | 80014-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134149057 | Aurora Comprehensive Community Mental Health Center Inc | Clinic/Center | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2006-07-21 |
| 1235787813 | Jamie Lynn Underwood | Social Worker | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2019-08-28 |
| 1417501446 | Gabriella Guy | Social Worker | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2019-07-29 |
| 1285298786 | Kathy Cruse Tiger | Peer Specialist | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2019-04-30 |
| 1922661123 | Ayat Farajalla | Case Manager/Care Coordinator | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2019-04-15 |
| 1124582846 | Aster Eyob | Case Manager/Care Coordinator | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2019-01-27 |
| 1619447869 | Jennifer King | Social Worker | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2018-11-30 |
| 1831668615 | Micah Barnes | Counselor | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2018-11-21 |
| 1194294561 | Lillian Y Morris | Case Manager/Care Coordinator | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2018-11-15 |
| 1154898716 | Tina Vasquez | Counselor | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2018-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825021 | Dieuvil Varice | Occupational Therapist | 2851 S Parker Rd Ste 570, Aurora, Co, Aurora, CO 80014 | 2020-06-14 |
| 1518437144 | Curtis E Redd | Case Manager/Care Coordinator | 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 | 2018-11-27 |
| 1144795154 | Prestige Adult Day Care LLC | Clinic/Center | 2860 S Havana St, Unit C, Aurora, CO 80014 | 2018-10-05 |
| 1609375492 | Jacob Mcbride | Behavior Technician | 2121 S Blackhawk St 100, Aurora, CO 80014 | 2018-02-07 |
| 1265931240 | Jasmine Nicole Joseph | Behavior Technician | 2121 S. Blackhawk St., Aurora, CO 80014 | 2018-02-06 |
| 1255830238 | Russel Talukder | Behavioral Analyst | 2121 South Blackhawk St 100, Aurora, CO 80014 | 2018-02-06 |
| 1467951442 | Dylan Kelley | Behavior Technician | 2121 Blackhawk St. Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1184123168 | Talisa Fisher | Behavior Technician | 2121 S Blackhawk St Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1144732314 | Hellen A Noamesi | Registered Nurse | Kaiser Water Park 1, 2500 S. Havana St, Aurora, CO 80014 | 2017-10-27 |
| 1255840641 | Amanda Dawn Thompson | Massage Therapist | 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 | 2017-09-28 |
| Find all providers in zip 80014 | ||||
| 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 |
|---|---|---|---|---|
| 1407456411 | Nicole Amanda Togun | Case Manager/Care Coordinator | 1290 Chambers Rd Ste 238, Aurora, CO 80011-7117 | 2020-10-28 |
| 1215558440 | Antonio De Jesus Millan | Case Manager/Care Coordinator | 964 Kingston St, Aurora, CO 80010-4108 | 2020-04-28 |
| 1487285078 | Berretta Malone | Case Manager/Care Coordinator | 1290 Chambers Rd Apt 2, Aurora, CO 80011-7117 | 2020-01-31 |
| 1811536014 | Joshua Whitelaw | Case Manager/Care Coordinator | 708 Arbor Way, Aurora, OH 44202-9113 | 2020-01-06 |
| 1194363952 | Lemlem Hailu Gebremeskel | Case Manager/Care Coordinator | 2795 S Cathay Way, Aurora, CO 80013-4774 | 2019-12-11 |
| 1588209670 | Cgl Cpa, LLC | Case Manager/Care Coordinator | 1420 Kenton St, Aurora, CO 80010-3580 | 2019-11-12 |
| 1518437144 | Curtis E Redd | Case Manager/Care Coordinator | 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 | 2018-11-27 |
| 1871068882 | Jamila Jemal Ali | Case Manager/Care Coordinator | 15747 E Center Pl, Aurora, CO 80017-2016 | 2018-10-05 |
| 1982190302 | Marsha Aliaga-dickens | Case Manager/Care Coordinator | 12455 E Mississippi Ave Unit 104, Aurora, CO 80012-3465 | 2018-07-09 |
| 1871007054 | William Hogeland | Case Manager/Care Coordinator | 13901 E Arkansas Dr, Aurora, CO 80012-5570 | 2017-11-27 |
| Find all providers in AURORA | ||||
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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.