JACQUELINE PERKINS (NPI# 1255469961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255469961 |
| Entity Type | Individual |
| Full Name | JACQUELINE PERKINS |
| Practice Address |
810 Greenwood Ave Clarksville TN 37040-4068 |
| Mailing Address |
26 Love St Clarksville TN 37040-6563 |
| Practice Telephone | 9319207330 |
| Practice Fax Number | 9319207332 |
| Mailing Telephone | 9319207330 |
| Mailing Fax Number | 9319207332 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-08 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205943842 | Jacqueline Yvon Perkins | Nurse Practitioner | 603 E 12th St, 5th Floor, Des Moines, IA 50309-5515 | 2006-08-23 |
| 1063723104 | Jacqueline Faye Perkins | Counselor | 1817 Woodsprings Rd, Ste G, Jonesboro, AR 72401-0903 | 2010-06-23 |
| Street Address |
810 GREENWOOD AVE |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-4068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053327973 | Eileen Marie Walsh | Case Manager/Care Coordinator | 810 Greenwood Ave, Clarksville, TN 37040-4068 | 2006-07-31 |
| 1356524300 | Zenia Negron | Case Manager/Care Coordinator | 810 Greenwood Ave, Clarksville, TN 37040-4068 | 2007-12-13 |
| 1427186196 | Desiree Anne Brown-dial | Case Manager/Care Coordinator | 810 Greenwood Ave, Clarksville, TN 37040-4068 | 2007-03-02 |
| 1922137520 | Jameeliyah Lane Casey | Counselor | 810 Greenwood Ave, Clarksville, TN 37040-4068 | 2007-03-02 |
| 1669500260 | Billie T Brantley | Social Worker | 810 Greenwood Ave, Clarksville, TN 37042 | 2007-03-02 |
| 1144358789 | Katherine I Tobias-walker | Social Worker | 810 Greenwood Ave, Clarksville, TN 37040-4068 | 2007-03-02 |
| 1649309261 | Dana Bouchillon | Social Worker | 810 Greenwood Ave, Clarksville, TN 37040-4068 | 2007-03-02 |
| 1639207764 | Vicki Elaine Burnette-bailey | Case Manager/Care Coordinator | 810 Greenwood Ave, Clarksville, TN 37040-4068 | 2007-03-01 |
| 1184752255 | Elizabeth Bryant Rush | Case Manager/Care Coordinator | 810 Greenwood Ave, Clarksville, TN 37040-4068 | 2007-03-01 |
| 1356479489 | Kimberly C Campbell | Case Manager/Care Coordinator | 810 Greenwood Ave, Clarksville, TN 37040-4068 | 2007-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| 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 |
|---|---|---|---|---|
| 1629626197 | Diana Ocampo Esparza | Case Manager/Care Coordinator | 709 N. Brown Street, Clarksville, AR 72830-7283 | 2019-08-28 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1669995619 | Karla D Snow | Case Manager/Care Coordinator | 718 Brown Street, Clarksville, AR 72830 | 2017-07-21 |
| 1336590058 | Bobby Bonner Jr. | Case Manager/Care Coordinator | 1697putnum Drive, Clarksville, TN 37042 | 2016-06-23 |
| 1104246966 | Kelsey Self | Case Manager/Care Coordinator | 1543 County Road 3350, Clarksville, AR 72830-8162 | 2014-04-21 |
| 1457661365 | Darrell Paul Noble | Case Manager/Care Coordinator | 201 Uffelmans, Ste F, Clarksville, TN 37043 | 2010-10-13 |
| 1265742126 | Amy Jean Guilliams | Case Manager/Care Coordinator | 201 Uffleman Dr., Suite F, Clarksville, TN 37043-2975 | 2010-10-13 |
| 1689983058 | Michelle Nathalie Strachan | Case Manager/Care Coordinator | 201 Uffelman Drive, Suite F, Clarksville, TN 37043 | 2010-10-01 |
| 1386964393 | Amy Marie Anderson Fryer | Case Manager/Care Coordinator | 201 Uffelman Dr., Suite F, Clarksville, TN 37204 | 2010-06-02 |
| 1518111566 | Melisa Leann Traylor | Case Manager/Care Coordinator | 522 Mill Road, Clarksville, AR 72830 | 2008-11-04 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
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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.