TRACEY JACKSON


Address: 820 N Plankinton Ave, Milwaukee, WI 53203-1802
Phone: 4142251573

TRACEY JACKSON (NPI# 1255755930) 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) 1255755930
Entity Type Individual
Full Name TRACEY JACKSON
Practice Address 820 N Plankinton Ave
Milwaukee
WI 53203-1802
Practice Telephone 4142251573
Practice Fax Number 4142251575
Mailing Telephone 4142251573
Mailing Fax Number 4142251575
Enumeration Date 2014-02-14
Last Update Date 2014-02-14
Gender Code F
Is Sole Proprietor N

Taxonomy

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

Other Providers TRACEY JACKSON

NPI Name Taxonomy Address Enumeration
1134571730 Tracey Francine Jackson Technician, Other 22764 Normandy Ave, Eastpointe, MI 48021-1854 2016-07-07
1639532765 Tracey Jackson Social Worker 5937 Larchwood Ave, Philadelphia, PA 19143-1115 2016-04-05
1609063882 Tracey Monique Jackson Registered Nurse 23 Flanders St, Rochester, NY 14619-1705 2007-10-01
1174948038 Tracey Jackson Occupational Therapist 4801 Springfield St, Dayton, OH 45431-1084 2014-02-28
1861643389 Tracey Ann Jackson Counselor 1547 Parkway Ste 100, Greenwood, SC 29646-4081 2008-10-02
1487803870 Tracey D Jackson Pharmacist 1000 Locust St, Reno, NV 89502-2597 2008-09-10
1902074545 Tracey Jackson Counselor 2814 W 2nd St, Wilmington, DE 19805-1807 2008-02-18
1215121835 Tracey Jackson Physician Assistant 320 E North Ave, Pittsburgh, PA 15212-4756 2007-08-28
1558486803 Tracey L Jackson Counselor 4612 Roosevelt Ave, Sacramento, CA 95820 2007-03-19
1902808868 Tracey L Jackson Nurse Anesthetist, Certified Registered 615 S New Ballas Rd, Sjmmc Dept of Anes, Saint Louis, MO 63141-8221 2005-08-11

Office Location

Street Address 820 N PLANKINTON AVE
City MILWAUKEE
State WI
Zip Code 53203-1802

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982654091 Aids Resource Center of Wisconsin, Inc. Case Management 820 N Plankinton Ave, Milwaukee, WI 53203-1802 2006-05-11
1508427139 Leilah Korbines Dietitian, Registered 820 N Plankinton Ave, Milwaukee, WI 53203-1802 2019-06-25
1982260097 Hailey Elizabeth Keeser Pharmacist 820 N Plankinton Ave, Milwaukee, WI 53203-1802 2019-05-14
1003334350 Jonathan Weimer Nurse Practitioner 820 N Plankinton Ave, Milwaukee, WI 53203-1802 2017-09-07
1265982490 Brian Nguyen Pharmacist 820 N Plankinton Ave, Milwaukee, WI 53203-1802 2016-10-12
1821458746 Carolyn Wesolowski Case Manager/Care Coordinator 820 N Plankinton Ave, Milwaukee, WI 53203-1802 2016-03-04
1851751796 Maria Huerta Case Manager/Care Coordinator 820 N Plankinton Ave, Milwaukee, WI 53203-1802 2016-03-04
1689034522 Hannah Fogarty Case Manager/Care Coordinator 820 N Plankinton Ave, Milwaukee, WI 53203-1802 2016-03-04
1184084014 Jessica Cushion Case Manager/Care Coordinator 820 N Plankinton Ave, Milwaukee, WI 53203-1802 2016-03-04
1396105227 Maria Selig Case Manager/Care Coordinator 820 N Plankinton Ave, Milwaukee, WI 53203-1802 2016-03-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013463272 Kameela Jackson Registered Nurse 606 E Juneaue Ave. 511812, Milwaukee, WI 53203 2016-08-28
1528239928 Christina Marie Sauber Physical Therapy Assistant 111 W. Michigan Street, Milwaukee, WI 53203 2008-03-13
1720273493 Michelle Lynn Vogel Speech-Language Pathologist 111 West Michigan St, Prostep/extendicare Healthservices, Milwaukee, WI 53203 2007-09-06
1265572564 Eye Care of Wisconsin, Inc Health Maintenance Organization 740 North Plankinton Ave, #730b, Milwaukee, WI 53203 2007-02-07
1073687349 Riverwalk Psychotherapy Associates, LLC Social Worker 1110 N. Old World Third St., Suite 401, Milwaukee, WI 53203 2006-11-20
1144793423 Carissa Deanna Basile Behavioral Analyst 525 N 6th St, Milwaukee, WI 53203 2019-01-09
1275975807 Sandra Eiler Counselor 633 W Wisconsin Ave, Suite 1810, Milwaukee, WI 53203 2013-07-24
1154693331 Walgreen Co. Durable Medical Equipment & Medical Supplies 826 N Plankinton Ave Ste 100, Milwaukee, WI 53203 2012-02-02
1821277310 Rosalie C Mackay Community Health Worker 111 W Michigan St, Prostep/extendicare Health Services, Milwaukee, WI 53203 2007-10-31
1255488292 Melinda Hughes Counselor 1110 N Old World 3rd St, Suite 401, Milwaukee, WI 53203-1100 2007-01-04
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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
1750996518 Prevale S Mclin Case Manager/Care Coordinator 6096 N Hopkins St, Milwaukee, WI 53209-3558 2020-09-09
1538771712 Monet Smith Case Manager/Care Coordinator 5831 W Burleigh St, Milwaukee, WI 53210-1517 2020-08-19
1174131973 Dakisha Delaney Case Manager/Care Coordinator 2456 N 41st St, Milwaukee, WI 53210-2932 2020-07-17
1528686342 Dejuana Farmer Case Manager/Care Coordinator 2868 N 41st St, Milwaukee, WI 53210-1810 2020-07-08
1720600836 Tiny Miracles Doula Services Inc Case Manager/Care Coordinator 4738 W Lisbon Ave Ste 7, Milwaukee, WI 53208-1127 2020-05-12
1700410362 Annie P Robinson Case Manager/Care Coordinator 2142 N 15th St, Milwaukee, WI 53205-1209 2020-02-23
1932732682 Austiana Jackson Case Manager/Care Coordinator 4555 N 65th St, Milwaukee, WI 53218-5508 2020-02-20
1891334132 Blessed Hands Prenatal Services Case Manager/Care Coordinator 3755 N 49th St, Milwaukee, WI 53216-2912 2020-01-03
1730725656 Lekecia Ferguson Case Manager/Care Coordinator 7970 W Glendbrook Rd, Milwaukee, WI 53223 2019-11-26
1124663299 C Renee Consulting and Management Group Case Manager/Care Coordinator 6090 N 35th St Ste 204, Milwaukee, WI 53209-3602 2019-11-13
Find all providers in MILWAUKEE

Competitor

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City MILWAUKEE
Zip Code 53203

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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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