NICOLE RENEE JENKINS (NPI# 1346585064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346585064 |
| Entity Type | Individual |
| Full Name | NICOLE RENEE JENKINS |
| Practice Address |
421 Sw Oak St Ste 520 Portland OR 97204-1810 |
| Mailing Address |
421 Sw Oak St Portland OR 97204-1817 |
| Practice Telephone | 5039883999 |
| Practice Fax Number | 5039884388 |
| Mailing Telephone | 5039883999 |
| Mailing Fax Number | 5039884388 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265077986 | Nicole Jenkins | Occupational Therapist | 715 Church Street, Bluff Dale, TX 76433 | 2019-11-18 |
| 1023505278 | Nicole Sheri Jenkins | Registered Nurse | 5959 Maple Ave Apt 2348, Dallas, TX 75235-6726 | 2018-04-13 |
| 1730715913 | Nicole Jenkins | Behavior Technician | 4849 Lone Tree Way, Suite C, Antioch, CA 94531-8644 | 2020-03-19 |
| 1225687486 | Nicole Jenkins | Occupational Therapy Assistant | 4450 E Jewell Ave, Denver, CO 80222-4605 | 2019-09-10 |
| 1528625753 | Nicole Jenkins | Counselor | 348 13th St Ste 203, Brooklyn, NY 11215-6179 | 2019-05-23 |
| 1699332759 | Nicole Jenkins | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2019-05-23 |
| 1881155091 | Nicole Jenkins | Technician, Health Information | 7010 S Yale Ave Ste 215, Tulsa, OK 74136-5743 | 2019-03-29 |
| 1417494394 | Nicole Jenkins | Behavior Technician | 81 Plantation St, Worcester, MA 01604-3069 | 2017-01-30 |
| 1891188942 | Nicole Jenkins | Marriage & Family Therapist | 43520 Division St, Lancaster, CA 93535-4089 | 2015-03-13 |
| 1558780395 | Nicole Jenkins | Speech-Language Pathologist | 2601 Bransford Ave, Nashville, TN 37204-2811 | 2014-04-09 |
| Street Address |
421 SW OAK ST STE 520 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97204-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205962743 | Linda J Stein | Counselor | 421 Sw Oak St Ste 520, Portland, OR 97204-1810 | 2007-02-27 |
| 1407332448 | Nicole Cleary | Case Manager/Care Coordinator | 421 Sw Oak St Ste 520, Portland, OR 97204-1810 | 2018-07-12 |
| 1508368119 | Bobbie Rene Simmons | Case Manager/Care Coordinator | 421 Sw Oak St Ste 520, Portland, OR 97204-1810 | 2018-02-28 |
| 1619495488 | Jena Marie Honeyman | Counselor | 421 Sw Oak St Ste 520, Portland, OR 97204-1810 | 2017-08-31 |
| 1760908958 | Christina Bondurant | Social Worker | 421 Sw Oak St Ste 520, Portland, OR 97204-1810 | 2017-08-18 |
| 1669993077 | Amber Lynn Casley | Peer Specialist | 421 Sw Oak St Ste 520, Portland, OR 97204-1810 | 2017-07-06 |
| 1710436803 | Andrew Holguin | Social Worker | 421 Sw Oak St Ste 520, Portland, OR 97204-1810 | 2016-09-29 |
| 1699228155 | Leticia Ochoa | Counselor | 421 Sw Oak St Ste 520, Portland, OR 97204-1810 | 2016-08-01 |
| 1770938615 | Savannah Paz | Case Manager/Care Coordinator | 421 Sw Oak St Ste 520, Portland, OR 97204-1810 | 2016-04-28 |
| 1619337730 | Jacklyn Alberta Coleman | Peer Specialist | 421 Sw Oak St Ste 520, Portland, OR 97204-1810 | 2016-03-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922662352 | Sleep Management, L.L.C. | Respiratory Therapist, Registered | 1050 Sw 6th Avenue, Suite 1100 Office # 52, Portland, OR 97204 | 2019-05-01 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1790133031 | Modupe Desiree Bansile | Counselor | 209 Sw Fourth Ave, Suite 520, Portland, OR 97204 | 2016-05-26 |
| 1841655834 | Isabella Zaragoza | Counselor | 421 Sw Oak St Suite 520, Portland, OR 97204 | 2015-12-18 |
| 1952737736 | Hessler-cohen Enterprises LLC | Acupuncturist | 310 Sw 4rth Avenue, Suite 725, Portland, OR 97204 | 2013-09-24 |
| 1144583378 | Angela Nicole Johnson | Physical Therapist | 555 Sw Oak Street, Portland, OR 97204 | 2012-06-22 |
| 1255614624 | Jaclyn Rene Jones | Nurse Practitioner | 601 Sw 4th Ave, Portland, OR 97204 | 2011-09-22 |
| 1407148398 | Cristianne Paulsen | Dental Hygienist | 426 Sw Stark, 9th Floor, Portland, OR 97204 | 2011-05-10 |
| 1396928255 | Jessica L Hall | Counselor | 421 Sw Oak Street, Suite 520, Portland, OR 97204 | 2007-12-13 |
| 1699896274 | Julie Anne Oyemaja | Counselor | 421 Sw Oak St., Ste. 210, Portland, OR 97204 | 2007-04-02 |
| Find all providers in zip 97204 | ||||
| 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 |
|---|---|---|---|---|
| 1437775558 | John Alan Varner | Case Manager/Care Coordinator | 5833 N Lombard St, Portland, OR 97203-4115 | 2020-06-24 |
| 1750906228 | Dwell Care LLC. | Case Manager/Care Coordinator | 1720 Nw Lovejoy St Ste 202, Portland, OR 97209-2341 | 2020-06-10 |
| 1871138453 | Kedrick Starr | Case Manager/Care Coordinator | 14600 Nw Cornell Rd., Portland, OR 97229 | 2019-11-07 |
| 1477102077 | Joslyn Bailey Gheen | Case Manager/Care Coordinator | 1032 Sw Main St, Portland, OR 97205-2407 | 2019-09-05 |
| 1497311773 | Ali Tareq Ashour | Case Manager/Care Coordinator | 980 Forest Ave Ste 106, Portland, ME 04103-3357 | 2019-05-13 |
| 1427540202 | Amber Tracy Ware | Case Manager/Care Coordinator | 30 Ne Martin Luther King Jr Blvd, Portland, OR 97232-2941 | 2018-06-06 |
| 1710479209 | Katherine Anne Kerr | Case Manager/Care Coordinator | 4307 Ne 102nd Ave, Portland, OR 97220-3439 | 2018-05-31 |
| 1194230664 | Ankita Guchait | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229 | 2017-12-06 |
| 1083137459 | David Sague | Case Manager/Care Coordinator | 7820 Ne Holman St Ste B5, Portland, OR 97218-2841 | 2017-07-18 |
| 1538601885 | Gabriela Simone Sargent | Case Manager/Care Coordinator | 4109 Se 113th Ave, Portland, OR 97266-2226 | 2016-11-16 |
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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.