MELITTA JACKSON (NPI# 1376015545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376015545 |
| Entity Type | Individual |
| Full Name | MELITTA JACKSON |
| Practice Address |
1560 Betty Ct Ste A Mckinleyville CA 95519-4178 |
| Practice Telephone | 7078391933 |
| Mailing Telephone | 7078391933 |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2018-12-27 |
| 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 |
1560 BETTY CT STE A |
| City | MCKINLEYVILLE |
| State | CA |
| Zip Code | 95519-4178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790093912 | Virgil Dean Moorehead Jr. | Counselor | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2010-09-22 |
| 1720694383 | Zachary Michael Roberts | Counselor | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2020-09-18 |
| 1811535297 | Molly Rose Hilgenberg | Counselor | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2019-12-16 |
| 1811452352 | Teresina Whiterose Obie | Counselor | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2019-02-08 |
| 1912462409 | Lewis Carl Scott | Case Manager/Care Coordinator | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2019-02-08 |
| 1285107573 | Blair Kreuzer | Counselor | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2019-01-09 |
| 1477025682 | Shaylynne Laree Masten | Counselor | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2018-12-28 |
| 1366914533 | Kimberly Irene Brown | Case Manager/Care Coordinator | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2018-12-27 |
| 1124590393 | Karen Jean Santos | Social Worker | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2018-12-27 |
| 1881166049 | Two Feathers Native American Family Services | Community/Behavioral Health | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2018-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174555 | Humboldt County Behavioral Health | Community/Behavioral Health | 1615 Heartwood Drive, Mckinleyville, CA 95519 | 2020-04-30 |
| 1417518291 | Erika Adams | Dental Hygienist | 2050 Silkwood St, Mckinleyville, CA 95519 | 2019-06-24 |
| 1275808354 | Laurie Goldberg Sanders | Behavioral Analyst | 1116 Hayes Rd, Mckinleyville, CA 95519 | 2012-03-21 |
| 1295956381 | Ralph Leroy Davis | Dentist | 1661 Picket Ave, Mckinleyville, CA 95519 | 2007-05-02 |
| 1598858169 | Open Door Community Health Centers | Clinic/Center | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-02 |
| 1508887001 | Cindy Siemens | Counselor | 1660 Central Av, Ste I, Mckinleyville, CA 95519 | 2006-07-21 |
| 1043307853 | Nathan Ransom Copple | Family Medicine | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-05 |
| 1083700710 | Reilley Mullin | Nurse Practitioner | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-04 |
| 1457444192 | Glorie Lorrie Williamson | Registered Nurse | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-02 |
| 1558437608 | Carol Bryan | Registered Nurse | 1672 Church Ave, Mckinleyville, CA 95519-2504 | 2006-11-28 |
| Find all providers in zip 95519 | ||||
| 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 |
|---|---|---|---|---|
| 1912462409 | Lewis Carl Scott | Case Manager/Care Coordinator | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2019-02-08 |
| 1366914533 | Kimberly Irene Brown | Case Manager/Care Coordinator | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2018-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275935 | Grecia Leticia Garcia | Case Manager/Care Coordinator | 1830 Rodgers Rd Apt F, Hanford, CA 93230-1930 | 2020-11-03 |
| 1679173835 | Cristina Palacios-gomez | Case Manager/Care Coordinator | 1834 E Lester Ave, Fresno, CA 93720-1963 | 2020-10-27 |
| 1417557653 | Jeannine Arnetta Nash | Case Manager/Care Coordinator | 7614 Lemon Ave Ste C, Lemon Grove, CA 91945-1619 | 2020-10-27 |
| 1932709359 | Vue Moua | Case Manager/Care Coordinator | 4812 Conzelman Way, Elk Grove, CA 95757-2508 | 2020-10-26 |
| 1932709458 | Andre Howard | Case Manager/Care Coordinator | 2281 Hurley Way Apt 10, Sacramento, CA 95825-2337 | 2020-10-26 |
| 1194324020 | Project Raised | Case Manager/Care Coordinator | 3839 Amanda St, Unit 133, West Covina, CA 91792-2759 | 2020-10-21 |
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1750989240 | David John Schmidt-cook | Case Manager/Care Coordinator | 5580 Foothill Rd, Rocklin, CA 95677-3316 | 2020-10-15 |
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1841897675 | Madeline Hannah Starkenburg | Case Manager/Care Coordinator | 11559 Claridge Dr, Rch Cucamonga, CA 91730-7246 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | MCKINLEYVILLE |
| Zip Code | 95519 |
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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.