JESSICA REBECCA KING (NPI# 1467925032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467925032 |
| Entity Type | Individual |
| Full Name | JESSICA REBECCA KING |
| Practice Address |
217 N Madison St Ste 4 Green Bay WI 54301-5103 |
| Practice Telephone | 9203279124 |
| Mailing Telephone | 9203279124 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | WI | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134626658 | Jessica Barbara King | Registered Nurse | 2155 Rt 22b, Morrisonville, NY 12962 | 2018-04-11 |
| 1497250831 | Jessica Nicole King | Dental Assistant | 1609 Excel Dr, Killeen, TX 76542-6315 | 2018-03-28 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1154875094 | Jessica Marie King | Marriage & Family Therapist | 1949 Goldsmith Ln, Louisville, KY 40218-3086 | 2016-08-09 |
| 1053798421 | Jessica D King | Counselor | 8818 Steelechase Dr, Charlotte, NC 28273-7804 | 2015-05-05 |
| 1699171314 | Jessica King | Dietitian, Registered | 531 5th St Unit A, San Fernando, CA 91340-2269 | 2014-11-06 |
| 1770983579 | Jessica King | Social Worker | 424a Sable Dr, Valparaiso, IN 46385-8116 | 2014-08-28 |
| 1548682818 | Jessica King | Registered Nurse | 39 Dakota Trl, Apt/suite, Farmington, AR 72730-2921 | 2014-01-06 |
| 1558604314 | Jessica S King | Massage Therapist | 8100 Ne Parkway Dr Ste 25, Vancouver, WA 98662-6862 | 2013-03-30 |
| 1528192234 | Jessica King | Physical Therapy Assistant | 10000 Saint Wendel Rd, Evansville, IN 47720-8565 | 2007-03-15 |
| Street Address |
217 N MADISON ST STE 4 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063985620 | Mamma Gese | Community/Behavioral Health | 217 N Madison St Ste 4, Green Bay, WI 54301-5103 | 2019-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| 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 |
|---|---|---|---|---|
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1205480985 | Kate Christnot | Case Manager/Care Coordinator | 2517 N View Ct, Green Bay, WI 54303-6233 | 2019-07-30 |
| 1619538618 | Alyse Gregorius | Case Manager/Care Coordinator | 830 Edgewood Dr, Green Bay, WI 54311-5204 | 2019-06-21 |
| 1699374447 | Heidi Van Sistine | Case Manager/Care Coordinator | 830 Edgewood Dr, Green Bay, WI 54311-5204 | 2020-10-22 |
| 1528675550 | Brenda Ann Skabroud | Case Manager/Care Coordinator | 830 Edgewood Dr, Green Bay, WI 54311-5204 | 2020-09-24 |
| 1932719663 | James Walker Jr. | Case Manager/Care Coordinator | 2517 N View Ct, Green Bay, WI 54303-6233 | 2020-08-07 |
| 1922637180 | Brianna Marie Hagenow | Case Manager/Care Coordinator | Lutheran Social Services of Wi, 830 Edgewood Drive, Green Bay, WI 54311 | 2020-04-08 |
| 1245876374 | Jacqueline Ebert | Case Manager/Care Coordinator | 830 Edgewood Dr, Green Bay, WI 54311-5204 | 2019-11-25 |
| 1396380622 | Anna Joll | Case Manager/Care Coordinator | 2517 N View Ct, Green Bay, WI 54303-6233 | 2019-11-11 |
| 1407498496 | Kesley Kathryn Jones | Case Manager/Care Coordinator | 2517 N View Ct, Green Bay, WI 54303-6233 | 2019-10-11 |
| Find all providers in GREEN BAY | ||||
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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.