ANITA JOHNSON JACKSON (NPI# 1497285209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497285209 |
| Entity Type | Individual |
| Full Name | ANITA JOHNSON JACKSON |
| Practice Address |
3204 N Ridge Rd Tallahassee FL 32305 |
| Mailing Address |
3204 N Ridge Rd Tallahassee FL 32305-6726 |
| Practice Telephone | (786) 682-1620 |
| Mailing Telephone | 7866821620 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |
| 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 |
|---|---|---|---|---|
| 1861059487 | Anita Rikki Jackson | Behavioral Analyst | 14420 W Side Blvd Apt 310, Laurel, MD 20707-6271 | 2019-05-20 |
| 1134699481 | Anita Dionne Jackson | In Home Supportive Care | 29 Baltimore Ln, Palm Coast, FL 32137-8851 | 2018-11-29 |
| 1699273789 | Anita Ann Jackson | Registered Nurse | 2853 Webb Ave Bronx Ny 10468, Bronx, NY 10468-2154 | 2018-01-24 |
| 1548594831 | Anita K. Jackson | Chiropractor | 2505 Troy Pike, Versailles, KY 40383-9646 | 2009-09-21 |
| 1346286010 | Anita Louise Jackson | Otolaryngology | 4315 Ludgate St, Lumberton, NC 28358-2460 | 2006-06-21 |
| 1851785620 | Anita Denise Jackson | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2015-03-19 |
| 1992125199 | Anita June Jackson | Registered Nurse | 680 S 4th St, Louisville, KY 40202-2407 | 2014-04-26 |
| 1366637993 | Anita Irene Jackson | Social Worker | 2311 Loveridge Rd, Pittsburg, CA 94565-5117 | 2007-09-06 |
| 1679620652 | Anita P Jackson | Counselor | 573 Brookover Ave, Zanesville, OH 43701-2101 | 2007-01-04 |
| 1063519486 | Anita Cal Jackson | Family Medicine | 44274 George Cushman Ct Ste 212, Temecula, CA 92592-5945 | 2006-09-20 |
| Street Address |
3204 N RIDGE RD |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275096166 | Disc Village, Inc. | Community/Behavioral Health | 2814 Twelve Step Way, Tallahassee, FL 32305 | 2019-04-09 |
| 1104393610 | Talina N White Williams | Nurse Practitioner | 1334 Tuscaloosa Trace, Tallahassee, FL 32305 | 2018-11-01 |
| 1679054134 | Adriane Mcford Green | Custodial Care Facility | 218 Daffodil Circle, Tallahassee, FL 32305 | 2018-08-23 |
| 1972840593 | Thomas Anderson Bevis | Pharmacist | 5032 Cap Cir Sw, Tallahassee, FL 32305 | 2013-01-16 |
| 1487884755 | Aracely Garcia | Dentist | Ejercito Nacinal 6325, Cd. Juarez, CHIHUAHUA 32305 | 2009-07-21 |
| 1851854954 | Disc Village, Inc. | Community/Behavioral Health | 10942 Recovery Way, Tallahassee, FL 32305 | 2019-04-08 |
| 1386703676 | The Devereux Foundation | Clinic/Center | 2967 Natural Bridge Rd, Tallahassee, FL 32305 | 2006-12-06 |
| 1558890251 | Peronica Rena Lindsey | Clinic/Center | 3983 Wilford Rd, Tallahassee, FL 32305-0500 | 2017-06-06 |
| 1699976092 | Latunya Hollis Howard | Nurse's Aide | 4768 Woodville Hwy, Apt 1733, Tallahassee, FL 32305-0908 | 2007-05-31 |
| 1659839462 | Nikesha Thomas | In Home Supportive Care | 4768 Woodville Hwy Apt 1212, Tallahassee, FL 32305-0960 | 2019-03-11 |
| Find all providers in zip 32305 | ||||
| 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 |
|---|---|---|---|---|
| 1568831725 | Josie West | Case Manager/Care Coordinator | 934 Cochran Dr, Tallahassee, FL 32301-7022 | 2015-09-17 |
| 1013322676 | Suvonia Yon | Case Manager/Care Coordinator | 4039 Buster Rd, Tallahassee, FL 32305-8337 | 2014-06-23 |
| 1194155358 | Desmond Crayton | Case Manager/Care Coordinator | 501 Blairstone Rd, Apt. 3802, Tallahassee, FL 32301-3058 | 2013-11-25 |
| 1912344318 | Freddie Lee Moore Jr. | Case Manager/Care Coordinator | 4140 Pond Cypress Ct, Tallahassee, FL 32310-6357 | 2013-05-27 |
| 1609112507 | Michelle Gamble | Case Manager/Care Coordinator | 3208 Old Bainbridge Rd, Tallahassee, FL 32303-2720 | 2012-12-20 |
| 1396007365 | Hellen P Brenes | Case Manager/Care Coordinator | 3008 Giles Pl, Tallahassee, FL 32309-2114 | 2012-06-14 |
| 1942560255 | Pamela Laonora Chamberlynn | Case Manager/Care Coordinator | 3711 Shamrock St W, M-162, Tallahassee, FL 32309-2658 | 2012-05-21 |
| 1336429414 | Deirdre Danielle Clark | Case Manager/Care Coordinator | 2844 Hampton Meadow Dr, Tallahassee, FL 32311-8124 | 2011-08-22 |
| 1538462262 | John M. Whiddon | Case Manager/Care Coordinator | 1906 Buford Blvd, #2, Tallahassee, FL 32308-4666 | 2010-12-20 |
| 1891095451 | Alesia R Traeye | Case Manager/Care Coordinator | 2005 Fannie Dr, Tallahassee, FL 32303-8618 | 2010-10-29 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32305 |
Please comment or provide details below to improve the information on ANITA JOHNSON JACKSON.
| 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.