SHAUNA D JACKSON


Address: 2410 Pine St, Arkadelphia, AR 71923-4335
Phone: 8702452210

SHAUNA D JACKSON (NPI# 1508359076) 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) 1508359076
Entity Type Individual
Full Name SHAUNA D JACKSON
Practice Address 2410 Pine St
Arkadelphia
AR 71923-4335
Mailing Address 3012 Turman Dr
Jonesboro
AR 72404-8998
Practice Telephone 8702452210
Mailing Telephone 8708190200
Enumeration Date 2018-06-11
Last Update Date 2018-06-11
Gender Code F
Is Sole Proprietor N

Taxonomy

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

Other Providers SHAUNA JACKSON

NPI Name Taxonomy Address Enumeration
1063888907 Shauna Jackson Chore Provider 720 Lakewood St, Detroit, MI 48215-2945 2015-08-14
1396971297 Shauna Leann Jackson Speech-Language Pathologist 510 S. Elliott, Suite C, Pryor, OK 74361 2009-06-05

Office Location

Street Address 2410 PINE ST
City ARKADELPHIA
State AR
Zip Code 71923-4335

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770558256 Felicia Higgs Counselor 2410 Pine St, Arkadelphia, AR 71923-4335 2006-02-20
1558851642 Lluvia Martinez Adame Case Manager/Care Coordinator 2410 Pine St, Arkadelphia, AR 71923-4335 2018-05-14
1518463397 Asombra Reed Case Manager/Care Coordinator 2410 Pine St, Arkadelphia, AR 71923-4335 2018-04-02
1780187641 Emily K Ball Case Manager/Care Coordinator 2410 Pine St, Arkadelphia, AR 71923-4335 2018-03-16
1174031793 Yonda K Holliman Case Manager/Care Coordinator 2410 Pine St, Arkadelphia, AR 71923-4335 2018-01-17
1841707247 Faleisha D Milton Case Manager/Care Coordinator 2410 Pine St, Arkadelphia, AR 71923-4335 2018-01-08
1841705134 Tierrah D Smith Case Manager/Care Coordinator 2410 Pine St, Arkadelphia, AR 71923-4335 2017-12-07
1497267157 Whitney J Todd Case Manager/Care Coordinator 2410 Pine St, Arkadelphia, AR 71923-4335 2017-11-02
1720590482 Makayla D Burnside Case Manager/Care Coordinator 2410 Pine St, Arkadelphia, AR 71923-4335 2017-11-02
1336659341 Zachary P Gooding Case Manager/Care Coordinator 2410 Pine St, Arkadelphia, AR 71923-4335 2017-10-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467053512 Lacey Griffin Pharmacist 109 Wp Malone Drive, Arkadelphia, AR 71923 2020-11-05
1528478955 Baptist Health Clinic/Center 10 Montgomery Drive, Caddo Valley, AR 71923 2014-05-07
1770923724 Amber Dawn Jones Nurse Practitioner 10 Montgomery Dr, Caddo Valley, AR 71923 2013-07-04
1699050872 Timothy R Phelan Pharmacist 131 N 26 St, Walgreens, Arkadelphia, AR 71923 2011-10-19
1083924229 Misty Cox Health Educator 2410 Pine Street, Arkadelphia, AR 71923 2010-10-20
1942433677 James W. Hankins, D.d.s., P.a. Dentist 2840 Twin Rivers Dr., Arkadelphia, AR 71923 2009-08-28
1003027061 William Coke Viser Counselor 94 Pinnacle Drive, Arkadelphia, AR 71923 2007-05-24
1184843773 Renski Davis-buckley Case Manager/Care Coordinator 524 N. Clark, Arkadelphia, AR 71923 2007-04-24
1407988355 State of Arkansas Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1 Prator Drive, Arkadelphia, AR 71923 2007-03-09
1003945734 Danita Stubbs Case Manager/Care Coordinator 2607 Caddo Street, Arkadelphia, AR 71923 2007-03-06
Find all providers in zip 71923

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
1720488430 Stanley B Jones II Case Manager/Care Coordinator 2551 Country Club Rd Apt 18, Arkadelphia, AR 71923-2975 2014-08-29
1730508847 Jared Fisk Case Manager/Care Coordinator 1715 Walnut St, Arkadelphia, AR 71923-6600 2014-04-16
1306122544 Lacey Mccaskill Case Manager/Care Coordinator 2425 Country Club Rd, Arkadelphia, AR 71923-2903 2011-11-02
1245565258 Amanda Gills Case Manager/Care Coordinator 2210 Pine St, Arkadelphia, AR 71923-4331 2009-10-08
1174737399 Linda Harris Case Manager/Care Coordinator 1044 S 11th St, Arkadelphia, AR 71923-6704 2007-05-09
1184843773 Renski Davis-buckley Case Manager/Care Coordinator 524 N. Clark, Arkadelphia, AR 71923 2007-04-24
1003945734 Danita Stubbs Case Manager/Care Coordinator 2607 Caddo Street, Arkadelphia, AR 71923 2007-03-06
1255474268 Christy G Campbell Case Manager/Care Coordinator 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 2007-02-15
1245837350 Brett Burks Case Manager/Care Coordinator 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 2020-10-02
1194341123 Julie A Harrington Case Manager/Care Coordinator 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 2020-06-25
Find all providers in ARKADELPHIA

Competitor

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City ARKADELPHIA
Zip Code 71923

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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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