ANDREW JACKSON (NPI# 1528559358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528559358 |
Entity Type | Individual |
Full Name | ANDREW JACKSON |
Practice Address |
550 W Chalmers Ave Youngstown OH 44511-1576 |
Mailing Address |
527 N Meridian Rd Youngstown OH 44509-1227 |
Practice Telephone | 3307467829 |
Enumeration Date | 2018-05-29 |
Last Update Date | 2018-05-29 |
Gender Code | M |
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 |
---|---|---|---|---|
1093279572 | Andrew Jay Jackson | Technician | 125 County Road 4209, Jacksonville, TX 75766-5574 | 2019-01-29 |
1568591287 | Andrew Lee Jackson | Dentist | 600 Mccranie Avenue, Willacoochie, GA 31650 | 2007-03-06 |
1194811240 | Andrew Spencer Jackson | Dentist | 1832 Capitol St, Vallejo, CA 94590 | 2006-10-05 |
1245291954 | Andrew Dan Jackson | Chiropractor | 1025 W Carolina Ave, Hartsville, SC 29550-4427 | 2006-03-31 |
1447850227 | Andrew Jackson | Pharmacist | 3520 Hudson Dr, Stow, OH 44224-2907 | 2020-10-29 |
1134618820 | Andrew Jackson IIi | Chiropractor | 460 S 14th St, Midlothian, TX 76065-3514 | 2018-05-08 |
1497253835 | Andrew Boyd Jackson | Emergency Medicine | 1459 Laney Walker Blvd, Augusta, GA 30912 | 2018-01-31 |
1285172841 | Andrew Jackson | General Acute Care Hospital | 284 N Hospital Dr, Price, UT 84501-4233 | 2017-02-03 |
1508309055 | Andrew Jackson IIi | Case Manager/Care Coordinator | 1401 Hudson Ln, Suite 202, Monroe, LA 71201-6068 | 2016-11-30 |
1285177253 | Andrew Jackson | Naturopath | 12025 Lake City Way Ne Ste B, Seattle, WA 98125-5331 | 2016-11-23 |
Street Address |
550 W CHALMERS AVE |
City | YOUNGSTOWN |
State | OH |
Zip Code | 44511-1576 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558598391 | Gloria J. Griffin | Counselor | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2009-06-19 |
1497354443 | Dylan D Wilkerson | Community/Behavioral Health | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2020-10-21 |
1528678034 | Ashley M Nagle | Counselor | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2020-08-10 |
1730790262 | Lachean D Oliver-mcrae | Licensed Practical Nurse | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2020-08-10 |
1962012757 | Brandy Lewis | Counselor | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2020-08-06 |
1285243261 | Corrie L Darocha | Counselor | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2020-07-27 |
1528694692 | Danielle K Coontz | Counselor | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2020-03-20 |
1255966123 | Jessica A Ebelender | Community/Behavioral Health | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2020-03-11 |
1285269423 | Kyle Puz | Community/Behavioral Health | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2020-03-09 |
1023653524 | Lauren G Holt | Counselor | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2019-11-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396365755 | Khaled Omar | Student in an Organized Health Care Education/Training Program | Shaheed Tayar St, Zagazig, AL SHARKEYA 44511 | 2020-04-25 |
1720587785 | Canfield Leasing Co., LLC | Skilled Nursing Facility | 2958 Canfield Road, Youngstown, OH 44511 | 2018-02-06 |
1437671856 | Tyisha J Williams | Home Health | 2704 Volney Rd, Youngstown, OH 44511 | 2017-07-07 |
1831584234 | Tamara Ann Ramsey | Home Health Aide | 3634 Cascade Dr., Youngstown, OH 44511 | 2015-04-02 |
1679919153 | Amy Sue Lutz | Licensed Practical Nurse | 3970 Chaucer Ln, Youngstown, OH 44511 | 2013-05-10 |
1366622342 | Professional Rehab Services Inc | Physical Therapist | 4199 Kirk Rd, Youngstown, OH 44511 | 2007-11-07 |
1407077357 | Tamy D Mcbride | Home Health Aide | 3631 Dover Rd, Youngstown, OH 44511 | 2007-05-01 |
1619058229 | Joseph Michael Malys | Dentist | 3415 Canfield Rd, Youngstown, OH 44511 | 2006-10-18 |
1689695306 | Jennifer Lynn Flo | Podiatrist | 3507 Canfield Rd Ste 7, Youngstown, OH 44511 | 2006-07-21 |
1255396040 | James R Hovell | Dentist | 361 W Indianola, Youngstown, OH 44511 | 2006-04-18 |
Find all providers in zip 44511 |
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 |
---|---|---|---|---|
1134770688 | Kimberly Thomas | Case Manager/Care Coordinator | 13 E Lucius Ave, Youngstown, OH 44507-1804 | 2019-09-26 |
1043866825 | Christina Diehl | Case Manager/Care Coordinator | 3530 Belmont Ave Ste 2, Youngstown, OH 44505-1400 | 2019-08-16 |
1659925162 | Chasity Chamberlin | Case Manager/Care Coordinator | 3530 Belmont Ave Ste 200, Youngstown, OH 44505-1400 | 2019-08-01 |
1104479062 | Lance S Thomas | Case Manager/Care Coordinator | 831 E Philadelphia Ave, Youngstown, OH 44502-2455 | 2019-07-19 |
1104333798 | Sherrell Lynn Moorer | Case Manager/Care Coordinator | 3164 Eastview Drive, Youngstown, OH 44505 | 2018-01-04 |
1508396888 | Roni Renee Robinson | Case Manager/Care Coordinator | 25 W Rayen Ave, Youngstown, OH 44503-1000 | 2017-06-19 |
1548706914 | Laura Howard | Case Manager/Care Coordinator | 4621 Rhode Island Dr, Youngstown, OH 44515-4417 | 2017-01-10 |
1518351220 | Carlos Roberto Montalvo | Case Manager/Care Coordinator | 53 E Glenaven Ave, Youngstown, OH 44507-1304 | 2015-03-20 |
1104189703 | Leigh Ann-elizabeth Colangelo | Case Manager/Care Coordinator | 419 Lynnbrook Dr, Youngstown, NY 14174-1407 | 2012-06-19 |
1497356349 | Monica Bartley | Case Manager/Care Coordinator | 535 Marmion Ave, Youngstown, OH 44502-2323 | 2020-11-06 |
Find all providers in YOUNGSTOWN |
City | YOUNGSTOWN |
Zip Code | 44511 |
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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.