KACIE LEE JACKSON (NPI# 1548742224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548742224 |
| Entity Type | Individual |
| Full Name | KACIE LEE JACKSON |
| Practice Address |
312 N Van Buren St Enid OK 73703-4500 |
| Mailing Address |
115 E Dogwood Dr Pond Creek OK 73766-9788 |
| Practice Telephone | 8885737792 |
| Mailing Telephone | 4055707523 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | OK | Other Service Providers |
| Street Address |
312 N VAN BUREN ST |
| City | ENID |
| State | OK |
| Zip Code | 73703-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780974576 | Melissa Anne Postier | Counselor | 312 N Van Buren St, Enid, OK 73703-4500 | 2011-04-13 |
| 1114539863 | Emily Roberts | Case Manager/Care Coordinator | 312 N Van Buren St, Enid, OK 73703-4500 | 2020-08-22 |
| 1699305813 | Christina Williams | Case Manager/Care Coordinator | 312 N Van Buren St, Enid, OK 73703-4500 | 2020-01-16 |
| 1811547292 | Bryce Alexander Winters | Peer Specialist | 312 N Van Buren St, Enid, OK 73703-4500 | 2019-09-17 |
| 1063061497 | Sarah Green | Case Manager/Care Coordinator | 312 N Van Buren St, Enid, OK 73703-4500 | 2019-09-09 |
| 1982251922 | Laura Linn Clover | Case Manager/Care Coordinator | 312 N Van Buren St, Enid, OK 73703-4500 | 2019-08-23 |
| 1427600667 | Sheena Koehn | Case Management | 312 N Van Buren St, Enid, OK 73703-4500 | 2019-07-09 |
| 1962976654 | Hamna Akmal-holmes | Case Manager/Care Coordinator | 312 N Van Buren St, Enid, OK 73703-4500 | 2019-01-15 |
| 1609346261 | Summer Dawn Parrish | Behavior Technician | 312 N Van Buren St, Enid, OK 73703-4500 | 2018-11-27 |
| 1154898625 | Ruby Jorita Martinez | Social Worker | 312 N Van Buren St, Enid, OK 73703-4500 | 2018-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902233 | Gena M Ford | Massage Therapist | 2117 W Owen K Garriot, Inside Beyond Beauty, Enid, OK 73703 | 2020-08-11 |
| 1396270351 | Zoom Diagnostic Imaging LLC | Clinic/Center | 1113 West Cherry Ave, Enid, OK 73703 | 2017-04-27 |
| 1083154173 | Amanda Percival, Pllc | Counselor | 1420 W Owen K. Garriott Bldg 1, Enid, OK 73703 | 2017-03-08 |
| 1972934297 | Ty Stroble | Behavioral Analyst | 408 N Oakwood, Apt.13d, Enid, OK 73703 | 2013-12-12 |
| 1801132204 | Ryan Patrick Williams | Dentist | 2510 W Chestnut Ave, Ste A, Enid, OK 73703 | 2012-12-13 |
| 1295094720 | Heather Jeanette Linder | Counselor | 2700 N. Vanburen, Trailer 240, Enid, OK 73703 | 2012-05-03 |
| 1366729477 | Karen Lynn Harris | Counselor | 1625 W. Garriot, Suite F, Enid, OK 73703 | 2011-11-03 |
| 1659666501 | Courtney Michelle Pike | Behavioral Analyst | 1625 West Owen K Garriott Road # F, Enid, OK 73703 | 2011-06-17 |
| 1194040089 | Erin K. Roberts, Dds, Plc | Dentist | 1402 N Van Buren, Enid, OK 73703 | 2010-04-02 |
| 1770812109 | Tabitha Janel Simon | Counselor | 529 North Grand, Enid, OK 73703 | 2009-12-14 |
| Find all providers in zip 73703 | ||||
| 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 |
|---|---|---|---|---|
| 1740894682 | Rhonda K Wilson | Case Manager/Care Coordinator | 1029 E Oklahoma Ave, Enid, OK 73701-6105 | 2020-09-08 |
| 1598387060 | Kallie D Jones | Case Manager/Care Coordinator | 4306 Oakcrest Ave, Enid, OK 73703-3503 | 2020-05-07 |
| 1861023467 | Katherine A Chambers | Case Manager/Care Coordinator | 6322 N Oakwood Rd, Enid, OK 73703-9346 | 2020-02-01 |
| 1477192482 | Kanani Jones | Case Manager/Care Coordinator | 4915 Ridgedale Dr, Enid, OK 73703-4602 | 2019-12-23 |
| 1164996567 | Desiree Nicole Fritz | Case Manager/Care Coordinator | 1502 Ritchie Ave, Enid, OK 73703-8021 | 2019-01-18 |
| 1558839852 | Caillie N Fitzpatrick | Case Manager/Care Coordinator | 505 S Harrison St, Enid, OK 73703-5825 | 2018-11-05 |
| 1487130563 | Marrissa Irene Rucker | Case Manager/Care Coordinator | 822 E Ash Ave, Enid, OK 73701-2308 | 2018-07-12 |
| 1811487689 | Kirsten Pierce | Case Manager/Care Coordinator | 2702 W Broadway Ave, Enid, OK 73703-5160 | 2018-05-16 |
| 1548757156 | Dana Kausek | Case Manager/Care Coordinator | 4601 S Boomer Rd, Enid, OK 73703-8102 | 2018-04-18 |
| 1760999213 | Takara Barba | Case Manager/Care Coordinator | 2804 N 6th St, Enid, OK 73701-1361 | 2018-01-05 |
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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.