ERICA JACKSON (NPI# 1558916577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558916577 |
| Entity Type | Individual |
| Full Name | ERICA JACKSON |
| Practice Address |
861 Corporate Dr Ste 101 Lexington KY 40503-5461 |
| Mailing Address |
10100 Elida Rd Delphos OH 45833-9056 |
| Practice Telephone | 8599712585 |
| Practice Fax Number | 8599717594 |
| Mailing Telephone | 4196958010 |
| Mailing Fax Number | 4196950004 |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172A00000X | Driver | Other Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596978 | Erica Lakisha Jackson | Occupational Therapist | 212 Fairview Park Dr, Dublin, GA 31021-2547 | 2020-07-23 |
| 1174179980 | Erica R Jackson | Technician | 11355 Desmond St, Garden Grove, CA 92841 | 2019-08-16 |
| 1528672680 | Erica Paige Jackson | Pharmacist | 250 Mount Lebanon Blvd, Pittsburgh, PA 15234-1252 | 2020-09-04 |
| 1679122824 | Erica Lynn Jackson | Physical Therapist | 15825 Ballantyne Medical Pl Ste 120, Charlotte, NC 28277-4790 | 2019-09-10 |
| 1912471442 | Erica Chavez Jackson | Case Manager/Care Coordinator | 6666 Green Valley Cir, Culver City, CA 90230-7068 | 2019-01-17 |
| 1699245571 | Erica Jackson | Case Manager/Care Coordinator | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2018-12-04 |
| 1245725050 | Erica L Jackson | Behavior Technician | 1800 W Big Beaver Rd, Troy, MI 48084-3545 | 2018-06-25 |
| 1518384817 | Erica Marie Jackson | Specialist | 814 Shanahan Rd Ste 100, Lewis Center, OH 43035-9192 | 2014-03-25 |
| 1962639070 | Erica Lynnette Jackson | Counselor | 1371 Highway 278 W, Monticello, AR 71655-9663 | 2009-06-16 |
| 1437393345 | Erica Christian Jackson | Speech-Language Pathologist | 2730 Isabella Blvd, Suite 10, Jacksonville Beach, FL 32250-8001 | 2009-04-22 |
| Street Address |
861 CORPORATE DR STE 101 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40503-5461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255535142 | Dawn Woods | Case Manager/Care Coordinator | 861 Corporate Dr Ste 101, Lexington, KY 40503 | 2007-06-13 |
| 1730683830 | Tonya Prather | Social Worker | 861 Corporate Dr Ste 101, Lexington, KY 40503-5461 | 2018-03-22 |
| 1336521285 | Rhiannon Ashcraft | Counselor | 861 Corporate Dr Ste 101, Lexington, KY 40503-5432 | 2015-06-26 |
| 1730590449 | Stephanie Jordan | Counselor | 861 Corporate Dr Ste 101, Lexington, KY 40503-5432 | 2014-05-15 |
| 1114338803 | Shannon Hamilton | Counselor | 861 Corporate Dr Ste 101, Lexington, KY 40503-5432 | 2014-05-15 |
| 1952614208 | Robyn L Postley | Social Worker | 861 Corporate Dr Ste 101, Lexington, KY 40503-5432 | 2010-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548804743 | Lucas Kyle Brothers | Occupational Therapist | 401 Lewis Hargett Cir #120, Lexington, KY 40503 | 2019-10-30 |
| 1598322364 | Bobbi Jo Macqueston | Developmental Therapist | 825 Apache Trail, Lexington, KY 40503 | 2019-05-28 |
| 1750846234 | Smart Dental & Hygiene Express | Dentist | 2600 Nicholasville Rd Suite 120, Lexington, KY 40503 | 2019-02-08 |
| 1780148353 | Southland Child, Adult, and Family Counseling | Counselor | 2039 Regency Rd., Ste 1, Lexington, KY 40503 | 2019-01-28 |
| 1073093357 | Amanda Zachem | Nurse Practitioner | 1780 Nicholasville Rd., Suite #203, Lexington, KY 40503 | 2018-08-16 |
| 1083101240 | Man O War Urgent Care LLC | Nurse Practitioner | 4097 Nichols Park Dr Ste 108, Lexington, KY 40503 | 2018-04-13 |
| 1255833737 | Bennett Gatto | Physical Therapist | 3882 Mall Road, Lexington, KY 40503 | 2018-03-01 |
| 1528566114 | Alteri, LLC | Counselor | 1517 Nicholasville Rd Ste 402, Lexington, KY 40503 | 2018-01-29 |
| 1245748235 | Sherry Kay Adkins | Registered Nurse | Baptist Health Lexington 1740 Nicholasville Road, Diabetes Education, Lexington, KY 40503 | 2018-01-12 |
| 1003334780 | Martin Bennett Hundley | Counselor | 274 Southland Dr # 204, Lexington, KY 40503 | 2017-09-01 |
| Find all providers in zip 40503 | ||||
| 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 |
|---|---|---|---|---|
| 1770144362 | Melony Joy Cunningham | Case Manager/Care Coordinator | 4229 Ridgewater Dr, Lexington, KY 40515-6010 | 2019-06-25 |
| 1396215901 | Crystal Rose Wynn | Case Manager/Care Coordinator | 193 Frederick St Apt 1l, Lexington, OH 44904-1247 | 2018-11-27 |
| 1689155905 | Cassie Elizabeth Allen | Case Manager/Care Coordinator | 3337 Overbrook Dr, Lexington, KY 40502-3351 | 2018-08-24 |
| 1265939391 | Avia Dozier | Case Manager/Care Coordinator | 162 Boiling Springs Ln, Lexington, SC 29073-7682 | 2018-04-05 |
| 1720456080 | Lisa Higgins | Case Manager/Care Coordinator | 1351 Newtown Pike #5, Bluegrass, Lexington, KY 40511 | 2015-09-03 |
| 1376927137 | Nicole Lawson | Case Manager/Care Coordinator | 1136 Mount Rushmore Way # A, Lexington, KY 40515-5437 | 2015-07-11 |
| 1649678657 | April Hill | Case Manager/Care Coordinator | 2244 Winterberry Dr # B, Lexington, KY 40504-3241 | 2014-12-08 |
| 1689093866 | Tove Reiman | Case Manager/Care Coordinator | 2401 Plum Creek Pkwy, Lexington, NE 68850-2813 | 2014-04-15 |
| 1801225974 | Ascential Care Partners, LLC | Case Manager/Care Coordinator | 333 West Vine Street, Suite 300, Lexington, KY 40507-1626 | 2013-11-08 |
| 1568702884 | Nicole Renee Morgan-brown | Case Manager/Care Coordinator | 2937 Briggs Pl, Lexington, KY 40511-8874 | 2013-02-22 |
| Find all providers in LEXINGTON | ||||
Please comment or provide details below to improve the information on ERICA 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.