TRACY JACKSON (NPI# 1568879732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568879732 |
| Entity Type | Individual |
| Full Name | TRACY JACKSON |
| Practice Address |
24077 State Highway 49 Nevada City CA 95959-8519 |
| Practice Telephone | 5302659057 |
| Mailing Telephone | 5302659057 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2017-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639611486 | Tracy Lynn Jackson | Behavior Technician | 412 S Central Ave, Idabel, OK 74745-6060 | 2016-11-10 |
| 1952779209 | Tracy Jackson | Nurse's Aide | 11210 Orville Ave, Cleveland, OH 44106-1327 | 2015-09-03 |
| 1982902516 | Tracy Ann Jackson | Speech-Language Pathologist | 6395 Polo Club Dr, Cumming, GA 30040-5716 | 2011-03-07 |
| 1154436590 | Tracy P Jackson | Anesthesiology | 719 Thompson Ln Ste 22209, Nashville, TN 37204-4692 | 2006-08-19 |
| 1740203496 | Tracy Leslie Jackson | Dentist | 1731 Manatee Ave E, Bradenton, FL 34208 | 2006-07-25 |
| 1992003594 | Tracy Elaine Jackson | Pharmacist | 1000 Broad St, Sumter, SC 29150-2505 | 2011-03-05 |
| 1871894899 | Tracy I Jackson | Registered Nurse | 2209 Howard St, Evanston, IL 60202-3636 | 2010-11-08 |
| 1932334091 | Tracy Jackson | Nurse Practitioner | 1389 N Baldwin Ave, Marion, IN 46952-1913 | 2009-05-19 |
| 1295902971 | Tracy Jackson | Registered Nurse | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2008-05-13 |
| 1154461283 | Tracy Letia Jackson | Physician Assistant | 215 W 125th St, New York, NY 10027-4426 | 2007-02-07 |
| Street Address |
24077 STATE HIGHWAY 49 |
| City | NEVADA CITY |
| State | CA |
| Zip Code | 95959-8519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205943016 | Evan Strauss | Marriage & Family Therapist | 24077 State Highway 49, Nevada City, CA 95959-8519 | 2006-08-25 |
| 1295345999 | Julia Marie Lewis | Counselor | 24077 State Highway 49, Nevada City, CA 95959-8519 | 2020-08-06 |
| 1740890672 | Tesh-ann Marie Silveira | Counselor | 24077 State Highway 49, Nevada City, CA 95959-8519 | 2020-08-05 |
| 1316556152 | Morgan Viree Taylor | Counselor | 24077 State Highway 49, Nevada City, CA 95959-8519 | 2020-07-28 |
| 1093330987 | Kate Frances Reardon | Counselor | 24077 State Highway 49, Nevada City, CA 95959-8519 | 2020-06-16 |
| 1194348128 | Kaitlin Saigel Patterson | Counselor | 24077 State Highway 49, Nevada City, CA 95959-8519 | 2020-05-26 |
| 1922648765 | Cindi Sanchez | Counselor | 24077 State Highway 49, Nevada City, CA 95959-8519 | 2020-01-09 |
| 1639713571 | Mary Ann Cords | Counselor | 24077 State Highway 49, Nevada City, CA 95959-8519 | 2019-11-04 |
| 1871137729 | Synques Sharelle Weathersby | Counselor | 24077 State Highway 49, Nevada City, CA 95959-8519 | 2019-11-04 |
| 1629619028 | Lauren Garrett | Counselor | 24077 State Highway 49, Nevada City, CA 95959-8519 | 2019-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639495 | Bringing Medicine Culturally Competent Counseling and Indigenous | Marriage & Family Therapist | 206 Sacramento St Suite 212, Nevada, CA 95959 | 2020-11-04 |
| 1699376210 | Michele Tsihlas | Health Educator | 18411 Tyler Foote Road, Nevada City, CA 95959 | 2020-11-02 |
| 1649835380 | Jared Shawn Dubose | Counselor | 24077 Ca 49, Nevada City, CA 95959 | 2019-05-08 |
| 1447755590 | Maria Scarano | Chiropractor | 513 Searls Ave, Unit 8, Nevada City, CA 95959 | 2018-03-29 |
| 1922559020 | Megan Allen | Counselor | 985 Helling Way, Nevada City, CA 95959 | 2016-10-24 |
| 1417331885 | Karla Diane Moore Pinola | Counselor | 150 Bost Avenue, Nevada City, CA 95959 | 2015-07-16 |
| 1700212263 | Victoria Moran | Marriage & Family Therapist | 206 Sacramento St Ste 203, Nevada City, CA 95959 | 2013-09-16 |
| 1528308905 | Justin Burkett | Acupuncturist | 101 Providence Mine Rd Ste 105b, Nevada City, CA 95959 | 2013-02-22 |
| 1114276623 | Michelle Dion Young | Case Manager/Care Coordinator | 138 New Mohawk #200, Nevad City, CA 95959 | 2012-08-30 |
| 1750668497 | Rachael Courtier | Social Worker | Sierra Family Medical Clinic, 15301 Tyler Foote Road, Nevada City, CA 95959 | 2011-11-09 |
| Find all providers in zip 95959 | ||||
| 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 |
|---|---|---|---|---|
| 1659671873 | Brianne C Hickey | Case Manager/Care Coordinator | 24077 State Hwy 49, Nevada City, CA 95959 | 2010-10-22 |
| 1710407184 | Karen Wilson | Case Manager/Care Coordinator | 138 New Mohawk Rd Ste 200, Nevada City, CA 95959-3248 | 2017-06-26 |
| 1588116974 | Kayla Day | Case Manager/Care Coordinator | 138 New Mohawk Rd, Nevada City, CA 95959-3244 | 2016-11-01 |
| 1235685009 | Gail Yon Walls | Case Manager/Care Coordinator | 138 New Mohawk Rd, Suite 200, Nevada City, CA 95959-3244 | 2016-08-31 |
| 1841642691 | Alnisa Tower | Case Manager/Care Coordinator | 24077 State Highway 49, Nevada City, CA 95959-8519 | 2016-07-05 |
| 1720435647 | Angelica N Perez | Case Manager/Care Coordinator | 24077 State Highway 49, Nevada City, CA 95959-8519 | 2016-05-20 |
| 1851758551 | Gerald Van Wagner | Case Manager/Care Coordinator | 24077 Highway 49, Nevada City, CA 95959-8519 | 2016-01-26 |
| 1336506138 | Chris Marquez | Case Manager/Care Coordinator | 24077 State Highway 49, Nevada City, CA 95959-8519 | 2016-01-25 |
| 1871998914 | Enrique Rivera | Case Manager/Care Coordinator | 24077 State Highway 49, Nevada City, CA 95959-8519 | 2014-10-31 |
| 1336544493 | Michael Reynolds | Case Manager/Care Coordinator | 24077 State Highway 49, Nevada City, CA 95959-8519 | 2014-10-30 |
| Find all providers in NEVADA CITY | ||||
| City | NEVADA CITY |
| Zip Code | 95959 |
Please comment or provide details below to improve the information on TRACY 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.