CORY LYNN JACKSON (NPI# 1578060448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578060448 |
| Entity Type | Individual |
| Full Name | CORY LYNN JACKSON |
| Practice Address |
1 Nome Bypass Road Nome AK 99762-0966 |
| Mailing Address |
Po Box 966 Nome AK 99762-0966 |
| Practice Telephone | 9074439603 |
| Mailing Telephone | 9074439603 |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 00000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194340687 | Cory David Jackson | Registered Nurse | 212 Allendale Dr, Forest City, NC 28043-2889 | 2020-06-10 |
| 1962969295 | Cory Jackson | Behavior Technician | 3031 C St, Sacramento, CA 95816-3326 | 2019-02-22 |
| 1609365170 | Cory Daniel Jackson | Student in an Organized Health Care Education/Training Program | 20 York St, New Haven, CT 06510-3220 | 2018-05-09 |
| Street Address |
1 NOME BYPASS ROAD |
| City | NOME |
| State | AK |
| Zip Code | 99762-0966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030773 | Aura Chasteen | Counselor | 907 Division Street, Nome, AK 99762 | 2020-07-09 |
| 1043858210 | Nome Public Schools | Point of Service | 2920 3.5 Nome-teller Hwy, Nome, AK 99762 | 2019-12-18 |
| 1194217638 | Kathryn Davis Mctigue | Dentist | Nome Bypass Rd, Nome, AK 99762 | 2018-05-31 |
| 1891296489 | Yonaton Sahar Davidson | Counselor | Nome Community Center, Nome, AK 99762 | 2018-02-28 |
| 1588186605 | Jennifer R Dean-johnson | Case Manager/Care Coordinator | 1000 Greg Kruschev, Nome, AK 99762 | 2017-07-11 |
| 1457717340 | Kristy Kunayak | Community Health Worker | Front Street 7059, Little Diomede, AK 99762 | 2016-01-07 |
| 1265828743 | Diane Paniptchuk | Community Health Worker | 1000 Kruschak Ave, Nome, AK 99762 | 2015-04-10 |
| 1710384185 | Helen M Eningowuk | Community Health Worker | 1000 Greg Kruscheck Ave, Nome, AK 99762 | 2014-12-01 |
| 1194122671 | Crystal Lynn Fagerstrom | Community Health Worker | 39 Punguk Street, Golovin, AK 99762 | 2014-11-26 |
| 1699187161 | Cynthia Barrand | Counselor | 1000 Greg Kruscheck, Nome, AK 99762 | 2014-06-02 |
| Find all providers in zip 99762 | ||||
| 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 |
|---|---|---|---|---|
| 1588186605 | Jennifer R Dean-johnson | Case Manager/Care Coordinator | 1000 Greg Kruschev, Nome, AK 99762 | 2017-07-11 |
| 1669929261 | Theodora Heihn | Case Manager/Care Coordinator | 1000 Greg Kruscheck Ave., Nome, AK 99762-0966 | 2016-09-01 |
| 1023386596 | David Gray Elmore | Case Manager/Care Coordinator | 505 W. 3rd Avenue, Nome, AK 99762 | 2011-12-12 |
| 1851606578 | Nichole Mary Pomrenke | Case Manager/Care Coordinator | 306 West 5 Ave, Nome, AK 99762 | 2010-08-18 |
| 1992981344 | Norton Sound Health Corporation | Case Manager/Care Coordinator | 306 West 5th Ave., Nome, AK 99762 | 2008-01-16 |
| 1639365083 | Mariann Gumaer | Case Manager/Care Coordinator | 102 Division St., Nome, AK 99762-0098 | 2007-09-19 |
| 1174746077 | Shellene Castleman | Case Manager/Care Coordinator | 104 Division St., Nome, AK 99762 | 2007-04-10 |
| 1548384233 | Erik Brandt | Case Manager/Care Coordinator | Old Federal Bldg, 3rd Floor, Nome, AK 99762 | 2007-03-19 |
| 1962526137 | Naomi Malony | Case Manager/Care Coordinator | 110 Front St, Ste 209, Nome, AK 99762 | 2007-03-16 |
| 1538789011 | Lori Alison Mueller | Case Manager/Care Coordinator | 1000 Greg Kruschek Avenue, Nome, AK 99762 | 2020-04-24 |
| Find all providers in NOME | ||||
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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.