JACQUELINE ESTELLA KENNEDY


Address: 525 E Bonanza Rd, Las Vegas, NV 89101-3038
Phone: 7024031444

JACQUELINE ESTELLA KENNEDY (NPI# 1629633920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629633920
Entity Type Individual
Full Name JACQUELINE ESTELLA KENNEDY
Practice Address 525 E Bonanza Rd
Las Vegas
NV 89101-3038
Practice Telephone 7024031444
Enumeration Date 2019-05-02
Last Update Date 2019-05-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers JACQUELINE KENNEDY

NPI Name Taxonomy Address Enumeration
1609877653 Jacqueline F Kennedy Nurse Practitioner 181 State Rd, Whately, MA 01093 2005-08-02
1447887468 Jacqueline Kennedy Technician, Health Information 300 W Main St, Medford, OR 97501-2756 2020-03-27
1588108674 Jacqueline Marie Kennedy Registered Nurse 4001 Dutchmans Ln, Louisville, KY 40207-4714 2016-12-08
1528341153 Jacqueline Roque Kennedy Counselor 1034 Oak Grove Rd, Concord, CA 94518-3225 2011-09-20
1336235621 Jacqueline Kennedy Psychologist 930 S Detroit Ave, Toledo, OH 43614-2701 2006-10-05

Office Location

Street Address 525 E BONANZA RD
City LAS VEGAS
State NV
Zip Code 89101-3038

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386138196 Vickie Ranae Hopf Case Manager/Care Coordinator 525 E Bonanza Rd, Las Vegas, NV 89101-3038 2018-06-15
1649758772 Zosimo Lugo Santiago Community/Behavioral Health 525 E Bonanza Rd, Las Vegas, NV 89101-3038 2018-07-31
1104302363 Adrienne Mary Babbitt Case Manager/Care Coordinator 525 E Bonanza Rd, Las Vegas, NV 89101-3038 2018-07-11
1720573801 Elegio Bantilan Community/Behavioral Health 525 E Bonanza Rd, Las Vegas, NV 89101-3038 2018-06-29
1164917605 Demarr Wallace Caballero Community/Behavioral Health 525 E Bonanza Rd, Las Vegas, NV 89101-3038 2018-06-27
1679068050 Greg Fleming Community/Behavioral Health 525 E Bonanza Rd, Las Vegas, NV 89101-3038 2018-06-27
1609361450 Christian Taylor Doran Community/Behavioral Health 525 E Bonanza Rd, Las Vegas, NV 89101-3038 2018-06-25
1225523095 Gabrielle Tisdol Case Manager/Care Coordinator 525 E Bonanza Rd, Las Vegas, NV 89101-3038 2018-06-25
1235624933 Lakeisha El Hallaoui Community/Behavioral Health 525 E Bonanza Rd, Las Vegas, NV 89101-3038 2018-06-25
1003301086 Barbara Gonzalez Community/Behavioral Health 525 E Bonanza Rd, Las Vegas, NV 89101-3038 2018-06-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225671290 Nadhc At The Acsc, Inc. Respite Care 330 N. 13th Street, Las Vegas, NV 89101 2019-10-23
1861033730 Militza Mares Mikovich Case Manager/Care Coordinator 820 S 7th Street Ste A, Las Vegas, NV 89101 2019-10-02
1598311862 Catalina Ruiz-perez Technician 1420 James St., L, Las Vegas, NV 89101 2019-08-13
1053880831 Samantha Okumura Specialist/Technologist 701 E Bridger Ave Ste 150, Las Vegas, NV 89101 2018-11-21
1447752860 Ratref T Havlin Technician 1820 East Bonanza Apt 1, Las Veges, NV 89101 2018-03-01
1396255808 David Markus Stevens Technician/Technologist 930 N. 4th Street, Las Vegas, NV 89101 2017-10-10
1447789888 Dustin Douglas Driver 50 N 21 St #139, Las Vegas, NV 89101 2017-06-08
1013389535 Direct Scripts Mail, LLC Pharmacy 71 N Pecos Road, Suite 104, Las Vegas, NV 89101 2015-10-23
1699169920 Westcare Nevada Inc Community/Behavioral Health 323 N Maryland Parkway, Las Vegas, NV 89101 2015-03-25
1639574262 Misty Davis Registered Nurse 930 N. 4th St., Las Vegas, NV 89101 2014-10-24
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396350773 Guiselle Maria Alvarez-delarosa Case Manager/Care Coordinator 5547 Leaning Oak Ave, Las Vegas, NV 89118-2080 2020-09-11
1477163467 Chanel M. King Case Manager/Care Coordinator 150 Las Vegas Blvd N Unit 2014, Las Vegas, NV 89101-2951 2020-08-04
1912517251 Jeffrey Hoge Case Manager/Care Coordinator 6644 Beacon Rd, Las Vegas, NV 89108-5390 2020-08-02
1992331698 Angela E Oesterle Case Manager/Care Coordinator 8118 Crushed Velvet Pl, Las Vegas, NV 89166-3794 2020-03-13
1336774330 Taizha Howard Case Manager/Care Coordinator 1500 E Tropicana Ave Ste 244, Las Vegas, NV 89119-8325 2020-03-10
1043858863 Stephanie Marie Sifuentes-smith Case Manager/Care Coordinator 2566 Sherwood St Apt 21, Las Vegas, NV 89109-1303 2019-12-11
1932741022 Deidre Fawn Cleaver Case Manager/Care Coordinator 2893 Klinger Cir Apt 2, Las Vegas, NV 89121-1023 2019-10-10
1861033730 Militza Mares Mikovich Case Manager/Care Coordinator 820 S 7th Street Ste A, Las Vegas, NV 89101 2019-10-02
1770132797 Anna Rose Andrews Case Manager/Care Coordinator 3436 Wasatch Cedars St, Las Vegas, NV 89122-3574 2019-09-11
1952954018 Denise Ratliff Case Manager/Care Coordinator 4937 Dunkirk Ave, Las Vegas, NV 89121-7042 2019-07-18
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Competitor

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City LAS VEGAS
Zip Code 89101

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Dataset Information

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.

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