LESLIE JACKSON (NPI# 1639379530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639379530 |
| Entity Type | Individual |
| Full Name | LESLIE JACKSON |
| Credential | MAS |
| Practice Address |
2689 Sierra Hwy Rosamond CA 93560-6053 |
| Mailing Address |
21649 Shaw St 21649 Shaw Street California City CA 93505-4803 |
| Practice Telephone | 6612567208 |
| Practice Fax Number | 6612567209 |
| Mailing Telephone | 6612567208 |
| Mailing Fax Number | 6612567209 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750851325 | Leslie Jackson | Nurse Practitioner | 7106 Spencer Highway, Pasadena, TX 77505 | 2018-11-27 |
| 1780076745 | Leslie Jackson | Chore Provider | 18350 Lahser Rd, Detroit, MI 48219-4326 | 2015-02-28 |
| 1952587271 | Leslie Cecilia Jackson | Psychologist | 734 Kenilworth Cir, Stone Mountain, GA 30083-3416 | 2008-01-16 |
| 1649320904 | Leslie K Jackson | Family Medicine | 404 E Main Cross St, Taylorville, IL 62568-2656 | 2007-01-11 |
| 1578171039 | Leslie D'layne Jackson | Social Worker | 43 N Cleveland St, Memphis, TN 38104-2301 | 2020-07-20 |
| 1497398218 | Leslie Denise Jackson | Advanced Practice Midwife | 1001 W Randol Mill Rd, Arlington, TX 76012-2513 | 2019-10-24 |
| 1699261826 | Leslie Aaron Jackson | Chiropractor | 7125 Marvin D Love Fwy Ste 107, Dallas, TX 75237-3111 | 2018-07-11 |
| 1669900239 | Leslie J Jackson | Social Worker | 650 Fulton St, Brooklyn, NY 11217-1517 | 2017-05-26 |
| 1083057152 | Leslie Schaad Jackson | Nurse Practitioner | 10515 Bells Ferry Rd Ste 200, Canton, GA 30114-4204 | 2013-04-09 |
| 1861753048 | Leslie L Jackson | Occupational Therapist | 9501 S King Dr, Dh 132, Chicago, IL 60628-1501 | 2012-06-04 |
| Street Address |
2689 SIERRA HWY |
| City | ROSAMOND |
| State | CA |
| Zip Code | 93560-6053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881717924 | Nancy R Barragan | Case Manager/Care Coordinator | 2689 Sierra Hwy, Rosamond, CA 93560 | 2007-04-06 |
| 1427272715 | Melissa Ann Hampton | Marriage & Family Therapist | 2689 Sierra Hwy, Box 1359, Rosamond, CA 93560 | 2007-04-11 |
| 1184747289 | Patricia Ann Lanier | Case Manager/Care Coordinator | 2689 Sierra Hwy, Box 1359, Rosamond, CA 93560 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104244755 | Lorie Louise Greene | Private Vehicle | 1111 Sierra Hwy, Rosamond, CA 93560 | 2014-04-01 |
| 1528282951 | Jennefer Janet Gonzalez | Case Manager/Care Coordinator | 2689 Sierra Hwy., Rosamond, CA 93560 | 2007-04-13 |
| 1619090529 | Susan Jo Fine | Marriage & Family Therapist | 2689 Sierra Highway, Rosamond, CA 93560 | 2007-04-06 |
| 1003933383 | Kaiser Permanente | General Acute Care Hospital | 6423 W Rosamond Blvd, Rosamond, CA 93560 | 2007-03-23 |
| 1295837532 | Jose Velasquez De Jesus | Clinic/Center | 2947 Sierra Way, Rosamond, CA 93560 | 2006-09-05 |
| 1275908741 | John Greene | Driver | 1111 Sierra Hwy, Rosamond, CA 93560 | 2015-12-09 |
| 1619090263 | Gwendolyn Marie Hootman | Licensed Vocational Nurse | 2689 Sierra Highway, Box 1359, Rosamond, CA 93560 | 2007-04-09 |
| 1689797052 | Sharon Adell Evanoff-eastman | Case Manager/Care Coordinator | 2689 Sierra Highway, Box 1359, Rosamond, CA 93560 | 2007-04-09 |
| 1174871263 | Silvia Mejia | Social Worker | 3030 Neary Ct, Rosamond, CA 93560-5932 | 2012-08-21 |
| 1124583091 | Guadalupe Enriquez Pacheco | Dental Assistant | 2601 Dixie St, Rosamond, CA 93560-6027 | 2019-02-05 |
| Find all providers in zip 93560 | ||||
| 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 |
|---|---|---|---|---|
| 1528282951 | Jennefer Janet Gonzalez | Case Manager/Care Coordinator | 2689 Sierra Hwy., Rosamond, CA 93560 | 2007-04-13 |
| 1881717924 | Nancy R Barragan | Case Manager/Care Coordinator | 2689 Sierra Hwy, Rosamond, CA 93560 | 2007-04-06 |
| 1689797052 | Sharon Adell Evanoff-eastman | Case Manager/Care Coordinator | 2689 Sierra Highway, Box 1359, Rosamond, CA 93560 | 2007-04-09 |
| 1184747289 | Patricia Ann Lanier | Case Manager/Care Coordinator | 2689 Sierra Hwy, Box 1359, Rosamond, CA 93560 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275935 | Grecia Leticia Garcia | Case Manager/Care Coordinator | 1830 Rodgers Rd Apt F, Hanford, CA 93230-1930 | 2020-11-03 |
| 1679173835 | Cristina Palacios-gomez | Case Manager/Care Coordinator | 1834 E Lester Ave, Fresno, CA 93720-1963 | 2020-10-27 |
| 1417557653 | Jeannine Arnetta Nash | Case Manager/Care Coordinator | 7614 Lemon Ave Ste C, Lemon Grove, CA 91945-1619 | 2020-10-27 |
| 1932709359 | Vue Moua | Case Manager/Care Coordinator | 4812 Conzelman Way, Elk Grove, CA 95757-2508 | 2020-10-26 |
| 1932709458 | Andre Howard | Case Manager/Care Coordinator | 2281 Hurley Way Apt 10, Sacramento, CA 95825-2337 | 2020-10-26 |
| 1194324020 | Project Raised | Case Manager/Care Coordinator | 3839 Amanda St, Unit 133, West Covina, CA 91792-2759 | 2020-10-21 |
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1750989240 | David John Schmidt-cook | Case Manager/Care Coordinator | 5580 Foothill Rd, Rocklin, CA 95677-3316 | 2020-10-15 |
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1841897675 | Madeline Hannah Starkenburg | Case Manager/Care Coordinator | 11559 Claridge Dr, Rch Cucamonga, CA 91730-7246 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
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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.