JACQUELINE MITCHELL (NPI# 1639521487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639521487 |
| Entity Type | Individual |
| Full Name | JACQUELINE MITCHELL |
| Practice Address |
1309 Briarville Rd Suite 202 Madison TN 37115-5158 |
| Practice Telephone | 6154636610 |
| Mailing Telephone | 6154636610 |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |
| 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 |
|---|---|---|---|---|
| 1831337278 | Jacqueline Mitchell | Licensed Practical Nurse | 8 Overlook Dr, Mount Kisco, NY 10549 | 2009-01-22 |
| 1407419179 | Jacqueline Mitchell | Physical Therapy Assistant | 990 E Main St Ste 7, Blue Ridge, GA 30513-4534 | 2019-04-18 |
| 1083118350 | Jacqueline Marie Mitchell | Nurse Practitioner | 2114 Creighton Road, Pensacola, FL 32504 | 2018-03-21 |
| 1154840817 | Jacqueline Marie Mitchell | Occupational Therapist | 8540 Scarborough Dr Ste 300, Colorado Springs, CO 80920-7519 | 2017-09-13 |
| 1295111599 | Jacqueline Ann Mitchell | Driver | 2200 North Loop W, Houston, TX 77018-8009 | 2015-08-10 |
| 1386021814 | Jacqueline Mitchell | Marriage & Family Therapist | 1105 E Florida Ave, Hemet, CA 92543-4512 | 2015-05-05 |
| 1457699217 | Jacqueline N Mitchell | Case Management | 2715 Oak St, Jacksonville, FL 32205-8204 | 2013-01-29 |
| 1164665535 | Jacqueline Jo Mitchell | Physical Therapy Assistant | 4600 38th St, Columbus, NE 68601-1664 | 2009-04-14 |
| 1295903508 | Jacqueline C. Mitchell | Nurse Anesthetist, Certified Registered | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2008-02-20 |
| 1740335884 | Jacqueline Faye Mitchell | Dentist | 1525 E 53rd St, Suite 821, Chicago, IL 60615 | 2007-01-25 |
| Street Address |
1309 BRIARVILLE RD SUITE 202 |
| City | MADISON |
| State | TN |
| Zip Code | 37115-5158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982695409 | Gary D Davis | Dentist | 1309 Briarville Rd, Suite 101, Madison, TN 37115-5157 | 2005-11-03 |
| 1104234210 | Joshua Matthews | Case Manager/Care Coordinator | 1309 Briarville Rd, Suite 202, Madison, TN 37115-5158 | 2014-08-01 |
| 1043627888 | Christy England | Case Manager/Care Coordinator | 1309 Briarville Rd, Madison, TN 37115-5158 | 2014-07-14 |
| 1285061507 | Jessica Marie Singer | Case Manager/Care Coordinator | 1309 Briarville Rd, Madison, TN 37115-5158 | 2013-10-01 |
| 1649615782 | Kelly Overton | Case Manager/Care Coordinator | 1309 Briarville Rd, Suite 202, Madison, TN 37115-5158 | 2013-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
| 1497211387 | Latasha Monique Williams | Social Worker | Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 | 2019-02-15 |
| 1659866481 | Amanda Elliott | Pharmacist | 109 Gallatin Rd, Madison, TN 37115 | 2018-06-25 |
| 1760938492 | Larry Cox | Case Manager/Care Coordinator | 620 S. Gallatin Pike, Madison, TN 37115 | 2016-09-01 |
| 1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
| 1992190193 | Emily Tibbs | Case Manager/Care Coordinator | 620 Gallatin Pike, Madison, TN 37115 | 2015-04-03 |
| 1164829982 | Laura Boswell | Case Manager/Care Coordinator | 620 Gallatin Pike South, Madison, TN 37115 | 2014-11-21 |
| 1720498058 | Edward Andrew Roberts | Chiropractor | 1710 Gallatin Pike N, Madison, TN 37115 | 2014-05-08 |
| 1700296217 | Lamonia Merritt | Student in an Organized Health Care Education/Training Program | 645 Cheyenne Blvd, Madison, TN 37115 | 2014-05-06 |
| 1629497656 | Corey Joseph Cloud | Dentist | 500 Lentz Dr Ste 40, Madison, TN 37115 | 2014-04-07 |
| Find all providers in zip 37115 | ||||
| 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] |
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|---|---|---|---|---|
| 1275132946 | Alice M Franks-gray | Case Manager/Care Coordinator | Esu/bayside/crisis Stabilization, 702 W Main Street, Madison, WI 53715-1424 | 2020-10-22 |
| 1073129391 | John Raby | Case Manager/Care Coordinator | 471 Main St Ste B, Madison, WV 25130-1223 | 2020-09-22 |
| 1588272488 | Samantha Rose Vaught | Case Manager/Care Coordinator | 157 Greenwood Dr, Madison, AL 35758-1403 | 2020-07-16 |
| 1598381915 | Errica Braun | Case Manager/Care Coordinator | 4 N Hancock St, Madison, WI 53703-2802 | 2020-06-22 |
| 1093350563 | The Hmong Institute Incorporated | Case Manager/Care Coordinator | 4402 Femrite Dr, Madison, WI 53716-4122 | 2019-11-08 |
| 1548818776 | James Martin | Case Manager/Care Coordinator | 315 Sw Jeanette Cir, Madison, FL 32340-1155 | 2019-08-30 |
| 1275185522 | Selina Lor | Case Manager/Care Coordinator | 17 Daystar Ct Apt D, Madison, WI 53704-7354 | 2019-07-16 |
| 1154897163 | Avenues To Community Inc | Case Manager/Care Coordinator | 579 Donofrio Dr Ste 208, Madison, WI 53719-2839 | 2018-10-17 |
| 1023518214 | Anthony Dwain Pettus Jr. | Case Manager/Care Coordinator | 100 Spenryn Dr, Madison, AL 35758-1890 | 2018-02-14 |
| 1720507585 | Heather Marie Forney | Case Manager/Care Coordinator | 208 E Olin Ave, Madison, WI 53713-1434 | 2017-09-13 |
| Find all providers in MADISON | ||||
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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.