KRISTA MICHELLE BRAJKOVICH JACOBS (NPI# 1649760471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649760471 |
| Entity Type | Individual |
| Full Name | KRISTA MICHELLE BRAJKOVICH JACOBS |
| Practice Address |
1106 N 155th St Ste B Basehor KS 66007-7100 |
| Practice Telephone | 9136627071 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |
| 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 |
| Street Address |
1106 N 155TH ST STE B |
| City | BASEHOR |
| State | KS |
| Zip Code | 66007-7100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770621674 | Integrated Behavioral Technologies Inc | Psychologist | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2007-02-02 |
| 1154922367 | Alynn Bratkiv | Behavioral Analyst | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2020-11-04 |
| 1174122329 | Cacy Larson | Behavioral Analyst | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2020-10-20 |
| 1255930418 | Danielle Pruitt | Behavioral Analyst | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2020-10-20 |
| 1669089694 | Cristina Pfeiffer | Behavioral Analyst | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2020-09-24 |
| 1639785959 | Travis Scheerer | Behavioral Analyst | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2020-09-22 |
| 1952917270 | Tiffni Chapman | Behavioral Analyst | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2020-09-22 |
| 1558971507 | Alysia Gonzales | Behavioral Analyst | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2020-08-05 |
| 1033729124 | Graycee Meyer | Behavioral Analyst | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2020-08-04 |
| 1467062810 | Christie Napier | Behavioral Analyst | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2020-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821527243 | Catherine Eatherly | Case Manager/Care Coordinator | 1106 North 155th Street Ste B, Basehor, KS 66007 | 2017-06-08 |
| 1346651312 | Anndrina Pooja Mcgill | Case Manager/Care Coordinator | 1106 N. 155th Street, Suite B, Basehor, KS 66007 | 2014-05-13 |
| 1679911317 | Amanda Brown | Case Manager/Care Coordinator | 1006 North 155th Street, Basehor, KS 66007 | 2013-06-04 |
| 1821221151 | Ross Eugene Mccoy | Social Worker | 21825 155th Street, Basehor, KS 66007 | 2009-09-03 |
| 1992898308 | Deborah J Gammill | Family Medicine | 15604 Pinehurst Drive, Suite 2, Basehor, KS 66007 | 2006-09-30 |
| 1316453699 | Kori Staab | Behavior Technician | 1106 N 155th St, Basehor, KS 66007 | 2017-12-21 |
| 1740708312 | Erin Newkirk | Case Manager/Care Coordinator | 1106 North 155th Street Ste B, Basehor, KS 66007 | 2017-09-05 |
| 1801313994 | Ryan Emmitt | Case Manager/Care Coordinator | 1106 North 155th Street Ste B, Basehor, KS 66007 | 2017-08-29 |
| 1881117596 | Keeley Cowley | Case Manager/Care Coordinator | 1106 North 155th Street Ste B, Basehor, KS 66007 | 2017-07-25 |
| 1306375712 | Nicole Thompson | Case Manager/Care Coordinator | 1106 North 155th Street Ste B, Basehor, KS 66007 | 2017-06-08 |
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| 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 |
|---|---|---|---|---|
| 1821527243 | Catherine Eatherly | Case Manager/Care Coordinator | 1106 North 155th Street Ste B, Basehor, KS 66007 | 2017-06-08 |
| 1346651312 | Anndrina Pooja Mcgill | Case Manager/Care Coordinator | 1106 N. 155th Street, Suite B, Basehor, KS 66007 | 2014-05-13 |
| 1679911317 | Amanda Brown | Case Manager/Care Coordinator | 1006 North 155th Street, Basehor, KS 66007 | 2013-06-04 |
| 1124281035 | Stacy Ash | Case Manager/Care Coordinator | 1106 N 155th St, Suite B, Basehor, KS 66007-7100 | 2008-07-10 |
| 1043795685 | Alexis Kimbrel | Case Manager/Care Coordinator | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2018-09-29 |
| 1730664426 | Emily Mace | Case Manager/Care Coordinator | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2018-09-27 |
| 1659855880 | Alyssa Roth | Case Manager/Care Coordinator | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2018-09-24 |
| 1760966741 | Mikki Smith | Case Manager/Care Coordinator | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2018-09-17 |
| 1386127058 | Alexandra Campbell | Case Manager/Care Coordinator | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2018-09-10 |
| 1689155855 | Meredith Taylor | Case Manager/Care Coordinator | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2018-08-27 |
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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.