RANEKA SYDNI JACKSON (NPI# 1790303246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790303246 |
Entity Type | Individual |
Full Name | RANEKA SYDNI JACKSON |
Practice Address |
5047 S Galleria Drive Murray UT 84123 |
Practice Telephone | 8014868143 |
Practice Fax Number | 8017466090 |
Mailing Telephone | 8014868143 |
Mailing Fax Number | 8017466090 |
Enumeration Date | 2020-07-10 |
Last Update Date | 2020-07-10 |
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 |
5047 S GALLERIA DRIVE |
City | MURRAY |
State | UT |
Zip Code | 84123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
1205454758 | Lenora L Glass | Case Manager/Care Coordinator | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
1932727484 | Anna-marie Zaccardi Grow | Case Manager/Care Coordinator | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
1528686078 | Vittoria Rosaria Zaccardi Jackson | Case Manager/Care Coordinator | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
1801414354 | Nicole E Garrett | Case Manager/Care Coordinator | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
1043838592 | Wendy Meyer | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
1306464854 | Eman S Warburton | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
1790173649 | Lcr Dental Murray Ll | Dentist | 586 West 5600 South #101, Salt Lake City, UT 84123 | 2014-12-30 |
Find all providers in zip 84123 |
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 |
---|---|---|---|---|
1821636937 | Traci Lynn Newland | Case Manager/Care Coordinator | 5280 S Commerce Dr, Murray, UT 84107-7929 | 2019-12-19 |
1053892349 | Alaysha Arlene Gwen Kingsley | Case Manager/Care Coordinator | 716 E 4500 S # 160, Murray, UT 84107-3080 | 2018-08-24 |
1407297310 | Teresa Hartman | Case Manager/Care Coordinator | 716 E 4500 S Ste N160, Murray, UT 84107 | 2013-07-09 |
1104437243 | Colleen Parker | Case Manager/Care Coordinator | 716 E 4500 S Ste N160, Murray, UT 84107-3617 | 2020-08-12 |
1902415136 | Stephanie Stathis | Case Manager/Care Coordinator | 716 E 4500 S Ste N160, Murray, UT 84107-3617 | 2020-07-23 |
1205454758 | Lenora L Glass | Case Manager/Care Coordinator | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
1932727484 | Anna-marie Zaccardi Grow | Case Manager/Care Coordinator | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
1528686078 | Vittoria Rosaria Zaccardi Jackson | Case Manager/Care Coordinator | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
1801414354 | Nicole E Garrett | Case Manager/Care Coordinator | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
1922631381 | Secadio Sanchez | Case Manager/Care Coordinator | 716 E 4500 S Ste N160, Murray, UT 84107-3617 | 2020-02-13 |
Find all providers in MURRAY |
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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.