JACQUELINE JORDAN (NPI# 1801253257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801253257 |
| Entity Type | Individual |
| Full Name | JACQUELINE JORDAN |
| Practice Address |
217 Brevard Ct Ste A Alexandria LA 71303-3997 |
| Practice Telephone | 3184459019 |
| Practice Fax Number | 3184451098 |
| Mailing Telephone | 3184459019 |
| Mailing Fax Number | 3184451098 |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2018-04-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225412497 | Jacqueline Jordan | Case Manager/Care Coordinator | 5521 Sw 10th Ave, Topeka, KS 66604-2101 | 2015-07-16 |
| 1114292331 | Jacqueline Jordan | Registered Nurse | 65 Southfield St, Kingston, NY 12401-1913 | 2012-03-21 |
| 1912224064 | Jacqueline D Jordan | Social Worker | 6815 W. Capitol Avenue, Milwaukee, WI 53216 | 2010-04-29 |
| 1477671618 | Jacqueline Ann Jordan | Psychiatry & Neurology | 949 Saint Andrews Cir, Geneva, IL 60134-2995 | 2007-03-26 |
| 1801497193 | Jacqueline Jordan | Clinic/Center | 2100 Comer Ave, Columbus, GA 31904-8725 | 2020-11-04 |
| 1205477346 | Jacqueline Jordan | Home Health Aide | 2639 Naylor Rd Se Apt 102, Washington, DC 20020-7249 | 2019-09-30 |
| 1700349115 | Jacqueline Lovon Jordan | Counselor | 172 Spring St Sw, Concord, NC 28025-5035 | 2019-04-11 |
| 1215422514 | Jacqueline Jordan | Physician Assistant | 809 Main St, East Hartford, CT 06108-3142 | 2018-06-28 |
| 1023373644 | Jacqueline B Jordan | Speech-Language Pathologist | 358 Mclaws Cir, Suite 1, Williamsburg, VA 23185-6344 | 2012-07-10 |
| 1134447105 | Jacqueline Marie Jordan | Social Worker | 1117 N Jackson St, Bloomington, IN 47404-3385 | 2010-05-14 |
| Street Address |
217 BREVARD CT STE A |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71303-3997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588029102 | Shawni Cooper | Counselor | 217 Brevard Ct Ste A, Alexandria, LA 71303-3997 | 2015-12-25 |
| 1821628298 | Keren Avis Batiste | Case Manager/Care Coordinator | 217 Brevard Ct Ste A, Alexandria, LA 71303-3997 | 2020-01-24 |
| 1710527429 | Lakeisha Thomas | Case Manager/Care Coordinator | 217 Brevard Ct Ste A, Alexandria, LA 71303-3997 | 2020-01-10 |
| 1326682402 | Deidre Shakur | Case Manager/Care Coordinator | 217 Brevard Ct Ste A, Alexandria, LA 71303-3997 | 2019-11-01 |
| 1225685787 | Rakia Taylor | Case Manager/Care Coordinator | 217 Brevard Ct Ste A, Alexandria, LA 71303-3997 | 2019-08-20 |
| 1336706068 | Robin Scott | Case Manager/Care Coordinator | 217 Brevard Ct Ste A, Alexandria, LA 71303-3997 | 2019-05-29 |
| 1700344645 | Catrina Pierson | Counselor | 217 Brevard Ct Ste A, Alexandria, LA 71303-3997 | 2019-03-11 |
| 1225509490 | Thomas Gibbs Jr. | Counselor | 217 Brevard Ct Ste A, Alexandria, LA 71303-3997 | 2018-12-16 |
| 1780168088 | Adriane Drumgo | Counselor | 217 Brevard Ct Ste A, Alexandria, LA 71303-3997 | 2018-09-21 |
| 1033693338 | Amanda Brister | Counselor | 217 Brevard Ct Ste A, Alexandria, LA 71303-3997 | 2018-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
| 1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
| 1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
| 1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
| 1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
| 1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
| 1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
| Find all providers in zip 71303 | ||||
| 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 |
|---|---|---|---|---|
| 1447858923 | Ajona Lavallais | Case Manager/Care Coordinator | 521 Redbird Dr, Alexandria, LA 71303-3934 | 2020-10-15 |
| 1235752890 | Jamarcus Reed | Case Manager/Care Coordinator | 424 Faith Way, Alexandria, LA 71302-5046 | 2020-05-18 |
| 1083240444 | Chenika Fowler | Case Manager/Care Coordinator | 808 23rd St Apt A, Alexandria, LA 71301-5202 | 2020-03-18 |
| 1790315984 | Kiana Larae Johnson | Case Manager/Care Coordinator | 4338 Carlyle Loop, Alexandria, LA 71302-2864 | 2020-01-16 |
| 1780222521 | Natoshia Wellman | Case Manager/Care Coordinator | 1450 Peterman Dr # Dra, Alexandria, LA 71301-3432 | 2019-12-11 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1740833847 | Dominique Rue | Case Manager/Care Coordinator | 1906 Dixie St, Alexandria, LA 71303-4718 | 2019-07-18 |
| 1659931293 | Ryshee Wilson | Case Manager/Care Coordinator | 1321 Shirland Ave, Alexandria, LA 71301-7249 | 2019-06-17 |
| 1992267363 | Caitlyn Lauren Woodard | Case Manager/Care Coordinator | 109a Yorktown Dr Ste A, Alexandria, LA 71303-3621 | 2019-04-03 |
| 1194297325 | Kiondra Chambliess | Case Manager/Care Coordinator | 4335 Clubhouse Dr, Alexandria, LA 71303-3569 | 2018-12-28 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71303 |
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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.