MS. TAMARA DESIREE JACKSON (NPI# 1861824807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861824807 |
| Entity Type | Individual |
| Full Name | MS. TAMARA DESIREE JACKSON |
| Practice Address |
678 Sagamore St Apt 7h Bronx NY 10462-2874 |
| Practice Telephone | 3476254322 |
| Mailing Telephone | 3476254322 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 212003203 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104314343 | Tamara Jackson | Psychologist | 1725 I Street Nw, Suite 300, Washington, DC 20006 | 2018-04-24 |
| 1043542236 | Tamara Jean Jackson | Community Health Worker | 350 Henry Ave, Wewahitchka, FL 32465-8766 | 2010-02-12 |
| 1184771073 | Tamara Jackson | Radiology | 469 W Huron St, Apt 810, Chicago, IL 60654-3467 | 2007-01-04 |
| 1366503716 | Tamara Joyce Jackson | Pediatrics | 1328 W St Se, Anacostia Clinic, Washington, DC 20020-5718 | 2006-12-12 |
| 1164061073 | Tamara T Jackson | Counselor | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2019-12-26 |
| 1659898351 | Tamara Renee Jackson | Case Manager/Care Coordinator | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2017-08-24 |
| 1124471123 | Tamara Jackson | Social Worker | 3604 Canal St, New Orleans, LA 70119-6111 | 2016-07-14 |
| 1932557832 | Tamara Jackson | Social Worker | 16 Coventry St, Hartford, CT 06112-1524 | 2016-06-01 |
| 1851764526 | Tamara Jackson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2015-11-03 |
| 1366882714 | Tamara M Jackson | Speech-Language Pathologist | 53 Ash Dr, Hollywood, FL 33026-1102 | 2013-06-30 |
| Street Address |
678 SAGAMORE ST APT 7H |
| City | BRONX |
| State | NY |
| Zip Code | 10462-2874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629616198 | Ark Orthodontics Pllc | Dentist | 1332 Metropolitan Ave A/b, Bronx, NY 10462 | 2019-12-16 |
| 1568007714 | Afrah Saleh Abisse | Student in an Organized Health Care Education/Training Program | 715 Van Nest Ave Apt 2d, Bronx, NY 10462 | 2019-11-12 |
| 1255981486 | Angelica Cruz | Behavior Technician | 727 Morris Park Ave # 3653, Bronx, NY 10462 | 2019-09-19 |
| 1366907644 | Rebekah Rehab Assisted Living Program, Inc. | Assisted Living Facility | 1050 Havemeyer Ave, Bronx, NY 10462 | 2019-01-31 |
| 1598235467 | Windsor Leasing Corp. | Non-emergency Medical Transport (VAN) | 1598 Bronxdale Ave., Bronx, NY 10462 | 2018-12-04 |
| 1255807640 | Winchie Do | Pharmacist | 1660 Paulding Ave, Bronx, NY 10462 | 2018-10-23 |
| 1477033843 | Silva Stars Transportation | Non-emergency Medical Transport (VAN) | 2187 Cruger Ave, Suite 2d, Bronx, NY 10462 | 2018-08-15 |
| 1063926962 | Pelham Pkwy Professional Medical Services of New York LLC | Surgery | 2157 White Plains Rd Ste A, Bronx, NY 10462 | 2017-11-30 |
| 1972035749 | Kalor Riley | Occupational Therapy Assistant | 2165 Matthews Ave Apt2h, Bronx, NY 10462 | 2017-03-31 |
| 1992247472 | Jora Mgt, Corp | Non-emergency Medical Transport (VAN) | 1598 Bronxdale Ave, Bronx, NY 10462 | 2016-11-15 |
| Find all providers in zip 10462 | ||||
| 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 |
|---|---|---|---|---|
| 1285234369 | David Olmedo | Case Manager/Care Coordinator | 3192 Rawlins Ave, Bronx, NY 10465-1340 | 2020-10-28 |
| 1306451174 | Amira Nahshal | Case Manager/Care Coordinator | 1863 Paulding Ave, Bronx, NY 10462-3177 | 2020-09-09 |
| 1689201956 | Latino Muslims of New York | Case Manager/Care Coordinator | 655 Burke Ave Apt 5g, Bronx, NY 10467-6641 | 2020-03-25 |
| 1205460581 | Tremont Helps Inc | Case Manager/Care Coordinator | 563 E Tremont Ave Frnt 2, Bronx, NY 10457-4655 | 2020-02-26 |
| 1538710892 | Carolyn Mojica | Case Manager/Care Coordinator | 18 E 199th St Apt 4h, Bronx, NY 10468-1735 | 2019-09-26 |
| 1518516780 | Krystal Pizarro | Case Manager/Care Coordinator | 2125 Saint Raymond Ave Apt 3g, Bronx, NY 10462-7121 | 2019-09-10 |
| 1346896693 | Johnny Manuel Castillo Rodriguez | Case Manager/Care Coordinator | 3578 Dekalb Ave Apt 5f, Bronx, NY 10467-1179 | 2019-08-13 |
| 1891349734 | Joy Palmer-bonnick | Case Manager/Care Coordinator | 1 Riverdale Ave Ste 10, Bronx, NY 10463-4903 | 2019-07-29 |
| 1275191207 | Elsi Nunez | Case Manager/Care Coordinator | 1665 Bryant Ave Apt 1d, Bronx, NY 10460-5370 | 2019-06-04 |
| 1013574565 | Rasheeda Clarice Gray | Case Manager/Care Coordinator | 801 Neill Ave Apt 21d, Bronx, NY 10462-3027 | 2019-05-21 |
| Find all providers in BRONX | ||||
Please comment or provide details below to improve the information on MS. TAMARA DESIREE JACKSON.
| 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.