JORDAN JACKSON (NPI# 1902382161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902382161 |
| Entity Type | Individual |
| Full Name | JORDAN JACKSON |
| Practice Address |
109 Chevy Ln Ste C Bunkie LA 71322-1561 |
| Practice Telephone | 3183466542 |
| Mailing Telephone | 3183466542 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583069 | Jordan C Jackson | Chiropractor | 280 Us Highway 9 Ste E, Morganville, NJ 07751-1572 | 2020-09-21 |
| 1891315222 | Jordan Tyler Jackson | Student in an Organized Health Care Education/Training Program | 19512 Crest Ridge Dr, Edmond, OK 73012-3504 | 2020-04-27 |
| 1639712581 | Jordan Leigh Jackson | Counselor | 1914 5th Ave S, Irondale, AL 35210 | 2019-10-23 |
| 1205285160 | Jordan Aaron Jackson | Family Medicine | 7101 Jahnke Rd # 7151, Richmond, VA 23225-4017 | 2016-06-10 |
| 1942801923 | Jordan Jackson | Behavior Technician | 51145 Nicolette Dr, Chesterfield, MI 48047-4585 | 2020-11-05 |
| 1790396802 | Jordan N Jackson | Dentist | 8955 Wood Rd, Bethesda, MD 20889-5628 | 2020-08-12 |
| 1649881939 | Jordan Michelle Jackson | Behavior Technician | 6925 Parkdale Pl, Indianapolis, IN 46254-4673 | 2020-08-11 |
| 1619501004 | Jordan Jackson | Counselor | 3355 Bee Caves Rd Ste 101, West Lake Hills, TX 78746-6673 | 2020-02-25 |
| 1225598865 | Jordan Van Jackson | Student in an Organized Health Care Education/Training Program | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2019-03-20 |
| 1811462898 | Jordan Jackson | Case Manager/Care Coordinator | 203b Westport Dr, Cabot, AR 72023-3657 | 2018-10-05 |
| Street Address |
109 CHEVY LN STE C |
| City | BUNKIE |
| State | LA |
| Zip Code | 71322-1561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447624291 | Tomica Lawonne Daniels | Counselor | 109 Chevy Ln Ste C, Bunkie, LA 71322-1561 | 2015-11-17 |
| 1316552276 | Julie Lemoine | Social Worker | 109 Chevy Ln Ste C, Bunkie, LA 71322-1561 | 2020-09-08 |
| 1316582380 | Kevin Maillet | Case Manager/Care Coordinator | 109 Chevy Ln Ste C, Bunkie, LA 71322-1561 | 2019-11-13 |
| 1033754312 | Jeannie Waites | Case Manager/Care Coordinator | 109 Chevy Ln Ste C, Bunkie, LA 71322-1561 | 2019-11-11 |
| 1851959639 | Shavonna Hamilton | Case Manager/Care Coordinator | 109 Chevy Ln Ste C, Bunkie, LA 71322-1561 | 2019-06-05 |
| 1700444585 | Alexis Leonard | Case Manager/Care Coordinator | 109 Chevy Ln Ste C, Bunkie, LA 71322-1561 | 2019-06-05 |
| 1083193023 | Carol Thomas | Case Manager/Care Coordinator | 109 Chevy Ln Ste C, Bunkie, LA 71322-1561 | 2018-08-10 |
| 1891271961 | Sterling Coleman | Case Manager/Care Coordinator | 109 Chevy Ln Ste C, Bunkie, LA 71322-1561 | 2018-07-12 |
| 1932693439 | Emily Ann Ducote | Case Manager/Care Coordinator | 109 Chevy Ln Ste C, Bunkie, LA 71322 | 2018-06-18 |
| 1881188381 | Felicia Patrice Thomas | Case Manager/Care Coordinator | 109 Chevy Ln Ste C, Bunkie, LA 71322-1561 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053945642 | Sarah Ann Hillman | Physical Therapist | 427 Evergreen Street, Bunkie, LA 71322 | 2020-02-24 |
| 1477054005 | Michelle Ciudadano | Case Manager/Care Coordinator | 109 Chevy Lane, Suite C, Bunkie, LA 71322 | 2018-02-28 |
| 1003332198 | Chelsea Garin | Counselor | 109 Chevy Lane, Suite C, Bunkie, LA 71322 | 2017-08-21 |
| 1457876872 | Tayressha Joy Harmason | Community/Behavioral Health | 1140 Shirley Road, Bunkie, LA 71322 | 2017-08-07 |
| 1942731294 | Adranell Christmas | Non-emergency Medical Transport (VAN) | 303 Martin Luther King Dr, Bunkie, LA 71322 | 2017-03-27 |
| 1477916252 | Bertha Wilson | Counselor | 313 James Street, Bunkie, LA 71322 | 2016-03-30 |
| 1831516087 | Casey Ann Kendall | Pharmacist | 109 Chevy Lane Suite B, Bunkie, LA 71322 | 2014-03-26 |
| 1952642407 | Stephanie L Simmons | Registered Nurse | 1536 Bordelon Rd, Bunkie, LA 71322 | 2013-03-08 |
| 1689861908 | Assisted Living Concepts Inc | Assisted Living Facility | 650 Pershing Avenue, Bunkle, LA 71322 | 2007-10-01 |
| 1932282126 | Pulmonary Services Inc | Durable Medical Equipment & Medical Supplies | 746 Nw Main, #9, Bunkie, LA 71322 | 2006-10-23 |
| Find all providers in zip 71322 | ||||
| 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 |
|---|---|---|---|---|
| 1477054005 | Michelle Ciudadano | Case Manager/Care Coordinator | 109 Chevy Lane, Suite C, Bunkie, LA 71322 | 2018-02-28 |
| 1316582380 | Kevin Maillet | Case Manager/Care Coordinator | 109 Chevy Ln Ste C, Bunkie, LA 71322-1561 | 2019-11-13 |
| 1033754312 | Jeannie Waites | Case Manager/Care Coordinator | 109 Chevy Ln Ste C, Bunkie, LA 71322-1561 | 2019-11-11 |
| 1174179378 | Kasha James | Case Manager/Care Coordinator | 1140 Shirley Rd, Bunkie, LA 71322-1545 | 2019-08-13 |
| 1851959639 | Shavonna Hamilton | Case Manager/Care Coordinator | 109 Chevy Ln Ste C, Bunkie, LA 71322-1561 | 2019-06-05 |
| 1700444585 | Alexis Leonard | Case Manager/Care Coordinator | 109 Chevy Ln Ste C, Bunkie, LA 71322-1561 | 2019-06-05 |
| 1083193023 | Carol Thomas | Case Manager/Care Coordinator | 109 Chevy Ln Ste C, Bunkie, LA 71322-1561 | 2018-08-10 |
| 1891271961 | Sterling Coleman | Case Manager/Care Coordinator | 109 Chevy Ln Ste C, Bunkie, LA 71322-1561 | 2018-07-12 |
| 1932693439 | Emily Ann Ducote | Case Manager/Care Coordinator | 109 Chevy Ln Ste C, Bunkie, LA 71322 | 2018-06-18 |
| 1881188381 | Felicia Patrice Thomas | Case Manager/Care Coordinator | 109 Chevy Ln Ste C, Bunkie, LA 71322-1561 | 2018-06-18 |
| Find all providers in BUNKIE | ||||
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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.