ANDREA IRENE JACKSON (NPI# 1992987309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992987309 |
| Entity Type | Individual |
| Full Name | ANDREA IRENE JACKSON |
| Practice Address |
921 E Compton Blvd Compton CA 90221-3303 |
| Practice Telephone | 3106686953 |
| Mailing Telephone | 3106686953 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2011-08-04 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568948479 | Andrea M Jackson | Behavioral Analyst | 2091 Business Center Dr Ste 150, Irvine, CA 92612-1167 | 2018-07-13 |
| 1912411133 | Andrea Jackson | Licensed Practical Nurse | 52 Hillside Ave, Freeport, NY 11520-1726 | 2017-11-27 |
| 1437670114 | Andrea Jackson | Nurse Practitioner | 406 W S Jordan Pkwy, South Jordan, UT 84095-3965 | 2017-07-03 |
| 1679003099 | Andrea Jackson | Social Worker | 306 Popula Blvd, Wappingers Falls, NY 12590-5712 | 2017-06-18 |
| 1578927638 | Andrea Jackson | Licensed Practical Nurse | 1617 Woodbine Ave Se, Warren, OH 44484-4964 | 2016-04-05 |
| 1649606617 | Andrea Jeanine Jackson | Social Worker | 2036 Wood St, Muskegon, MI 49444-1153 | 2013-09-22 |
| 1225371651 | Andrea Latrell Jackson | Social Worker | 10610 N 30th St, Apt. 46h, Tampa, FL 33612-6458 | 2013-04-04 |
| 1124383765 | Andrea Luthelle Jackson | Counselor | 1501 Nw 34th St, Oklahoma City, OK 73118-3203 | 2012-07-10 |
| 1457622656 | Andrea Jasmine Jackson | Behavioral Analyst | 7715 Nw 48 St, Suite B360, Miami, FL 33166 | 2012-01-19 |
| 1306140876 | Andrea Bessie Jackson | Case Manager/Care Coordinator | 6030 S May Ave Apt 451, Oklahoma City, OK 73159-1410 | 2010-12-27 |
| Street Address |
921 E COMPTON BLVD |
| City | COMPTON |
| State | CA |
| Zip Code | 90221-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902839533 | Los Angeles County Department of Mental Health | Clinic/Center | 921 E Compton Blvd, Compton, CA 90221-3303 | 2006-07-08 |
| 1356997498 | Letrecia Triplett | Community Health Worker | 921 E Compton Blvd, Compton, CA 90221-3303 | 2019-08-14 |
| 1750845897 | Sharna' Breana Houston | Case Manager/Care Coordinator | 921 E Compton Blvd, Compton, CA 90221-3303 | 2019-01-23 |
| 1619449956 | Arven Baluno Arguelles | Registered Nurse | 921 E Compton Blvd, Compton, CA 90221-3303 | 2018-12-27 |
| 1659860732 | Alexa Kay Taylor | Social Worker | 921 E Compton Blvd, Compton, CA 90221-3303 | 2018-05-04 |
| 1174044580 | Karimah Williamson | Case Manager/Care Coordinator | 921 E Compton Blvd, Compton, CA 90221-3303 | 2017-07-06 |
| 1376079558 | Elise La Keisha Wallace | Community Health Worker | 921 E Compton Blvd, Compton, CA 90221-3303 | 2017-05-05 |
| 1528590445 | Flor Ventura | Community Health Worker | 921 E Compton Blvd, Compton, CA 90221-3303 | 2017-03-30 |
| 1598209520 | Mayra A Orozco | Case Manager/Care Coordinator | 921 E Compton Blvd, 1st Floor, Compton, CA 90221-3303 | 2016-12-09 |
| 1720530108 | Shauntell Watson | Counselor | 921 E Compton Blvd, Compton, CA 90021 | 2016-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619448313 | Yong Wung Yoo | Acupuncturist | 2787 E. Del Amo Blvd, G-1, Rancho Dominguez, CA 90221 | 2018-12-07 |
| 1962920231 | Sara Alsabbagh | Counselor | 600 Alameda Street, East, Compton, CA 90221 | 2017-09-06 |
| 1780109462 | Lisete Gomez | Social Worker | 509 E Rosecrans Avenue, Compton, CA 90221 | 2017-08-03 |
| 1821528175 | Jataja Patterson | Behavior Technician | 15531 South Gibson Avenue, Compton, CA 90221 | 2017-06-19 |
| 1316318439 | Yuin University | Health Maintenance Organization | 2007 E Compton Blvd, Compton, CA 90221 | 2015-10-15 |
| 1609245125 | Bryttani Schlater | Marriage & Family Therapist | 600 Alameda Street East, Compton, CA 90221 | 2015-09-15 |
| 1750757480 | Colleen Flores | Marriage & Family Therapist | 509 East Rosecrans Avenue, Compton, CA 90221 | 2015-08-17 |
| 1447686399 | Sarah Hamblet | Counselor | 509 E. Rosecrans Ave., Compton, CA 90221 | 2013-09-24 |
| 1558671222 | Joyce Redor Lim | Adult Companion | 1680 Tartar Lane, 22, Compton, CA 90221 | 2010-10-15 |
| 1730407099 | Natasha Ashley | Counselor | 15727 S. Atlantic Ave., A204, Compton, CA 90221 | 2010-05-12 |
| Find all providers in zip 90221 | ||||
| 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 |
|---|---|---|---|---|
| 1760933683 | Marysol Figueroa | Case Manager/Care Coordinator | 1937 E El Segundo Blvd Apt 10, Compton, CA 90222-2145 | 2016-10-14 |
| 1578942389 | Margarita Jaime | Case Manager/Care Coordinator | 2235 E Piru St, Compton, CA 90222-2910 | 2015-05-26 |
| 1508286105 | Carl Wayne Henderson | Case Manager/Care Coordinator | 1303 W. Parkway, Compton, CA 90220-5030 | 2014-04-22 |
| 1831470756 | Vanessa Guadalupe Sanchez | Case Manager/Care Coordinator | 1303 West Walnut Park Way, Compton, CA 90220 | 2011-09-06 |
| 1972735744 | Nesreen Samy Michael | Case Manager/Care Coordinator | 200 W Compton Blvd Ste 300, Compton, CA 90220-3136 | 2009-08-12 |
| 1417114851 | Robert Ernest Jones | Case Manager/Care Coordinator | 921 E Compton Blvd., Compton, CA 90221 | 2008-05-22 |
| 1922291673 | Raye Evelyn Williams | Case Manager/Care Coordinator | 1303 Walnut Parkway, Compton, CA 90220-5804 | 2007-08-24 |
| 1356437495 | Luis Garcia | Case Manager/Care Coordinator | 2010 E El Segundo Blvd, Compton, CA 90222-7109 | 2006-10-05 |
| 1790317444 | Devon Howard | Case Manager/Care Coordinator | 600 N Alameda St, Compton, CA 90221-2605 | 2020-02-11 |
| 1841837721 | Mauricio Emanuel Lopez | Case Manager/Care Coordinator | 509 E Rosecrans Ave, Compton, CA 90221-2056 | 2019-12-10 |
| Find all providers in COMPTON | ||||
Please comment or provide details below to improve the information on ANDREA IRENE 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.