KHANDIS JACKSON CLINE (NPI# 1023650108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023650108 |
| Entity Type | Individual |
| Full Name | KHANDIS JACKSON CLINE |
| Practice Address |
1511 38th Ave Vero Beach FL 32960-2722 |
| Practice Telephone | 8505196232 |
| Mailing Telephone | 8505196232 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | SSN | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 755 27th Ave Sw Ste 9, Vero Beach, FL 329684210 | 8505196232 |
| Street Address |
1511 38TH AVE |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32960-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891208872 | Fresenius Medical Care Vero Beach, LLC | Clinic/Center | 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 | 2017-11-13 |
| 1972016103 | Rer Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2436 Us 1, Vero Beach, FL 32960 | 2017-11-09 |
| 1225558141 | Robby John Caballes | Podiatrist | 3735 11th Circle Ste 201, Vero Beach, FL 32960 | 2017-06-21 |
| 1407388978 | Haley Elizabeth Stewart | Counselor | 1925 20th Street, Vero Beach, FL 32960 | 2017-04-03 |
| 1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
| 1770957367 | Gail Jaffe Satuloff | Counselor | Terry Mindfulness Center, 333 17th St., Suite 2t, Vero Beach, FL 32960 | 2015-11-19 |
| 1104213172 | Kimberly Ann Aikey | Massage Therapist | 1715 37th Place #3, Vero Beach, FL 32960 | 2015-04-17 |
| 1992128482 | Jean Luc Franck | Internal Medicine | 920 37th Pl Ste 105, Vero Beach, FL 32960 | 2014-02-04 |
| 1417386624 | Ocean Addiction Recovery Services, LLC | Anesthesiology | 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 | 2013-11-07 |
| 1609203835 | Cynthia S. Crawford, M.d. Pa | Physical Medicine & Rehabilitation | 1986 35th Avenue, Vero Beach, FL 32960 | 2013-10-02 |
| Find all providers in zip 32960 | ||||
| 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 |
|---|---|---|---|---|
| 1821566209 | Charlotte Anderson-brown | Case Manager/Care Coordinator | 4540 34th Ave, Vero Beach, FL 32967-1106 | 2018-11-05 |
| 1851868848 | Jenniffer Flores | Case Manager/Care Coordinator | 4785 38th Cir Apt 208, Vero Beach, FL 32967-0948 | 2018-10-28 |
| 1083121214 | Sandra Viviana Godshall | Case Manager/Care Coordinator | 1920 Tatnall Sq Apt 206, Vero Beach, FL 32966-8017 | 2018-01-09 |
| 1487187035 | Lisha Wright | Case Manager/Care Coordinator | 4296 57th Ave, Vero Beach, FL 32967-1684 | 2017-04-10 |
| 1376080085 | Diana Carolina Martinez | Case Manager/Care Coordinator | 645 18th Ave, Vero Beach, FL 32962-1424 | 2017-01-20 |
| 1811445885 | Lashane Niel-carnette Wright | Case Manager/Care Coordinator | 290 13th Pl Apt 104, Vero Beach, FL 32960-5889 | 2016-09-19 |
| 1497142822 | Keishla De Jesus | Case Manager/Care Coordinator | 8285 46th Ave, Vero Beach, FL 32967-5689 | 2015-04-23 |
| 1518360734 | Daymi Roman | Case Manager/Care Coordinator | 915 11th Ave, Vero Beach, FL 32960-4387 | 2014-10-01 |
| 1215336243 | Christina Buchanan | Case Manager/Care Coordinator | 755 27th Ave Sw Ste 9&10, Vero Beach, FL 32968-4200 | 2014-08-14 |
| 1457782294 | John Kalogris | Case Manager/Care Coordinator | 1745 Pointe West Way, Vero Beach, FL 32966-2448 | 2013-12-04 |
| Find all providers in VERO BEACH | ||||
| City | VERO BEACH |
| Zip Code | 32960 |
Please comment or provide details below to improve the information on KHANDIS JACKSON CLINE.
| 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.