ELSA SILVA DE JACKSON (NPI# 1093181299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093181299 |
| Entity Type | Individual |
| Full Name | ELSA SILVA DE JACKSON |
| Practice Address |
2001 S Garnett Rd Suite G Tulsa OK 74128-1836 |
| Mailing Address |
102 N Denver Ave Tulsa OK 74103-1806 |
| Practice Telephone | 9188787877 |
| Mailing Telephone | 9183508574 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |
| 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 |
| Street Address |
2001 S GARNETT RD SUITE G |
| City | TULSA |
| State | OK |
| Zip Code | 74128-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265867824 | Blakelea D. Martin | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128-1836 | 2013-09-13 |
| 1801252655 | Ember Alexander | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128-1836 | 2016-01-09 |
| 1265807978 | Marsha Porter | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128-1836 | 2015-12-07 |
| 1154793701 | Robert Givens | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128-1836 | 2015-10-22 |
| 1841660784 | Belinda Short | Counselor | 2001 S Garnett Rd, Tulsa, OK 74128-1836 | 2015-10-05 |
| 1437529823 | Tasia Akem | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128-1836 | 2015-09-29 |
| 1942682273 | Keymah Muhammad | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128-1836 | 2015-06-23 |
| 1235511825 | Patty Dainty | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128-1836 | 2015-06-19 |
| 1851772123 | Keita Owens | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128-1836 | 2015-06-12 |
| 1124406699 | Chad Bradley | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128-1836 | 2015-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639720352 | Nicole Piggee | Technician | 10548 East 5th Street, Tulsa, OK 74128 | 2019-09-24 |
| 1598252884 | Beth Alison Peck | Social Worker | 10159 East 11th Street, Tulsa, OK 74128 | 2018-04-23 |
| 1821434523 | Ta'vionna Danielle Polley-davis (whayne) | Counselor | 1148 E. 20th St, Unit A, Tulsa, OK 74128 | 2013-05-21 |
| 1881753572 | Mashovin Home Health Care, Inc. | Home Health | 12131 East Skelly Drive, Tulsa, OK 74128 | 2006-12-08 |
| 1023064300 | Brookhaven Hospital Inc. | Rehabilitation Unit | 201 S Garnett Rd, Tulsa, OK 74128 | 2006-05-26 |
| 1992019582 | Ryan John Wilson | Counselor | 2725 E. Skelly Dr., Suite 202, Tulsa, OK 74128 | 2010-08-06 |
| 1376786590 | Dana Furtado | Social Worker | Department of Veterans Affairs, 10159 E. 11th Street, Suite #100, Tulsa, OK 74128 | 2009-04-17 |
| 1033391370 | Genevieve Dulan | Family Medicine | 10912 E 14th St, Tulsa, OK 74128 | 2007-11-28 |
| 1215098017 | Paul Chesley Cochran | Psychiatry & Neurology | 141 S Garnett Rd, Tulsa, OK 74128 | 2006-12-13 |
| 1548700826 | Kristina Marcotte | Case Management | 9756 E 4th Pl, Tulsa, OK 74128-1247 | 2017-03-06 |
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| 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 |
|---|---|---|---|---|
| 1376143669 | Taylor Austin Finch | Case Manager/Care Coordinator | 3500 S Peoria Ave, Tulsa, OK 74105-2529 | 2020-10-27 |
| 1427657212 | Lakin Kennedy Monroe | Case Manager/Care Coordinator | 7781 S Mingo Rd Apt 512, Tulsa, OK 74133-3318 | 2020-10-22 |
| 1497369573 | Charles Ivy | Case Manager/Care Coordinator | 4620 S Vandalia Ave, Tulsa, OK 74135-4715 | 2020-09-04 |
| 1255945952 | Erin Martin | Case Manager/Care Coordinator | 5520 S Yorktown Pl, Tulsa, OK 74105-6116 | 2020-09-01 |
| 1700490372 | Vanessa Charnell Bledsoe | Case Manager/Care Coordinator | 4966 N Frankfort Pl, Tulsa, OK 74126-3221 | 2020-09-01 |
| 1760092670 | Kateri Smith | Case Manager/Care Coordinator | 1023 E 41st St Apt 6, Tulsa, OK 74105-7620 | 2020-08-05 |
| 1760091938 | Lucy E Rutland | Case Manager/Care Coordinator | 4948 S Quincy Ave, Tulsa, OK 74105-4731 | 2020-07-23 |
| 1043837230 | Dylan Tedvon Anderson | Case Manager/Care Coordinator | 515 S Denver Ave Apt 309, Tulsa, OK 74103-3873 | 2020-07-03 |
| 1134746100 | Markeisha Lashae Mays | Case Manager/Care Coordinator | 9636 E 26th St, Tulsa, OK 74129-7010 | 2020-06-25 |
| 1649894767 | Thomas Scott Godkins | Case Manager/Care Coordinator | 909 E 36th Pl, Tulsa, OK 74105-3001 | 2020-06-04 |
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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.