JESSICA SACCOMANNO (NPI# 1225382310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225382310 |
| Entity Type | Individual |
| Full Name | JESSICA SACCOMANNO |
| Practice Address |
960 N Dixie Downs Rd St George UT 84770-4206 |
| Mailing Address |
474 W 200 N Ste. 200 St George UT 84770-4505 |
| Practice Telephone | 4356524354 |
| Mailing Telephone | 4356324150 |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |
| 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 |
960 N DIXIE DOWNS RD |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184758344 | Summer W Warden | Technician, Other | 960 N Dixie Downs Rd, St George, UT 84770-4206 | 2007-03-16 |
| 1164707477 | Mikell Jo Jensen | Technician, Other | 960 N Dixie Downs Rd, St George, UT 84770-4206 | 2011-10-18 |
| 1689970287 | Christopher Deross Knowlton | Technician, Other | 960 N Dixie Downs Rd, St George, UT 84770-4206 | 2011-01-31 |
| 1003144510 | Jeremy Larson | Technician, Other | 960 N Dixie Downs Rd, St George, UT 84770-4206 | 2009-11-20 |
| 1194973560 | Amy Irene Kent | Social Worker | 960 N Dixie Downs Rd, St George, UT 84770-4206 | 2008-08-28 |
| 1194992552 | Ryan Forbes | Case Manager/Care Coordinator | 960 N Dixie Downs Rd, St George, UT 84770-4206 | 2008-05-14 |
| 1376710731 | Leanna Singler | Technician, Other | 960 N Dixie Downs Rd, St George, UT 84770-4206 | 2008-05-14 |
| 1972770568 | Amanda H Nelson | Case Manager/Care Coordinator | 960 N Dixie Downs Rd, St George, UT 84770-4206 | 2008-05-13 |
| 1679765861 | Tonya Lynn Morrow | Technician, Other | 960 N Dixie Downs Rd, St George, UT 84770-4206 | 2007-08-13 |
| 1497947691 | Simon Colley | Technician, Other | 960 N Dixie Downs Rd, St George, UT 84770-4206 | 2007-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| 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 |
|---|---|---|---|---|
| 1457841116 | Chelsea A Vandenberg | Case Manager/Care Coordinator | 254 N 500 W, St George, UT 84770-4517 | 2018-05-17 |
| 1841806676 | Stetson Laws | Case Manager/Care Coordinator | 474 W 200 N # 300, St George, UT 84770-4505 | 2020-09-17 |
| 1285249953 | Monika Nicole Anson | Case Manager/Care Coordinator | 474 W 200 N # 300, St George, UT 84770-4505 | 2020-09-10 |
| 1447864194 | Brandon Pledger | Case Manager/Care Coordinator | 474 W 200 N # 300, St George, UT 84770-4505 | 2020-09-01 |
| 1013520386 | Sylvia Morgan Jackson | Case Manager/Care Coordinator | 474 W 200 N Ste 300, St George, UT 84770-4505 | 2020-08-26 |
| 1215547930 | Brandon Turner | Case Manager/Care Coordinator | 474 W 200 N Ste 300, St George, UT 84770-4505 | 2020-08-06 |
| 1215568530 | Willie C Townsend IIi | Case Manager/Care Coordinator | 474 W 200 N, St George, UT 84770-4505 | 2020-01-27 |
| 1215577440 | Melissa Mclamb | Case Manager/Care Coordinator | 474 W 200 N, St George, UT 84770-4505 | 2020-01-15 |
| 1750925442 | Alma Dinora Tanner | Case Manager/Care Coordinator | 474 W 200 N, St George, UT 84770-4505 | 2019-11-05 |
| 1295379360 | Karina June Nay | Case Manager/Care Coordinator | 474 W 200 N, St George, UT 84770-4505 | 2019-11-01 |
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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.