MACKENZIE JACKSON (NPI# 1235682725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235682725 |
| Entity Type | Individual |
| Full Name | MACKENZIE JACKSON |
| Practice Address |
102 N Denver Ave Tulsa OK 74103-1806 |
| Mailing Address |
650 S Peoria Ave Tulsa OK 74120-4429 |
| Practice Telephone | 9185821200 |
| Practice Fax Number | 9185601399 |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |
| 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 |
|---|---|---|---|---|
| 1740896315 | Mackenzie Brooks Jackson | Nurse Practitioner | 46 N Creekside Ct, Houston, TX 77055-7540 | 2020-09-19 |
| 1336755099 | Mackenzie Faith Jackson | Nurse Practitioner | 980 Highway 28 Ste 100, Jasper, TN 37347-3696 | 2020-09-18 |
| 1952947186 | Mackenzie Alysse Jackson | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2019-11-22 |
| Street Address |
102 N DENVER AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74103-1806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215922844 | Morton Comprehensive Health Services, Inc | Clinic/Center | 102 N Denver Ave, Tulsa, OK 74103-1820 | 2005-09-20 |
| 1861038390 | Allisyn Kelsey | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2019-11-19 |
| 1487211306 | Garrett Andrew Russell | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2019-05-27 |
| 1740762566 | Anita Oleen Roberts | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2018-08-29 |
| 1649756230 | Mackenzie Lea Farley | Counselor | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2018-07-17 |
| 1447740410 | Kimberly Dawn Breeden | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2018-05-15 |
| 1942705355 | William Lee Brown | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2018-03-27 |
| 1558891259 | Pao Xiong | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2017-06-14 |
| 1750813093 | Lasheika Tippett | Social Worker | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2017-03-28 |
| 1609312602 | Jazz'lynn Durant | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2017-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497392476 | Polly Gretchen Robinson | Pharmacist | W 2nd St., Suite 100, Communitycare, Tulsa, OK 74103 | 2019-12-09 |
| 1639588387 | J.a.m.e.s. Incorporation | Community/Behavioral Health | 401 South Bostone Ave, 500-27, Tulsa, OK 74103 | 2014-08-07 |
| 1609205509 | Wynetta Littles | Behavioral Analyst | 401 S Boston Suite 400, Tulsa, OK 74103 | 2013-11-01 |
| 1013260512 | Courtney Lynn Warren | Nurse Practitioner | 300 N Denver Ave, Tulsa, OK 74103 | 2012-10-22 |
| 1992848618 | Carolyn Clarke Simpson | Counselor | 102 N. Denver, Tulsa, OK 74103 | 2007-02-14 |
| 1801826045 | Loretta A Farrell | Family Medicine | 100 West Fifth Street, Ll1020, Tulsa, OK 74103 | 2006-07-04 |
| 1306222104 | Cori Bryson | Case Manager/Care Coordinator | 102 N Denver, Tulsa, OK 74103 | 2015-08-04 |
| 1033469465 | Michael Stephen Lewis | Behavioral Analyst | 102 N Denver, Tulsa, OK 74103 | 2012-09-13 |
| 1346383874 | Lauren Marie Hereford | Case Manager/Care Coordinator | 102 N Denver, Tulsa, OK 74103 | 2007-02-15 |
| 1578106837 | Damien Williams | Case Manager/Care Coordinator | 300 N Denver Ave, David L. Moss Criminal Justice Center, Tulsa, OK 74103-1420 | 2019-10-18 |
| Find all providers in zip 74103 | ||||
| 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 |
| Find all providers in TULSA | ||||
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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.