TYLER DREW JACKSON


Address: 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637
Phone: 3036172300

TYLER DREW JACKSON (NPI# 1245560002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245560002
Entity Type Individual
Full Name TYLER DREW JACKSON
Practice Address 11059 E Bethany Dr Ste 200
Aurora
CO 80014-2637
Practice Telephone 3036172300
Practice Fax Number 3036172397
Mailing Telephone 3036172300
Mailing Fax Number 3036172397
Enumeration Date 2009-12-29
Last Update Date 2009-12-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers TYLER JACKSON

NPI Name Taxonomy Address Enumeration
1295355816 Tyler Jackson Emergency Medicine 1625 N Campbell Ave, Tucson, AZ 85719-4330 2020-04-23
1033693155 Tyler Jackson Social Worker 26184 Outer Dr, Lincoln Park, MI 48146-2084 2018-09-25
1225518426 Tyler Dean Jackson Social Worker 4455 Ne Hwy 20, Corvallis, OR 97330 2018-08-16
1306342084 Tyler Jackson Student in an Organized Health Care Education/Training Program 1959 Ne Pacific St, Seattle, WA 98195-0001 2018-04-02
1336594696 Tyler Jackson Specialist/Technologist 1400 Montgomery Ave, Bryn Mawr, PA 19010-1631 2016-04-25
1023489796 Tyler Jackson Physical Therapist 20823 Stevens Creek Blvd, Cupertino, CA 95014-2108 2015-10-07
1952583528 Tyler Bradley Jackson Occupational Therapy Assistant 907 N 2nd St, Albemarle, NC 28001-3317 2007-12-05

Office Location

Street Address 11059 E BETHANY DR STE 200
City AURORA
State CO
Zip Code 80014-2637

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134149057 Aurora Comprehensive Community Mental Health Center Inc Clinic/Center 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 2006-07-21
1235787813 Jamie Lynn Underwood Social Worker 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 2019-08-28
1417501446 Gabriella Guy Social Worker 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 2019-07-29
1285298786 Kathy Cruse Tiger Peer Specialist 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 2019-04-30
1922661123 Ayat Farajalla Case Manager/Care Coordinator 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 2019-04-15
1124582846 Aster Eyob Case Manager/Care Coordinator 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 2019-01-27
1619447869 Jennifer King Social Worker 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 2018-11-30
1831668615 Micah Barnes Counselor 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 2018-11-21
1194294561 Lillian Y Morris Case Manager/Care Coordinator 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 2018-11-15
1154898716 Tina Vasquez Counselor 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 2018-10-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942825021 Dieuvil Varice Occupational Therapist 2851 S Parker Rd Ste 570, Aurora, Co, Aurora, CO 80014 2020-06-14
1518437144 Curtis E Redd Case Manager/Care Coordinator 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 2018-11-27
1144795154 Prestige Adult Day Care LLC Clinic/Center 2860 S Havana St, Unit C, Aurora, CO 80014 2018-10-05
1609375492 Jacob Mcbride Behavior Technician 2121 S Blackhawk St 100, Aurora, CO 80014 2018-02-07
1265931240 Jasmine Nicole Joseph Behavior Technician 2121 S. Blackhawk St., Aurora, CO 80014 2018-02-06
1255830238 Russel Talukder Behavioral Analyst 2121 South Blackhawk St 100, Aurora, CO 80014 2018-02-06
1467951442 Dylan Kelley Behavior Technician 2121 Blackhawk St. Suite 100, Aurora, CO 80014 2018-02-06
1184123168 Talisa Fisher Behavior Technician 2121 S Blackhawk St Suite 100, Aurora, CO 80014 2018-02-06
1144732314 Hellen A Noamesi Registered Nurse Kaiser Water Park 1, 2500 S. Havana St, Aurora, CO 80014 2017-10-27
1255840641 Amanda Dawn Thompson Massage Therapist 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 2017-09-28
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407456411 Nicole Amanda Togun Case Manager/Care Coordinator 1290 Chambers Rd Ste 238, Aurora, CO 80011-7117 2020-10-28
1215558440 Antonio De Jesus Millan Case Manager/Care Coordinator 964 Kingston St, Aurora, CO 80010-4108 2020-04-28
1487285078 Berretta Malone Case Manager/Care Coordinator 1290 Chambers Rd Apt 2, Aurora, CO 80011-7117 2020-01-31
1811536014 Joshua Whitelaw Case Manager/Care Coordinator 708 Arbor Way, Aurora, OH 44202-9113 2020-01-06
1194363952 Lemlem Hailu Gebremeskel Case Manager/Care Coordinator 2795 S Cathay Way, Aurora, CO 80013-4774 2019-12-11
1588209670 Cgl Cpa, LLC Case Manager/Care Coordinator 1420 Kenton St, Aurora, CO 80010-3580 2019-11-12
1518437144 Curtis E Redd Case Manager/Care Coordinator 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 2018-11-27
1871068882 Jamila Jemal Ali Case Manager/Care Coordinator 15747 E Center Pl, Aurora, CO 80017-2016 2018-10-05
1982190302 Marsha Aliaga-dickens Case Manager/Care Coordinator 12455 E Mississippi Ave Unit 104, Aurora, CO 80012-3465 2018-07-09
1871007054 William Hogeland Case Manager/Care Coordinator 13901 E Arkansas Dr, Aurora, CO 80012-5570 2017-11-27
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Competitor

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City AURORA
Zip Code 80014

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Dataset Information

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.

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