JESSICA AVILA (NPI# 1285906685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285906685 |
| Entity Type | Individual |
| Full Name | JESSICA AVILA |
| Practice Address |
520 Dudley St Roxbury MA 02119-2769 |
| Mailing Address |
24 Ledge Hill St Randolph MA 02368-3514 |
| Practice Telephone | 8572001015 |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2012-01-31 |
| 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 |
|---|---|---|---|---|
| 1629345566 | Jessica Lizette Avila | Case Manager/Care Coordinator | 501 Chester Ave, A, Bakersfield, CA 93301-5402 | 2011-11-21 |
| 1508478439 | Jessica Lynn Avila | Nurse Practitioner | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-08-21 |
| 1407465297 | Jessica L Avila | Licensed Practical Nurse | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-07-28 |
| 1619503844 | Jessica Avila | Behavior Technician | 5959 West Loop S Ste 202, Bellaire, TX 77401-2420 | 2020-03-19 |
| 1023597788 | Jessica Avila | Rehabilitation Practitioner | 19231 Victory Blvd, Reseda, CA 91335-6308 | 2018-08-13 |
| 1780113795 | Jessica Avila | Social Worker | 018 Sw Boundary Ct, Portland, OR 97239-3939 | 2017-06-05 |
| 1306106844 | Jessica Avila | Nurse Practitioner | 603 N Flamingo Road, Ste 157, Pembroke Pines, FL 33028 | 2012-05-17 |
| Street Address |
520 DUDLEY ST |
| City | ROXBURY |
| State | MA |
| Zip Code | 02119-2769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396924007 | Devin George Atallah-gutierrez | Counselor | 520 Dudley St, Roxbury, MA 02119-2769 | 2007-10-30 |
| 1205441425 | Kianna Barbosa | Counselor | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-09-14 |
| 1962017483 | Sophia Eloise Stanford | Counselor | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-09-11 |
| 1275148660 | Teila Gray | Case Manager/Care Coordinator | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-09-11 |
| 1124633516 | Herlen Carius | Counselor | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-09-11 |
| 1679188312 | Brienna Nicole Santaniello | Counselor | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-09-10 |
| 1568077121 | Tatiana Peavy | Counselor | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-09-10 |
| 1326652215 | Eric Andrew Meyers | Counselor | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-09-08 |
| 1427662386 | Rayel Smith | Counselor | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-09-08 |
| 1952915241 | Tyrelle Lavette Hill | Community Health Worker | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
| 1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
| 1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
| 1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
| 1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
| 1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
| 1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
| Find all providers in zip 02119 | ||||
| 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 |
|---|---|---|---|---|
| 1093367674 | Marissa Rogers | Case Manager/Care Coordinator | 1990 Columbus Ave Apt 19, Roxbury, MA 02119-1102 | 2019-07-12 |
| 1144700360 | Briana Mendoza | Case Manager/Care Coordinator | 75 Amory Ave, Roxbury, MA 02119-1020 | 2018-08-16 |
| 1013454230 | Lucrecia Halls-kirby | Case Manager/Care Coordinator | 62 Saint James St, Apt 2, Roxbury, MA 02119-3239 | 2017-01-25 |
| 1275131617 | Sabrina Angelina Lopez | Case Manager/Care Coordinator | 245 Eustis St, Roxbury, MA 02119-2826 | 2020-10-16 |
| 1275148660 | Teila Gray | Case Manager/Care Coordinator | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-09-11 |
| 1659989986 | Ailine Ortiz | Case Manager/Care Coordinator | 245 Eustis St, Roxbury, MA 02119-2826 | 2020-07-22 |
| 1306464052 | Adele Jean | Case Manager/Care Coordinator | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-07-09 |
| 1700410990 | Tennille Pinnock | Case Manager/Care Coordinator | 1059 Tremont St Ste 2, Roxbury, MA 02120-2193 | 2020-02-26 |
| 1598305179 | Adelina Alves | Case Manager/Care Coordinator | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-01-10 |
| 1003455254 | Lakeysha Egleston | Case Manager/Care Coordinator | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-01-04 |
| Find all providers in ROXBURY | ||||
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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.