JENNIFER JANE ABRAHAM (NPI# 1306078217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306078217 |
| Entity Type | Individual |
| Full Name | JENNIFER JANE ABRAHAM |
| Credential | BS |
| Practice Address |
109 W Watauga Ave Johnson City TN 37604-5621 |
| Mailing Address |
1167 Spratlin Park Dr Gray TN 37615-6205 |
| Practice Telephone | 4232322600 |
| Practice Fax Number | 4234673644 |
| Mailing Telephone | 4234673721 |
| Mailing Fax Number | 4234673644 |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2009-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173803 | Jennifer Abraham | Occupational Therapist | 653 Drexel Rd, Paramus, NJ 07652-4907 | 2020-08-02 |
| 1275178436 | Jennifer A Abraham | Social Worker | 135 Rocky Hill Rd, Plymouth, MA 02360-5524 | 2019-11-12 |
| 1194121657 | Jennifer V Abraham | Physician Assistant | 3433 Warren Farm Dr, Fort Collins, CO 80526-6344 | 2014-11-11 |
| 1295944619 | Jennifer Abraham | Dentist | 193 Green Bay Rd, Thiensville, WI 53092-1603 | 2007-05-22 |
| 1285650259 | Jennifer Jane Abraham | Internal Medicine | 3838 San Dimas St Ste A100, Bakersfield, CA 93301-2286 | 2006-07-14 |
| 1417580739 | Jennifer Lynn Abraham | Peer Specialist | 7200 Bancroft Ave Ste 125c, Oakland, CA 94605-2454 | 2020-02-14 |
| 1184175127 | Jennifer Abraham | Social Worker | 201 5th St Nw Unit 790, Watford City, ND 58854-7118 | 2016-10-14 |
| 1801235379 | Jennifer Abraham | Pharmacist | 117 E Live Oak Ave, Arcadia, CA 91006-5269 | 2013-06-18 |
| 1063796662 | Jennifer Ann Abraham | Pharmacist | 2755 Lake Michigan Dr Nw, Grand Rapids, MI 49504-5872 | 2011-10-01 |
| 1558650564 | Jennifer Alphonso Abraham | Psychologist | 707 N Broadway, Kennedy Krieger Institute, Baltimore, MD 21205-1832 | 2011-03-30 |
| Street Address |
109 W WATAUGA AVE |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-5621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922068022 | Constance Sue Lackner-mullins | Nurse Practitioner | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2006-03-24 |
| 1417565201 | Christine A Oaks | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2020-07-17 |
| 1205459245 | Makayla W Shippy | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2020-05-26 |
| 1336774652 | Meagan Elizabeth Smith- Quisenberry | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2020-03-06 |
| 1063071926 | Christy R. Crick | Marriage & Family Therapist | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2019-06-13 |
| 1528539582 | Aaron Free | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-12-16 |
| 1144700337 | Marcus Antonio (tony) Chambers | Licensed Practical Nurse | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-08-16 |
| 1952897357 | Kristina S Roberts | Psychologist | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2018-07-09 |
| 1457845869 | Lurelle Louise Maxey | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2018-06-19 |
| 1679079206 | Tyler Daniel Garland | Case Manager/Care Coordinator | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| 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 |
|---|---|---|---|---|
| 1295123941 | Jessica Farmer | Case Manager/Care Coordinator | 2700 S Roan St Ste 425, Johnson City, TN 37601-7587 | 2015-01-05 |
| 1730432592 | Samantha N Blevins | Case Manager/Care Coordinator | 802 Buffalo St, Suite 8, Johnson City, TN 37604-6900 | 2012-10-18 |
| 1518110733 | Darrell Craig Bush | Case Manager/Care Coordinator | 24 Cherry St # Po, Johnson City, NY 13790-2615 | 2008-10-31 |
| 1689743957 | Judy Anne Miles | Case Manager/Care Coordinator | 109 W Watauga Avenue, Johnson City, TN 37604 | 2006-11-08 |
| 1598835738 | Jennifer Lee Puett | Case Manager/Care Coordinator | 109 West Watauga Ave, Johnson City, TN 37605 | 2006-11-08 |
| 1972686640 | Craig Robert Wilson | Case Manager/Care Coordinator | 1003 N Boradway, Johnson City, TN 37601 | 2006-10-24 |
| 1285717504 | Misty Dawn Adams | Case Manager/Care Coordinator | 109 W Watauga, Johnson City, TN 37605 | 2006-10-23 |
| 1679079206 | Tyler Daniel Garland | Case Manager/Care Coordinator | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-04-03 |
| 1538665328 | Ashlie Katelyn Depew | Case Manager/Care Coordinator | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-04-02 |
| 1649706490 | Alexamdra D'shay Myers | Case Manager/Care Coordinator | 2700 S Roan St, Suite 425, Johnson City, TN 37601-7556 | 2017-05-11 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.