JACQUELINE WILLIS (NPI# 1356819858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356819858 |
| Entity Type | Individual |
| Full Name | JACQUELINE WILLIS |
| Practice Address |
137 Willett Rd Arcadia LA 71001-5624 |
| Practice Telephone | 3186072713 |
| Mailing Telephone | 3186072713 |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-12-19 |
| 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 |
|---|---|---|---|---|
| 1477938223 | Jacqueline Vernade Willis | Community/Behavioral Health | 3135 Euclid Ave, Cleveland, OH 44115-2531 | 2015-07-22 |
| 1073908281 | Jacqueline Eva Willis | Nurse Practitioner | 4101 Barbara Loop Se, Suite D, Rio Rancho, NM 87124-1009 | 2015-04-03 |
| Street Address |
137 WILLETT RD |
| City | ARCADIA |
| State | LA |
| Zip Code | 71001-5624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844313 | Donyetta Patrice Jackson | Case Manager/Care Coordinator | 2542 4th Street Apt 193, Arcadia, LA 71001 | 2019-08-01 |
| 1245753953 | Bettin D Collins | Counselor | 1921 N. Railroad Ave., Arcadia, LA 71001 | 2017-07-25 |
| 1093266629 | Infinity Family Health Clinic, LLC | Nurse Practitioner | 2034 Myrtle St., Arcadia, LA 71001 | 2016-10-19 |
| 1356701585 | Cussandra Felton-johnson | Case Manager/Care Coordinator | 1217 Crawford St, Arcadia, LA 71001 | 2016-03-01 |
| 1326410614 | Elisha Collinsworth | Case Manager/Care Coordinator | 1921 N Railroad Ave, Arcadia, LA 71001 | 2015-10-26 |
| 1427319896 | Jennifer Paige Doyal | Nurse Practitioner | 1175 Pine Street, Suite 100, Arcadia, LA 71001 | 2012-06-01 |
| 1851500953 | Bienville Parish School Board | Local Education Agency (LEA) | 1956 First Street, Arcadia, LA 71001 | 2007-05-22 |
| 1154469021 | Arcadia Nursing and Rehabilitation Center, LLC | Clinic/Center | 660 Factory Outlet Mall Drive, Arcadia, LA 71001 | 2007-02-02 |
| 1326053901 | Chris Cole Pharmacy Inc | Pharmacy | 1887 First Street, Arcadia, LA 71001 | 2006-07-30 |
| 1457383499 | Arcadia Family Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1311 Hazel Street, Arcadia, LA 71001 | 2006-07-07 |
| Find all providers in zip 71001 | ||||
| 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 |
|---|---|---|---|---|
| 1841844313 | Donyetta Patrice Jackson | Case Manager/Care Coordinator | 2542 4th Street Apt 193, Arcadia, LA 71001 | 2019-08-01 |
| 1063961555 | Vy Tuong Ly | Case Manager/Care Coordinator | 905 S Golden West Ave Apt B, Arcadia, CA 91007-8816 | 2016-09-26 |
| 1871047340 | Mourad Nasralla | Case Manager/Care Coordinator | 301 E Foothill Blvd Ste 100, Arcadia, CA 91006-2551 | 2016-08-12 |
| 1487003059 | Michael Stewart | Case Manager/Care Coordinator | 800 S. Santa Anita Ave., Arcadia, CA 91006 | 2016-06-06 |
| 1356701585 | Cussandra Felton-johnson | Case Manager/Care Coordinator | 1217 Crawford St, Arcadia, LA 71001 | 2016-03-01 |
| 1326410614 | Elisha Collinsworth | Case Manager/Care Coordinator | 1921 N Railroad Ave, Arcadia, LA 71001 | 2015-10-26 |
| 1093013823 | Judith Nieto | Case Manager/Care Coordinator | 12310 Lower Azusa Road, Arcadia, CA 91006-5872 | 2011-03-02 |
| 1306148812 | La Tesia Wilson | Case Manager/Care Coordinator | 12310 Lower Azusa Rd, Arcadia, CA 91006-5872 | 2010-12-03 |
| 1063013464 | Breanna Wayne | Case Manager/Care Coordinator | 1564 Hazel St, Arcadia, LA 71001-4106 | 2020-11-03 |
| 1033710330 | Uniqua S Stevenson | Case Manager/Care Coordinator | 1564 Hazel St, Arcadia, LA 71001-4106 | 2020-11-03 |
| Find all providers in ARCADIA | ||||
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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.