JACLYNN WEST (NPI# 1356827422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356827422 |
| Entity Type | Individual |
| Full Name | JACLYNN WEST |
| Credential | BS, QIDP |
| Practice Address |
1199 Harris Ave Tawas City MI 48763-9681 |
| Practice Telephone | 9893628636 |
| Mailing Telephone | 9893628636 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |
| 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 |
| Street Address |
1199 HARRIS AVE |
| City | TAWAS CITY |
| State | MI |
| Zip Code | 48763-9681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659410041 | John Christopher Moran | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2007-02-05 |
| 1063023877 | Jennifer Verbeke | Case Manager/Care Coordinator | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2020-08-14 |
| 1588286249 | Erica Ann Martin | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2020-05-15 |
| 1952930067 | Cheryl Ann Birkenbach | Registered Nurse | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2020-04-02 |
| 1316573868 | Vera Lee Middleton | Counselor | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2020-03-17 |
| 1265077143 | Amanda Piglowski | Case Manager/Care Coordinator | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2019-11-14 |
| 1972060564 | Laurie Miller | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2019-03-01 |
| 1902374176 | Morgan Taylor Wynkoop | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2018-11-06 |
| 1396210753 | Bryan Blattert | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2018-10-11 |
| 1992289656 | Sydney Simpson Larsen | Counselor | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2018-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720447006 | Josie Short | Student in an Organized Health Care Education/Training Program | 127 Wheeler Street, Tawas, MI 48763 | 2016-02-16 |
| 1689052698 | Victoria Mcgillis | Nurse Practitioner | 325 E M 55 Ste B, Tawas City, MI 48763 | 2015-05-11 |
| 1942500160 | Jeffrey M Chadwick O D P C | Optometrist | 325 M-55, Tawas City, MI 48763 | 2010-10-22 |
| 1659536068 | Josip Petani | Pediatrics | 101 W. Lake St, Tawas City, MI 48763 | 2008-07-24 |
| 1790963312 | Phillip A Wienczewski Pllc | Dentist | 671 E M 55, Tawas City, MI 48763 | 2008-02-06 |
| 1902090038 | Life Family Chiropractic LLC | Chiropractor | 196 M 55, Life Family Chiropractic, Tawas City, MI 48763 | 2007-08-31 |
| 1467586446 | Thomas Aldrich Dawson | Dentist | 508 Hemlock Avenue, Tawas City, MI 48763 | 2007-03-14 |
| 1497819056 | Phillip Allen Wienczewski | Dentist | 671 E M55, Tawas City, MI 48763 | 2006-12-20 |
| 1821163106 | Charles Edward Kudwa | Dentist | 510 West Lake St, Tawas City, MI 48763 | 2006-11-21 |
| 1720017312 | Jeffrey Michael Chadwick | Optometrist | 325 M-55 East, Tawas City, MI 48763 | 2006-07-03 |
| Find all providers in zip 48763 | ||||
| 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 |
|---|---|---|---|---|
| 1063023877 | Jennifer Verbeke | Case Manager/Care Coordinator | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2020-08-14 |
| 1265077143 | Amanda Piglowski | Case Manager/Care Coordinator | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2019-11-14 |
| 1447736533 | Laura Reed | Case Manager/Care Coordinator | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2018-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851670 | Kendall Brocavich | Case Manager/Care Coordinator | 397 Blunk St, Plymouth, MI 48170-3752 | 2020-11-04 |
| 1932700242 | Best Choice Health Services, LLC | Case Manager/Care Coordinator | 19300 Greenfield Rd Ste C, Detroit, MI 48235-2003 | 2020-11-03 |
| 1871193557 | Pierce Reynolds | Case Manager/Care Coordinator | 160 E Cambourne St, Ferndale, MI 48220-1310 | 2020-10-30 |
| 1588262331 | Emmarose Malone Dwyer | Case Manager/Care Coordinator | 3843 Thomas Rd, Oxford, MI 48371-1556 | 2020-10-14 |
| 1861090953 | Jordan Johnson | Case Manager/Care Coordinator | 19710 Cherry Hill St, Southfield, MI 48076-1061 | 2020-10-12 |
| 1871191957 | Katrina M Dicesare | Case Manager/Care Coordinator | 39340 Medallion Ct Apt 7103, Farmington Hills, MI 48331-4913 | 2020-10-12 |
| 1144837618 | Lisa Glover | Case Manager/Care Coordinator | 1977 Radcliff Ave Se, Grand Rapids, MI 49506-5140 | 2020-09-28 |
| 1891301347 | Cierra C Coward | Case Manager/Care Coordinator | 20752 Camden Sq Apt 205, Southfield, MI 48076-3824 | 2020-09-21 |
| 1245845791 | Amanda Evanoff | Case Manager/Care Coordinator | 4619 Jerome Rd, Clarkston, MI 48346-3735 | 2020-09-11 |
| 1326653122 | Malika Triplett | Case Manager/Care Coordinator | 3002 Meisner Ave, Flint, MI 48506-2434 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | TAWAS CITY |
| Zip Code | 48763 |
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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.