MISS JACQULINE BUCKNER (NPI# 1386041176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386041176 |
| Entity Type | Individual |
| Full Name | MISS JACQULINE BUCKNER |
| Practice Address |
125 North St Bellevue OH 44811-1423 |
| Mailing Address |
125 North St P.o. Box 8003 Bellevue OH 44811-1423 |
| Practice Telephone | 4194845003 |
| Mailing Telephone | 4194845003 |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | OH1519410 | OH | Other Service Providers |
| Street Address |
125 NORTH ST |
| City | BELLEVUE |
| State | OH |
| Zip Code | 44811-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972746758 | Bellevue City School District | Local Education Agency (LEA) | 125 North St, Bellevue, OH 44811-1423 | 2009-04-09 |
| 1851718084 | Kristina Polachek | Local Education Agency (LEA) | 125 North St, Bellevue, OH 44811-1423 | 2014-03-26 |
| 1710301098 | Rachel Forman | Psychologist | 125 North St, Bellevue, OH 44811-1423 | 2014-02-07 |
| 1891119178 | Laura Shaw | Registered Nurse | 125 North St, Bellevue, OH 44811-1423 | 2014-02-07 |
| 1861816225 | Jacquie Raifsnider | Speech-Language Pathologist | 125 North St, Bellevue, OH 44811-1423 | 2014-02-05 |
| 1326392457 | Meghan Anne Hilty | Speech-Language Pathologist | 125 North St, Bellevue, OH 44811 | 2012-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275979296 | Samuel Elias Ross | Family Medicine | 1255 W Main St Ste B, Bellevue, OH 44811 | 2013-05-16 |
| 1376780379 | Firelands Regional Medical Center | General Acute Care Hospital | 290 Progress Drive, Suite A, Bellevue, OH 44811 | 2009-01-13 |
| 1619195914 | Michael Barry Brunner | Pharmacist | 234 W Main Street, Bellevue, OH 44811 | 2007-04-23 |
| 1952524704 | April L Ptak | Massage Therapist | 855 West Main St, Suite E, Bellevue, OH 44811 | 2007-04-10 |
| 1215150057 | Erica Drossman | Massage Therapist | 855 West Main Street, Suite E, Bellevue, OH 44811 | 2007-04-10 |
| 1275644981 | Cornerstone Psychological Affiliates | Counselor | 817 Kilbourne St, Suite F, Bellevue, OH 44811 | 2006-08-31 |
| 1528172475 | Bhms Inc | Durable Medical Equipment & Medical Supplies | 234 West Main St, Bellevue, OH 44811 | 2006-08-18 |
| 1750494530 | Mark Allen Motley | Optometrist | 1355 West Main St, Bellevue, OH 44811 | 2006-08-16 |
| 1487675567 | Orville Rene Amburn | Family Medicine | 250 Castalia St, G, Bellevue, OH 44811 | 2006-07-22 |
| 1457320095 | Erie Surgical Associates | Surgery | 1400 West Main St, Suite D, Bellevue, OH 44811 | 2006-03-16 |
| Find all providers in zip 44811 | ||||
| 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 |
|---|---|---|---|---|
| 1538785993 | Connie Utley | Case Manager/Care Coordinator | 106 E Mission Ave, Bellevue, NE 68005-5201 | 2020-06-22 |
| 1275705766 | Donald Dale Jones Jr. | Case Manager/Care Coordinator | 227 Bellevue Way Ne, #70, Bellevue, WA 98004-5721 | 2008-03-25 |
| 1508484361 | Erin Carter | Case Manager/Care Coordinator | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2020-07-08 |
| 1679032718 | Aeden O'neil-dunne | Case Manager/Care Coordinator | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2019-03-18 |
| 1831660885 | Yesenia Villegas Nogeda | Case Manager/Care Coordinator | 1811 156th Ave Ne Ste 2, Bellevue, WA 98007-4344 | 2018-12-16 |
| 1609341155 | Warren Barlow | Case Manager/Care Coordinator | 3805 108th Ave Ne, Bellevue, WA 98004-7613 | 2018-10-11 |
| 1831664317 | Alexandra Vinson | Case Manager/Care Coordinator | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2018-10-10 |
| 1467927095 | Hannah Sherwood | Case Manager/Care Coordinator | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2018-10-10 |
| 1902371602 | Terrell Tucker Flood | Case Manager/Care Coordinator | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2018-10-09 |
| 1467927442 | Fe Schneider | Case Manager/Care Coordinator | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2018-10-05 |
| Find all providers in BELLEVUE | ||||
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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.