MS. SIMONE JACKSON (NPI# 1437519394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437519394 |
| Entity Type | Individual |
| Full Name | MS. SIMONE JACKSON |
| Credential | MA |
| Practice Address |
3491 Gandy Blvd N #201 Pinellas Park FL 33781-2658 |
| Mailing Address |
1420 W 26th Ct Riviera Beach FL 33404-4123 |
| Practice Telephone | 7278882274 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740846328 | Simone Jackson | Physical Therapist | 70 Pleasant Hill Ln, Tamarac, FL 33319-2442 | 2019-05-19 |
| 1134644396 | Simone Jackson | Nurse Practitioner | 9029 S Pecos Rd Ste 2800, Henderson, NV 89074-7199 | 2017-08-09 |
| 1619483013 | Simone Jackson | Case Manager/Care Coordinator | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2017-12-20 |
| 1871041657 | Simone D Jackson | Nurse Practitioner | 680 Blair Mill Rd, Horsham, PA 19044-2223 | 2016-09-21 |
| 1205214988 | Simone Rene Jackson | Counselor | 1044 Gilbert St, Flint, MI 48532-3527 | 2015-05-13 |
| Street Address |
3491 GANDY BLVD N #201 |
| City | PINELLAS PARK |
| State | FL |
| Zip Code | 33781-2658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154414076 | Sherri Albaum | Social Worker | 3491 Gandy Blvd N, Suite 201, Pinellas Park, FL 33781-2658 | 2006-10-02 |
| 1003442666 | Violet Payne | Counselor | 3491 Gandy Blvd N, Pinellas Park, FL 33781-2658 | 2020-03-16 |
| 1912541459 | Rachel Escobar | Social Worker | 3491 Gandy Blvd N, Pinellas Park, FL 33781-2658 | 2019-10-28 |
| 1487208732 | Lucia Vinciguerra | Social Worker | 3491 Gandy Blvd N, Pinellas Park, FL 33781-2658 | 2019-07-25 |
| 1376004432 | Elizabeth Joy Cochran | Behavior Technician | 3491 Gandy Blvd N, Pinellas Park, FL 33781-2658 | 2019-03-29 |
| 1861902231 | Cherina Bornscheuer | Counselor | 3491 Gandy Blvd N, Pinellas Park, FL 33781-2658 | 2017-10-11 |
| 1881103687 | Erika Ann Giannella | Counselor | 3491 Gandy Blvd N, Pinellas Park, FL 33781-2658 | 2017-09-25 |
| 1568998680 | Rebekkah Grossman | Counselor | 3491 Gandy Blvd N, Unit 201, Pinellas Park, FL 33781-2658 | 2017-05-10 |
| 1861931784 | Sean Whitehead | Social Worker | 3491 Gandy Blvd N, 201, Pinellas Park, FL 33781-2658 | 2017-02-13 |
| 1023554425 | Heather Tarrant | Counselor | 3491 Gandy Blvd N, Suite 201, Pinellas Park, FL 33781-2658 | 2017-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554134 | Tanthia Chanel Delgado | Social Worker | Sequel Care of Florida, 3491 Gandy Blvd, Pinellas Park, FL 33781 | 2020-06-26 |
| 1932722139 | Sunrise Retirement Home LLC | Assisted Living Facility | 4201 70th Ave North, Pinellas Park, FL 33781 | 2020-05-21 |
| 1790319119 | Third Phase Medical, LLC Dba Physical Therapy Now, Pinellas Park | Physical Medicine & Rehabilitation | 6661 49th Street North, Pinellas Park, FL 33781 | 2020-02-25 |
| 1275166621 | Michael Palon | Chiropractor | 6615 49th St N, Pinellas Park, FL 33781 | 2020-02-13 |
| 1679080790 | Hyde Psychological Services LLC | Psychologist | 8130 66th St. N, Suite 10, Pinellas Park, FL 33781 | 2018-01-10 |
| 1184135964 | Susan Nmi Washam | Counselor | 3491 Gandy Blvd, Suite 201, Pinelias Park, FL 33781 | 2017-10-19 |
| 1194131730 | Ivan Samcam | Emergency Medicine | 6640 78th Ave N Ste A, Pinellas Park, FL 33781 | 2014-07-03 |
| 1306278809 | Select Medical Products | Durable Medical Equipment & Medical Supplies | 6531 47th Street North, Pinellas Park, FL 33781 | 2013-08-07 |
| 1639515133 | Kabrena Michelle Williams | Behavioral Analyst | 5030 78th Ave N Ste 11, Pinellas Park, FL 33781 | 2013-05-11 |
| 1649614975 | Dennis Alexander Tenenboym | Podiatrist | 7800 66th St N Ste 207, Pinellas Park, FL 33781 | 2013-04-17 |
| Find all providers in zip 33781 | ||||
| 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 |
|---|---|---|---|---|
| 1336225762 | Shannon E Albert | Case Manager/Care Coordinator | Pemhs, Inc., 11254 58th Street, Pinellas Park, FL 33782-2213 | 2006-10-27 |
| 1861099772 | Hannah Mary Figucia-griffith | Case Manager/Care Coordinator | 3491 Gandy Blvd N Ste 201, Pinellas Park, FL 33781-2654 | 2020-10-04 |
| 1043826050 | Natalie Marie Osburn | Case Manager/Care Coordinator | 3491 Gandy Blvd N Ste 201, Pinellas Park, FL 33781-2654 | 2020-09-16 |
| 1275142291 | Meaghan Elizabeth Begonis | Case Manager/Care Coordinator | 3491 Gandy Blvd N Ste 201, Pinellas Park, FL 33781-2654 | 2020-07-27 |
| 1568080513 | Courtney Cogdill | Case Manager/Care Coordinator | 3491 Gandy Blvd N Ste 201, Pinellas Park, FL 33781-2654 | 2020-07-07 |
| 1124657770 | Erica Donnelly | Case Manager/Care Coordinator | 3491 Gandy Blvd N Ste 201, Pinellas Park, FL 33781-2654 | 2020-04-06 |
| 1285262477 | Kayla Dasch | Case Manager/Care Coordinator | 3491 Gandy Blvd N Ste 201, Pinellas Park, FL 33781-2654 | 2020-04-01 |
| 1770121261 | Elizabeth Faber | Case Manager/Care Coordinator | 3491 Gandy Blvd N Ste 201, Pinellas Park, FL 33781-2654 | 2019-12-15 |
| 1992278543 | Nicole Virgo | Case Manager/Care Coordinator | 3941 68th Ave N, Pinellas Park, FL 33781-6136 | 2019-01-07 |
| 1396225330 | Kristina Presley | Case Manager/Care Coordinator | 3491 Gandy Blvd N Ste 201, Pinellas Park, FL 33781-2654 | 2018-08-20 |
| Find all providers in PINELLAS PARK | ||||
| City | PINELLAS PARK |
| Zip Code | 33781 |
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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.