DESIREE JACOBS (NPI# 1447876990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447876990 |
| Entity Type | Individual |
| Full Name | DESIREE JACOBS |
| Practice Address |
2319 Shell Dr Midwest City OK 73130-8276 |
| Practice Telephone | 4055957893 |
| Mailing Telephone | 4055957893 |
| Enumeration Date | 2020-06-21 |
| Last Update Date | 2020-06-21 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669973129 | Desiree Besas Jacobs | Counselor | 611 E Belmont Ave, Fresno, CA 93701-1502 | 2018-02-21 |
| Street Address |
2319 SHELL DR |
| City | MIDWEST CITY |
| State | OK |
| Zip Code | 73130-8276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059909 | Richard Williams | Behavior Technician | 1121 S. Douglas Boulevard, Suite A, Midwest City, OK 73130 | 2020-09-28 |
| 1730794264 | Cassidy Myers | Behavioral Analyst | 1121 South Douglas Boulevard, Suite A, Midwest City, OK 73130 | 2020-09-11 |
| 1831609320 | Progressive Home Health Inc | Home Health | 9070 Harmony Dr Ste C, Midwest City, OK 73130 | 2017-10-10 |
| 1306290903 | Maria Soledad Dabney | Counselor | 9101 Stonegate, Oklahoma City, OK 73130 | 2016-04-20 |
| 1922452804 | Endodontics and Implant Associates,pllc | Dentist | 1621 Midtown Place, Suite B, Midwest City, OK 73130 | 2016-04-18 |
| 1639574130 | Healthcare Express, LLP | Clinic/Center | 1701 S. Douglas Blvd., Midwest City, OK 73130 | 2014-10-27 |
| 1891045274 | Michelle Lynn Goolsby | Behavioral Analyst | 10822 Blue Sky Drive, Midwest City, OK 73130 | 2012-09-13 |
| 1497026173 | Deberry Interprise | Community/Behavioral Health | 9233 North East10th Street, Midwest City, OK 73130 | 2012-01-26 |
| 1245531789 | Nichelle Stewart | Counselor | 10520 Quail Run Road, Midwest City, OK 73130 | 2010-11-16 |
| 1477877835 | Jan Bierne, Inc. | Counselor | 2912 S. Douglas Blvd, Suite A, Midwest City, OK 73130 | 2010-03-15 |
| Find all providers in zip 73130 | ||||
| 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 |
|---|---|---|---|---|
| 1275157869 | Kaubriana S Walter | Case Manager/Care Coordinator | 1108 Tall Oaks Dr, Midwest City, OK 73110-7627 | 2020-05-30 |
| 1700407202 | Whitney Lee Heinrich | Case Manager/Care Coordinator | 11015 Mindy Ln, Midwest City, OK 73130-3812 | 2020-05-06 |
| 1003449083 | Jearldine E Maxwell | Case Manager/Care Coordinator | 4023 S Locust Dr, Midwest City, OK 73110-7447 | 2020-02-18 |
| 1487200366 | Robert Davis II | Case Manager/Care Coordinator | 9721 Southern Oaks Dr, Midwest City, OK 73130-5410 | 2019-08-15 |
| 1740754258 | Courtney Harris | Case Manager/Care Coordinator | 9129 Orchard Blvd, Midwest City, OK 73130-7142 | 2019-01-17 |
| 1477030328 | Tana Carter | Case Manager/Care Coordinator | 603 Peppertree Ln, Midwest City, OK 73110-2952 | 2018-07-24 |
| 1104317148 | Shannon Williams | Case Manager/Care Coordinator | 218 Kathleen Dr, Midwest City, OK 73110-7765 | 2018-05-25 |
| 1801391685 | Lavette Aniquea Harris | Case Manager/Care Coordinator | 704 Royal Ave, Midwest City, OK 73130-2713 | 2018-03-26 |
| 1538664313 | Monica Chanelle Fray | Case Manager/Care Coordinator | 10834 Garrett Cole Dr, Midwest City, OK 73130-3047 | 2018-03-26 |
| 1841707585 | Leah Nicole Clark | Case Manager/Care Coordinator | 9624 Se 4th St, Midwest City, OK 73130-4402 | 2018-01-03 |
| Find all providers in MIDWEST CITY | ||||
| City | MIDWEST CITY |
| Zip Code | 73130 |
Please comment or provide details below to improve the information on DESIREE JACOBS.
| 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.