JACLYN JOHNSON (NPI# 1598271173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598271173 |
| Entity Type | Individual |
| Full Name | JACLYN JOHNSON |
| Practice Address |
5955 Ridge Rd Parma OH 44129-3936 |
| Practice Telephone | 4408880300 |
| Practice Fax Number | 4408880300 |
| Mailing Telephone | 4408880300 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |
| 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 |
|---|---|---|---|---|
| 1013555812 | Jaclyn Anne Johnson | Licensed Practical Nurse | 370 Cedar Valley Rd, Poughkeepsie, NY 12603 | 2019-12-12 |
| 1336753383 | Jaclyn Kristene Johnson | Speech-Language Pathologist | 1422 W Willow St Ste 101, Chicago, IL 60642-8977 | 2020-09-06 |
| 1700300373 | Jaclyn Johnson | Optometrist | 14239 W Bell Rd Ste 216, Surprise, AZ 85374-2482 | 2017-07-26 |
| 1639699549 | Jaclyn Kristin Johnson | Licensed Practical Nurse | 1430 Wilkins Circle, Casper, WY 82601-1336 | 2017-06-21 |
| 1508248022 | Jaclyn Nicole Johnson | Dentist | 202 Tunnelton St, Ste 214, Kingwood, WV 26537-1452 | 2015-06-20 |
| 1154739977 | Jaclyn Johnson | Dental Hygienist | 1206 N Dolarway Rd, Suite 101, Ellensburg, WA 98926-8392 | 2014-07-24 |
| 1417195611 | Jaclyn Johnson | Specialist | 401 Cypress St, Manchester, NH 03103-3628 | 2009-01-26 |
| Street Address |
5955 RIDGE RD |
| City | PARMA |
| State | OH |
| Zip Code | 44129-3936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962648931 | Lauren Noel Kaplafka | Social Worker | 5955 Ridge Rd, Parma, OH 44129-3936 | 2008-12-22 |
| 1497380802 | Brandon Jason Butler | Behavior Technician | 5955 Ridge Rd, Parma, OH 44129-3936 | 2020-03-05 |
| 1851932545 | Ariana Danielle Wilin | Behavior Technician | 5955 Ridge Rd, Parma, OH 44129-3936 | 2019-10-03 |
| 1093365777 | Bianca M Stallings | Nurse Practitioner | 5955 Ridge Rd, Parma, OH 44129-3936 | 2019-09-16 |
| 1427604032 | Rayshawn Wells | Case Manager/Care Coordinator | 5955 Ridge Rd, Parma, OH 44129-3936 | 2019-08-11 |
| 1407402019 | Tiffany Galbraith | Case Manager/Care Coordinator | 5955 Ridge Rd, Parma, OH 44129-3936 | 2019-08-11 |
| 1376102608 | Corina Bardasuc | Behavior Technician | 5955 Ridge Rd, Parma, OH 44129-3936 | 2019-06-11 |
| 1881154854 | Wendy Mosnja | Pharmacy Technician | 5955 Ridge Rd, Parma, OH 44129-3936 | 2019-03-25 |
| 1295295665 | Darlene Peters | Behavior Technician | 5955 Ridge Rd, Parma, OH 44129-3936 | 2019-03-22 |
| 1104304872 | Derricka C Barron | Case Manager/Care Coordinator | 5955 Ridge Rd, Parma, OH 44129-3936 | 2018-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819504 | Evolve Behavioral Health LLC. | Counselor | 5788 Ridge Rd Ste 3, Parma, OH 44129 | 2018-07-30 |
| 1952755688 | Lauren Williams | Speech-Language Pathologist | 6907 Brownfield Drive, Parma, OH 44129 | 2016-04-19 |
| 1447611579 | Chidozie Odigwe | Student in an Organized Health Care Education/Training Program | 7007 Powers Boulevard, Parma, OH 44129 | 2016-03-17 |
| 1700296589 | Kellie Richardson | Home Health Aide | 8402 Deerfield Drive, Parma, OH 44129 | 2014-05-02 |
| 1285982843 | John Eugene Huron | Dentist | 5657 Ridge Road, Parma, OH 44129 | 2012-08-29 |
| 1952659682 | Rima Patel | Optometrist | 7101 Lassiter Dr., Parma, OH 44129 | 2012-08-28 |
| 1740570464 | Wig Fashions Inc | Durable Medical Equipment & Medical Supplies | 5466 Pearl Road, Parma, OH 44129 | 2011-04-14 |
| 1447490883 | Adam D. Wysocki | Chiropractor | 5348 Pearl Road, Parma, OH 44129 | 2009-02-25 |
| 1184888547 | Virginia Ruth Ripepi | Registered Nurse | 8003 Dorothy Avenue, Parma, OH 44129 | 2008-07-15 |
| 1871787879 | Roger Goomber | Anesthesiology | 6305 Powers Blvd, Mac 4, Parma, OH 44129 | 2007-09-01 |
| Find all providers in zip 44129 | ||||
| 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 |
|---|---|---|---|---|
| 1386260321 | Romie Graham | Case Manager/Care Coordinator | 7480 Valley Villas Dr, Parma, OH 44130-6164 | 2020-06-24 |
| 1114589330 | Lissette Quinones | Case Manager/Care Coordinator | 7125 State Rd, Parma, OH 44134-4901 | 2019-07-09 |
| 1265928337 | Alexis Mayer | Case Manager/Care Coordinator | 5273 Knollwood Dr, Parma, OH 44129-1024 | 2018-07-02 |
| 1386254647 | Jazmine Carter | Case Manager/Care Coordinator | 6753 State Rd, Parma, OH 44134-4517 | 2020-08-03 |
| 1427604032 | Rayshawn Wells | Case Manager/Care Coordinator | 5955 Ridge Rd, Parma, OH 44129-3936 | 2019-08-11 |
| 1407402019 | Tiffany Galbraith | Case Manager/Care Coordinator | 5955 Ridge Rd, Parma, OH 44129-3936 | 2019-08-11 |
| 1801351358 | Lucas Bertaud Gonzalez | Case Manager/Care Coordinator | 6753 State Rd, Parma, OH 44134-4517 | 2019-02-08 |
| 1104304872 | Derricka C Barron | Case Manager/Care Coordinator | 5955 Ridge Rd, Parma, OH 44129-3936 | 2018-08-03 |
| 1245717255 | Asya Shadeed-bey | Case Manager/Care Coordinator | 5955 Ridge Rd, Parma, OH 44129-3936 | 2018-07-23 |
| 1902391808 | Natalie Yeldell Shaw | Case Manager/Care Coordinator | 5955 Ridge Rd, Parma, OH 44129-3936 | 2018-06-25 |
| Find all providers in PARMA | ||||
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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.