MS. FALLON JACKSON (NPI# 1679068340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679068340 |
| Entity Type | Individual |
| Full Name | MS. FALLON JACKSON |
| Credential | BACHELOR IN ARTS |
| Practice Address |
2490 Lee Blvd Ste 103 Cleveland OH 44118-1255 |
| Mailing Address |
2490 Lee Blvd Cleveland OH 44118-1268 |
| Practice Telephone | 2166005194 |
| Practice Fax Number | 2166005197 |
| Mailing Telephone | 2166005194 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | OH | Other Service Providers |
| Street Address |
2490 LEE BLVD STE 103 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44118-1255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710525670 | Sheena Patrice Hairston | Case Manager/Care Coordinator | 2490 Lee Blvd Ste 103, Cleveland, OH 44118-1255 | 2019-12-11 |
| 1811534944 | Johnnetta Mcdonald | Case Manager/Care Coordinator | 2490 Lee Blvd Ste 103, Cleveland, OH 44118-1255 | 2019-12-09 |
| 1366089492 | Pamela Michelle Roddy | Case Manager/Care Coordinator | 2490 Lee Blvd Ste 103, Cleveland, OH 44118-1255 | 2019-12-09 |
| 1932740719 | Jontay Pamela Noles | Community Health Worker | 2490 Lee Blvd Ste 103, Cleveland, OH 44118-1255 | 2019-10-03 |
| 1609417435 | Myron Hopkins | Case Manager/Care Coordinator | 2490 Lee Blvd Ste 103, Cleveland, OH 44118-1255 | 2019-10-02 |
| 1871134882 | Wendy M Brown | Community Health Worker | 2490 Lee Blvd Ste 103, Cleveland, OH 44118-1255 | 2019-10-01 |
| 1780225987 | Amy Campbell | Social Worker | 2490 Lee Blvd Ste 103, Cleveland, OH 44118-1255 | 2019-09-30 |
| 1942851274 | Janeece Yvonne Cannady | Case Manager/Care Coordinator | 2490 Lee Blvd Ste 103, Cleveland, OH 44118-1255 | 2019-09-27 |
| 1053962449 | Ciera Hill | Case Manager/Care Coordinator | 2490 Lee Blvd Ste 103, Cleveland, OH 44118-1255 | 2019-09-26 |
| 1073164414 | Andre Evans | Case Manager/Care Coordinator | 2490 Lee Blvd Ste 103, Cleveland, OH 44118-1255 | 2019-09-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237713 | Alison Marie Meehan | Counselor | 22001, Shaker Heights, OH 44118 | 2020-05-28 |
| 1437788593 | Tierra Banks | Community Health Worker | 3 Severance Circle #18618, Cleveland Heights, OH 44118 | 2020-04-02 |
| 1881220382 | Equillia Forte-mostella | Home Health Aide | 1629 Ivydale Rd, Cleveland Hts, OH 44118 | 2020-03-16 |
| 1225673080 | Karen Dames | Technician | 3260 Tullamore Rd., Cleveland Heights, OH 44118 | 2019-11-15 |
| 1285278325 | Vernessa Faye Jackson | Counselor | 22101 Fairmount Blvd, Shaker Heights, OH 44118 | 2019-11-01 |
| 1447814942 | Bluestone Child and Adolescent Psychiatric Hospital | Psychiatric Unit | 2575 S. Belvoir Blvd., University Heights, OH 44118 | 2019-04-30 |
| 1073009155 | Clarence Taylor | Counselor | 2490 Leeblvd, Cleveland, OH 44118 | 2018-07-02 |
| 1992290258 | Janet Spruill | Counselor | 2490 Lee Blvd Ste 107, Cleveland Heights, OH 44118 | 2018-06-28 |
| 1295229532 | Marcia Webster | Nurse's Aide | 3810 Grosvenor, South Euclid, OH 44118 | 2018-06-20 |
| 1508350067 | Adam M Oulton | Case Manager/Care Coordinator | 22001 Fairmont Boulevard, Shaker Heights, OH 44118 | 2018-06-19 |
| Find all providers in zip 44118 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558999607 | Delores Collins | Community Health Worker | 12200 Farhill Rd C-349, Cleveland, OH 44120 | 2020-04-01 |
| 1740817998 | Ashleigh Katlyn Hamar | Community Health Worker | 3518 W. 25th Sreet, Cleveland, OH 44109 | 2020-03-26 |
| 1770114357 | Marlene Solomon | Community Health Worker | 12819 Hoy Ave, Cleveland, OH 44105-6342 | 2020-01-31 |
| 1518503309 | Jamaal Keaton | Community Health Worker | 20571 Ellacott Pkwy Apt 621, Cleveland, OH 44128-4402 | 2019-11-27 |
| 1518509959 | Linda Blackmon | Community Health Worker | 4091 Shadywood Ln, Cleveland, OH 44122-6945 | 2019-10-16 |
| 1265089254 | Dana Chisholm | Community Health Worker | 16321 Lorain Ave Apt 112, Cleveland, OH 44111-5525 | 2019-08-23 |
| 1043705353 | Tamara Dionne Lyles | Community Health Worker | 12717 Arlington Ave, Cleveland, OH 44108 | 2018-06-28 |
| 1851826101 | Grovine Buffington | Community Health Worker | 4456 Sexton Rd, Cleveland, OH 44105-6005 | 2017-04-25 |
| 1982141396 | Valerie Blanchard | Community Health Worker | 18055 Nancy Dr, Cleveland, OH 44121-1034 | 2017-01-23 |
| 1942663208 | Adrienne Mccurdy | Community Health Worker | 1869 Haldane Rd, Cleveland, OH 44112-1521 | 2016-04-03 |
| Find all providers in CLEVELAND | ||||
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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.