JENNIFER HANSBROUGH (NPI# 1689091183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689091183 |
| Entity Type | Individual |
| Full Name | JENNIFER HANSBROUGH |
| Credential | RN |
| Practice Address |
10390 Democracy Ln Fairfax VA 22030-2522 |
| Practice Telephone | 7032192571 |
| Mailing Telephone | 7032192571 |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 0001245860 | VA | Other Service Providers |
| Street Address |
10390 DEMOCRACY LN |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932121290 | Gail W Campbell | Counselor | 10390 Democracy Ln, Fairfax, VA 22030-2522 | 2006-07-24 |
| 1275683765 | Jeannie Haston | Social Worker | 10390 Democracy Ln, Fairfax, VA 22030-2522 | 2007-01-10 |
| 1699824763 | John E Clark IIi | Counselor | 10390 Democracy Ln, Fairfax, VA 22030-2522 | 2007-01-09 |
| 1588687263 | Anil R Hinnaria | Psychiatry & Neurology | 10390 Democracy Ln, Fairfax Ads Outpatient, Fairfax, VA 22030-2522 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| 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 |
|---|---|---|---|---|
| 1013515089 | Catherine Ruth | Case Manager/Care Coordinator | 4113 Stevenson St, Fairfax, VA 22030-5617 | 2020-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961102 | Melanie Welzel | Case Manager/Care Coordinator | 500 Hull St Apt 314, Richmond, VA 23224-4348 | 2020-10-31 |
| 1639776974 | Ayana Capri Esau | Case Manager/Care Coordinator | 414 Taft Dr, Portsmouth, VA 23701-4160 | 2020-10-08 |
| 1023625811 | Tianca Harris | Case Manager/Care Coordinator | 6511 Glebe Point Rd, Chesterfield, VA 23838-6167 | 2020-09-26 |
| 1730794256 | Lucy Hill Services | Case Manager/Care Coordinator | 3 Drew Ct, Palmyra, VA 22963-2700 | 2020-09-11 |
| 1477177129 | Catherine Darlene Taylor | Case Manager/Care Coordinator | 165 Belle Hollow Rd, Chilhowie, VA 24319-5575 | 2020-05-28 |
| 1821627308 | Graced LLC | Case Manager/Care Coordinator | 1101 Kruper Ave Apt A, Hopewell, VA 23860-6030 | 2020-04-06 |
| 1376179929 | Monique M Hower | Case Manager/Care Coordinator | 15611 Boydton Plank Rd, Dinwiddie, VA 23841-2543 | 2020-03-16 |
| 1184259517 | Sulma Stevens | Case Manager/Care Coordinator | 221 Farley Cir Apt 302, Winchester, VA 22601-6251 | 2020-03-05 |
| 1205469814 | Raymon Ward | Case Manager/Care Coordinator | 3813 Old Post Rd, Richmond, VA 23234-2023 | 2020-02-21 |
| 1386275758 | Jamie Vest | Case Manager/Care Coordinator | 207 14th St Nw Apt 21, Charlottesville, VA 22903-2739 | 2020-02-04 |
| Find all providers with the same taxonomy | ||||
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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.