MRS. DOROTHY ELIZABETH JACKSON (NPI# 1760789382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760789382 |
| Entity Type | Individual |
| Full Name | MRS. DOROTHY ELIZABETH JACKSON |
| Practice Address |
3944 S 400 E Salt Lake City UT 84107-1600 |
| Practice Telephone | 8012637100 |
| Practice Fax Number | 8012619569 |
| Mailing Telephone | 8012637100 |
| Mailing Fax Number | 8012619569 |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |
| 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 |
|---|---|---|---|---|
| 1407364169 | Dorothy Jean Jackson | Clinic/Center | 5151 Margo Dr, Las Vegas, NV 89122-6627 | 2018-01-16 |
| 1780094664 | Dorothy Jackson | Registered Nurse | 9689 Lynns Rd, Etna, OH 43062-8493 | 2014-05-01 |
| 1487950846 | Dorothy Mae Jackson | Community Health Worker | 310 Sw 99th St, Gainesville, FL 32607-1372 | 2011-02-02 |
| 1922071042 | Dorothy Louise Jackson | Family Medicine | 1114 W Bow St, Tyler, TX 75702-5137 | 2006-02-09 |
| 1174189773 | Dorothy Jackson | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2019-05-20 |
| 1629478417 | Dorothy Jackson | Counselor | 801 Douglas Ave, Altamonte Springs, FL 32714-5206 | 2014-08-28 |
| 1427392505 | Dorothy Octavia Jackson | Psychologist | 2002 Holcombe Blvd, Mhcl 116, Houston, TX 77030-4211 | 2012-11-15 |
| 1942521539 | Dorothy W Jackson | Social Worker | 1076 Main St, Suite 203, Fishkill, NY 12524-3606 | 2010-06-17 |
| 1568612851 | Dorothy Faye Jackson | Nurse Practitioner | 208 Nw 2nd St, Andrews, TX 79714-6308 | 2008-09-24 |
| 1467661306 | Dorothy Lyn Jackson | Student in an Organized Health Care Education/Training Program | 1646 Elmira St, Aurora, CO 80010-2122 | 2007-05-21 |
| Street Address |
3944 S 400 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669458493 | Michelle Swenson Teel | Social Worker | 3944 S 400 E, Salt Lake City, UT 84107-1600 | 2005-12-22 |
| 1124528138 | Felic Deann Hargrrow | Case Manager/Care Coordinator | 3944 S 400 E, Salt Lake City, UT 84107-1600 | 2018-02-15 |
| 1467717918 | Valley Mental Health | Community Based Residential Treatment Facility, Mental Illness | 3944 S 400 E, Salt Lake City, UT 84107-1600 | 2012-07-11 |
| 1912262270 | Brooke Hansen | Registered Nurse | 3944 S 400 E, Salt Lake City, UT 84107-1600 | 2012-07-11 |
| 1851699938 | Annamaria Vandrunen | Counselor | 3944 S 400 E, Salt Lake City, UT 84107-1600 | 2011-03-14 |
| 1417252297 | Shelley Aliska Kilgore | Social Worker | 3944 S 400 E, Salt Lake City, UT 84107-1600 | 2011-01-25 |
| 1619294410 | Kimalee Ann Urbom | Social Worker | 3944 S 400 E, Salt Lake City, UT 84107-1600 | 2010-05-03 |
| 1962630640 | Laura Westover | Registered Nurse | 3944 S 400 E, Salt Lake City, UT 84107-1600 | 2009-07-01 |
| 1780858043 | Paula Joy Richards | Registered Nurse | 3944 S 400 E, Salt Lake City, UT 84107-1600 | 2008-04-17 |
| 1407964018 | Leanne Lorraine Huff | Counselor | 3944 S 400 E, Salt Lake City, UT 84107-1600 | 2006-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| 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 |
|---|---|---|---|---|
| 1689281818 | Devery White | Case Manager/Care Coordinator | 195 N 1900 W, Salt Lake City, UT 84116 | 2020-10-01 |
| 1326652116 | Brenna Colleen Ball | Case Manager/Care Coordinator | 671 N Oakley St, Salt Lake City, UT 84116-3833 | 2020-08-31 |
| 1437761368 | Tonia Price | Case Manager/Care Coordinator | 625 S 200 E, Salt Lake City, UT 84111-3801 | 2020-08-21 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1619502374 | Bradford Nielson | Case Manager/Care Coordinator | 344 E 100 S # B, Salt Lake City, UT 84111-1700 | 2020-03-03 |
| 1225662521 | Rob Lequia | Case Manager/Care Coordinator | 344 E 100 S # 344e100s, Salt Lake City, UT 84111-1700 | 2020-02-25 |
| 1154970507 | Lori Cerar | Case Manager/Care Coordinator | 230 W 200 S Ste 142, Salt Lake City, UT 84101-1337 | 2019-09-09 |
| 1457907776 | Christina Lee Oppenheimer | Case Manager/Care Coordinator | 230 W 200 S # 142, Salt Lake City, UT 84101-1337 | 2019-08-13 |
| 1184196230 | Roselia Yanella Chavez | Case Manager/Care Coordinator | 1233 W 700 S, Salt Lake City, UT 84104-2657 | 2018-12-28 |
| 1588149132 | Madeleine Smith | Case Manager/Care Coordinator | 344 E 1st S, Salt Lake City, UT 84111-1700 | 2018-09-29 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
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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.