MS. CHAATINA T MACKEY (NPI# 1770831620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770831620 |
| Entity Type | Individual |
| Full Name | MS. CHAATINA T MACKEY |
| Practice Address |
2392 Edgewood Ave N Jacksonville FL 32254-1725 |
| Mailing Address |
2517 Myra St Jacksonville FL 32204-3515 |
| Practice Telephone | 9047817797 |
| Practice Fax Number | 9047818685 |
| Mailing Telephone | 9047817797 |
| Mailing Fax Number | 9047818685 |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-08-27 |
| 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 |
| Street Address |
2392 EDGEWOOD AVE N |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32254-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023016839 | Northwest Behavioral Health Services, Inc. | Case Management | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2005-07-14 |
| 1073110508 | Tia Denise Womack | Counselor | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-10-07 |
| 1073128088 | Catherine Knight | Counselor | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-09-15 |
| 1063022374 | Denzal Dillard | Social Worker | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-08-03 |
| 1447860663 | Shawnee Kereenyaga | Social Worker | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-08-03 |
| 1851919641 | Titus L Kent Sr. | Social Worker | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-07-08 |
| 1558999722 | Antia R Henderson | Case Manager/Care Coordinator | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-04-01 |
| 1992331011 | Northwest Behavioral Health | Case Management | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-03-20 |
| 1588294086 | Beatrice I Elias | Counselor | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-01-23 |
| 1063052421 | Kimberly Eugenia Ruise | Social Worker | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730673385 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1301 W Palm Ave Ste 210, Jacksonville, FL 32254 | 2018-06-18 |
| 1578072112 | Jules M Jean-pierre | Counselor | 2392 North Edgewood Avenue, Jacksonville, FL 32254 | 2017-09-27 |
| 1356869051 | Volaura Shanae Anderson | Counselor | 590 Ellis Rd, Jacksonville, FL 32254 | 2017-09-01 |
| 1962928291 | Angel Spivie | Counselor | 590 Ellis Road South Building 4, Jacksonville, FL 32254 | 2017-08-18 |
| 1376072777 | Tarkeshia Shuman | Contractor | 3150 Broadway Ave, Jacksoville, FL 32254 | 2017-06-08 |
| 1770931636 | Mamie Faith Peterson-mclaurn | Home Health | 2747 Sophia St, Jax, FL 32254 | 2016-06-01 |
| 1760803373 | Marian Lavonne Jones | Custodial Care Facility | 3501 Centerhill Dr. North, Jacksonville, FL 32254 | 2013-12-27 |
| 1659543981 | Monique Bosque-perez | Family Medicine | 781 Edgewood Ave N, Ufjp Commonwealth Family Practice, Jacksonville, FL 32254 | 2008-03-26 |
| 1508906652 | James Keith Riesz | Physical Therapist | 800 Lomax Street, Suite 105, Jacksonville, FL 32254 | 2007-02-07 |
| 1003903865 | Sabrina F Sessions | Pharmacist | 5050 Edgewood Court, Jacksonville, FL 32254 | 2006-10-05 |
| Find all providers in zip 32254 | ||||
| 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 |
|---|---|---|---|---|
| 1386256014 | Jessica Marie Hazelip | Case Manager/Care Coordinator | 2126 N 1st St, Jacksonville, AR 72076-2870 | 2020-08-24 |
| 1235757493 | Terena D Hoover | Case Manager/Care Coordinator | 731 Duval Station Rd Ste 107-257, Jacksonville, FL 32218-0800 | 2020-07-13 |
| 1255955514 | Shan Lowry | Case Manager/Care Coordinator | 1007 Tortoise Way, Jacksonville, FL 32218-7635 | 2020-06-02 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1780228510 | Equeisha Jones | Case Manager/Care Coordinator | 1006 N Liberty St, Jacksonville, FL 32206-5631 | 2019-11-05 |
| 1447801865 | Sydney Broussard | Case Manager/Care Coordinator | 3544 Saint Johns Bluff Rd S Apt 922, Jacksonville, FL 32224-2674 | 2019-09-26 |
| 1558928291 | Sherri Mason | Case Manager/Care Coordinator | 8005 Renault Dr, Jacksonville, FL 32244-1325 | 2019-05-28 |
| 1760951438 | Tashera Muray Nielsen | Case Manager/Care Coordinator | 7925 Merrill Rd Apt 2809, Jacksonville, FL 32277-6544 | 2018-11-24 |
| 1588147110 | Patricia Ceasar Pitts | Case Manager/Care Coordinator | 13764 Chipperfield Ln, Jacksonville, FL 32226-5832 | 2018-09-10 |
| 1447738307 | Pamela R Wright | Case Manager/Care Coordinator | 10955 Sterling Silver Ct, Jacksonville, FL 32218-7342 | 2018-08-02 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32254 |
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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.