SHELBY L JACKSON


Address: 4710 Old Troy Pike, Dayton, OH 45424-5740
Phone: 9372331230

SHELBY L JACKSON (NPI# 1811485675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811485675
Entity Type Individual
Full Name SHELBY L JACKSON
Credential A.A.S / QMHS
Practice Address 4710 Old Troy Pike
Dayton
OH 45424-5740
Practice Telephone 9372331230
Practice Fax Number 9372368930
Mailing Telephone 9372331230
Mailing Fax Number 9372368930
Enumeration Date 2018-04-27
Last Update Date 2018-04-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers SHELBY JACKSON

NPI Name Taxonomy Address Enumeration
1235749763 Shelby Jackson Social Worker 560 N Main St, Marion, OH 43302-2331 2020-08-10

Office Location

Street Address 4710 OLD TROY PIKE
City DAYTON
State OH
Zip Code 45424-5740

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205817541 Connie Jean Pollock Social Worker 4710 Old Troy Pike, Dayton, OH 45424-5740 2005-11-11
1043790728 Renee C Roberts Physical Therapist 4710 Old Troy Pike, Dayton, OH 45424-5740 2018-08-21
1639660665 United Rehabilitation Services of Greater Dayton Clinic/Center 4710 Old Troy Pike, Dayton, OH 45424-5740 2018-05-25
1518478387 United Rehabilitation Services of Greater Dayton Social Worker 4710 Old Troy Pike, Dayton, OH 45424-5740 2017-10-19
1245750595 Kendra Jackalyn Lucas Physical Therapist 4710 Old Troy Pike, Dayton, OH 45424-5740 2017-06-27
1932643830 Jeremy Nelson Counselor 4710 Old Troy Pike, Dayton, OH 45424-5740 2016-12-12
1205211745 Bridget Brown Speech-Language Pathologist 4710 Old Troy Pike, Dayton, OH 45424-5740 2015-07-27
1942693288 Megan C Krueger Physical Therapist 4710 Old Troy Pike, Dayton, OH 45424-5740 2015-03-11
1326444936 Autumn Joy Davis Physical Therapist 4710 Old Troy Pike, Dayton, OH 45424-5740 2014-11-10
1992106629 Kimberly J Munn Speech-Language Pathologist 4710 Old Troy Pike, Dayton, OH 45424-5740 2014-09-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215402409 Julie Ann Robinson Case Manager/Care Coordinator 7502 Mount Whitney, Huber Heights, OH 45424 2018-10-04
1275061103 Thalia Duncan-alexander Rehabilitation Counselor 5414 Quisenberry Dr., Dayton, OH 45424 2017-05-23
1487181574 Caitlyn Anne Frantz Family Medicine 6255 Chambersburg Rd Ste 2, Dayton, OH 45424 2017-05-19
1942736111 Jessica Winkler Registered Nurse 1771 Old Palmer Road Nw, Washington Court House, OH 45424 2017-05-10
1679029417 Heather Marlow Pharmacy Technician 5300 Executive Blvd, Huber Heights, OH 45424 2016-08-31
1124471545 Jeffrey Penny Nurse Practitioner 8290 Old Troy Pike Ste 40a, Huber Heights, OH 45424 2016-07-20
1619344330 Tamika Nicole Wood Home Health Aide 5602 Troy Villa Blvd, Huber Heights, OH 45424 2015-08-28
1730505983 Stephanie D. Bihn Speech-Language Pathologist 5954 Longford Road, Huber Heights, OH 45424 2014-03-12
1003248170 Federated Medical Supplies, LLP Durable Medical Equipment & Medical Supplies 5053 Pepper Dr., Dayton, OH 45424 2013-07-31
1710200431 William D Folk Pharmacist 5045 Heather Way, Dayton, OH 45424 2010-03-09
Find all providers in zip 45424

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871193706 Brooke Siggers Case Manager/Care Coordinator 829 S Gettysburg Ave # 45416, Dayton, OH 45417-3569 2020-10-29
1790396240 Joanne Davis Case Manager/Care Coordinator 829 S Gettysburg Ave # 45424, Dayton, OH 45417-3569 2020-08-10
1083233548 Lee Wagner Case Manager/Care Coordinator 829 S Gettysburg Ave # 45404, Dayton, OH 45417-3569 2020-04-14
1639703655 Karmeika Michelle Mcintosh Case Manager/Care Coordinator 117 Ashwood Ave, Dayton, OH 45405-2643 2020-02-28
1043869126 Joshua Hawes Case Manager/Care Coordinator 1258 Catalpa Dr, Dayton, OH 45402-5847 2019-09-10
1154970580 Dorothy Robinson Case Manager/Care Coordinator 5342 Deer Path Ln, Dayton, OH 45415-2807 2019-09-09
1376191080 Cara Sandell Case Manager/Care Coordinator 7691 Poe Ave, Dayton, OH 45414-2552 2019-08-27
1609434844 Latosha Scott Case Manager/Care Coordinator 1442 Swinger Dr, Dayton, OH 45417-8225 2019-06-03
1407410608 James Darwin Muir Case Manager/Care Coordinator 30 Hannah Dr, Dayton, NJ 08810-1365 2019-04-24
1851865703 Katherine Bernadette Brossart Case Manager/Care Coordinator 33 West 1st St, Suite 100, Dayton, OH 45402-1298 2019-01-14
Find all providers in DAYTON

Competitor

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City DAYTON
Zip Code 45424

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Dataset Information

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.

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