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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235749763 | Shelby Jackson | Social Worker | 560 N Main St, Marion, OH 43302-2331 | 2020-08-10 |
Street Address |
4710 OLD TROY PIKE |
City | DAYTON |
State | OH |
Zip Code | 45424-5740 |
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 |
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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 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 |
---|---|---|---|---|
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 |
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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.