TIFFANY ANDREA JACKSON (NPI# 1851875116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851875116 |
| Entity Type | Individual |
| Full Name | TIFFANY ANDREA JACKSON |
| Practice Address |
1095 Golden Lakes Blvd Apt 913 West Palm Beach FL 33411-3353 |
| Practice Telephone | 5614491837 |
| Mailing Telephone | 5614491837 |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902432875 | Tiffany Jackson | Technician | 712 N Jenison Ave, Lansing, MI 48915-1309 | 2020-03-23 |
| 1336781335 | Tiffany Lashun Jackson | Contractor | 1718 Northside Dr Apt O3, Valdosta, GA 31602-1558 | 2019-10-10 |
| 1073161642 | Tiffany Michelle Jackson | Registered Nurse | 4982 Peppers Ferry Rd, Wytheville, VA 24382-4966 | 2019-08-27 |
| 1245892694 | Tiffany Nicole Jackson | Counselor | 6292 Dyke Rd, Chittenango, NY 13037-9404 | 2019-07-06 |
| 1992046734 | Tiffany Jackson | Licensed Practical Nurse | 4746 Walford Rd Apt 2, Warrensville Heights, OH 44128-5151 | 2013-03-04 |
| 1871801399 | Tiffany Jan'nelle Jackson | Dentist | 2550 Windmill Ln Ste 145, Henderson, NV 89074-5500 | 2010-09-17 |
| 1619289212 | Tiffany C. Jackson | Massage Therapist | 904 S Main St, Pleasant Grove, UT 84062-3560 | 2010-07-12 |
| 1851613251 | Tiffany Renee Jackson | Contractor | 5533 Litchfield St, Philadelphia, PA 19143-4714 | 2010-02-25 |
| 1942491063 | Tiffany R Jackson | Obstetrics & Gynecology | 7217 Telecom Parkway, Suite 290, Garland, TX 75044 | 2007-08-05 |
| 1952501553 | Tiffany Hope Jackson | Counselor | 14811 Sabine Dr, La Mirada, CA 90638-2144 | 2007-07-20 |
| Street Address |
1095 GOLDEN LAKES BLVD APT 913 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33411-3353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343129 | Ashley Nicole Zarmanian | Counselor | 1779 Palisades Drive, West Palm Beach, FL 33411 | 2020-07-07 |
| 1487110995 | Everglades College Inc | Chiropractor | 2085 Vista Parkway, West Palm Beach, FL 33411 | 2019-02-20 |
| 1538625652 | Amanda Marie Tropea | Behavior Technician | 2054 Vista Park Way Suite #400, West Palm Beach, FL 33411 | 2019-02-13 |
| 1528554516 | Michael Ryan Moraguez | Dentist | 11358 Okeechobee Blvd Ste 1, Royal Palm Beach, FL 33411 | 2018-07-02 |
| 1184124505 | Abd Medical Surgical & Home Care Equipments, Inc | Durable Medical Equipment & Medical Supplies | 10349 Southern Blvd, Royal Palm Beach, FL 33411 | 2018-02-13 |
| 1336668987 | Belinda Brooks-josephs | Registered Nurse | 11407 Blue Violet Lane, Royal Palm Beach, FL 33411 | 2017-09-14 |
| 1699293183 | Lisa Camille Watson | Psychologist | 7750 Okeechobee Boulevard, Suite 4-9-19, West Palm Beach, FL 33411 | 2017-09-05 |
| 1174044515 | Sherisa Harris | Licensed Practical Nurse | 260 Crestwood Circle, Unit 104, Royal Palm Beach, FL 33411 | 2017-07-06 |
| 1134659758 | Gerry B Alondra | Behavior Technician | 103 Banyan Lane, West Palm Beach, FL 33411 | 2017-06-15 |
| 1356871313 | Maylin Ojeda | Behavior Technician | 13397 55th Rd N, West Palm Beach, FL 33411 | 2017-06-13 |
| Find all providers in zip 33411 | ||||
| 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 |
|---|---|---|---|---|
| 1306469481 | Melville's Behavioral Health Services LLC | Case Manager/Care Coordinator | 2464 N Military Trl, West Palm Beach, FL 33409-2907 | 2020-05-22 |
| 1871126789 | Tamara Natalee Johnson | Case Manager/Care Coordinator | 5305 Greenwood Ave Ste 204, West Palm Beach, FL 33407-2449 | 2020-02-19 |
| 1891333993 | Sandra Elivert Esmard | Case Manager/Care Coordinator | 1639 Forum Pl Ste 71639, West Palm Beach, FL 33401-2330 | 2019-12-19 |
| 1467096933 | Sean Kevin Mccullough | Case Manager/Care Coordinator | 817 Kanuga Dr, West Palm Beach, FL 33401-7223 | 2019-10-29 |
| 1053977959 | Charlotte Wright | Case Manager/Care Coordinator | 2275 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-3400 | 2019-05-15 |
| 1144784182 | Tinisha E Tolbert | Case Manager/Care Coordinator | 699 Brandon Prescott Ln Apt 412, West Palm Beach, FL 33401-8717 | 2019-01-23 |
| 1881169563 | Chare Stewart | Case Manager/Care Coordinator | 3540 Whitehall Dr, West Palm Beach, FL 33401-1085 | 2018-10-09 |
| 1265924005 | Maria Ortiz | Case Manager/Care Coordinator | 424 1/2 Hunter St, West Palm Beach, FL 33405-4402 | 2018-06-06 |
| 1477050870 | Marie Sony Garnier Paul | Case Manager/Care Coordinator | 796 Cresta Cir, West Palm Beach, FL 33413-1048 | 2018-04-11 |
| 1366940587 | Lenora Davis | Case Manager/Care Coordinator | 1320 10th St, West Palm Beach, FL 33401-3136 | 2018-01-23 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33411 |
Please comment or provide details below to improve the information on TIFFANY ANDREA JACKSON.
| 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.