ANTOINETTE D JACKSON (NPI# 1871840280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871840280 |
| Entity Type | Individual |
| Full Name | ANTOINETTE D JACKSON |
| Practice Address |
771 W Blaine St Suite D Riverside CA 92507-3940 |
| Practice Telephone | 9513584100 |
| Mailing Telephone | 9513584100 |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2014-12-01 |
| 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 |
|---|---|---|---|---|
| 1821606625 | Antoinette Marie Jackson | Technician/Technologist | 23100 Telegraph Rd, Southfield, MI 48033-4155 | 2020-07-17 |
| 1275187387 | Antoinette Jackson | Counselor | 5048 11th St Ne, Washington, DC 20017-2848 | 2019-07-26 |
| 1306483821 | Antoinette Jackson | Technician | 4955 S Durango Dr Ste 120, Las Vegas, NV 89113-1054 | 2019-12-03 |
| 1043556087 | Antoinette S Jackson | Rehabilitation Counselor | 3840 N Commerce St, Suite 100, North Las Vegas, NV 89032-8104 | 2012-12-19 |
| 1922354794 | Antoinette Nicole Jackson | Registered Nurse | 6605 W Central Ave, Toledo, OH 43617-1000 | 2012-07-31 |
| 1225336514 | Antoinette Jackson | Counselor | 5965 S 900 E, Murray, UT 84121-1720 | 2011-03-10 |
| Street Address |
771 W BLAINE ST SUITE D |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-3940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780964098 | Leandra Ramirez | Counselor | 771 W Blaine St, Suite D, Riverside, CA 92507-3940 | 2011-08-18 |
| 1851905152 | Briahna Lenice Jimenez | Licensed Vocational Nurse | 771 W Blaine St, Riverside, CA 92507-3940 | 2020-09-03 |
| 1477161081 | Diana Rodriguez | Case Manager/Care Coordinator | 771 W Blaine St, Riverside, CA 92507-3940 | 2020-07-20 |
| 1982228615 | Jose Molina | Case Manager/Care Coordinator | 771 W Blaine St, Riverside, CA 92507-3940 | 2020-05-28 |
| 1396389847 | Yajaira Vargas | Social Worker | 771 W Blaine St, Riverside, CA 92507-3940 | 2019-10-28 |
| 1639665458 | Phuong Pham-martinez | Counselor | 771 W Blaine St, Riverside, CA 92507-3940 | 2018-07-04 |
| 1801340138 | Jennifer Morris | Counselor | 771 W Blaine St, Riverside, CA 92507-3940 | 2016-08-03 |
| 1922457944 | Georgina Williams | Peer Specialist | 771 W Blaine St, Riverside, CA 92507-3940 | 2016-06-09 |
| 1992135602 | County of Riverside | Community/Behavioral Health | 771 W Blaine St, Riverside, CA 92507-3940 | 2013-11-15 |
| 1164795621 | County of Riverside | Community/Behavioral Health | 771 W Blaine St, Riverside, CA 92507-3940 | 2012-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| 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 |
|---|---|---|---|---|
| 1760005151 | Elvira Martinez Herrera | Case Manager/Care Coordinator | 19376 Lambeth Ct, Riverside, CA 92508-6217 | 2020-05-20 |
| 1831720366 | Kimberly Ann Marshall | Case Manager/Care Coordinator | 18251 Northstar Ave, Riverside, CA 92508-9686 | 2020-02-03 |
| 1124659057 | Anthony Avalos | Case Manager/Care Coordinator | 555 Technology Ct Ste 105, Riverside, CA 92507-2155 | 2020-01-29 |
| 1306486451 | Sharice Fox | Case Manager/Care Coordinator | 5711 Magnolia Ave, Riverside, CA 92506-1824 | 2020-01-07 |
| 1588208318 | Fabiola Palacios | Case Manager/Care Coordinator | 7894 Mission Grove Pkwy S, Riverside, CA 92508-7800 | 2019-11-05 |
| 1962065185 | Andrea Brito-barriga | Case Manager/Care Coordinator | 525 Technology Ct Ste 300, Riverside, CA 92507-2191 | 2019-04-15 |
| 1427540392 | Anita Pauline Hendricks | Case Manager/Care Coordinator | 1020 Iowa Ave Ste A, Riverside, CA 92507-2105 | 2018-06-05 |
| 1326530270 | Ruben Correa | Case Manager/Care Coordinator | 9889 County Farm Rd, Riverside, CA 92503-3504 | 2018-06-05 |
| 1386136323 | Jessica Ramos | Case Manager/Care Coordinator | 1201 Research Park Dr Ste 100, Riverside, CA 92507-2147 | 2018-06-05 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| Find all providers in RIVERSIDE | ||||
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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.