JESSICA CHRISTINE NICHOLS (NPI# 1902399793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902399793 |
| Entity Type | Individual |
| Full Name | JESSICA CHRISTINE NICHOLS |
| Practice Address |
555 Technology Ct Ste 300 Riverside CA 92507-2156 |
| Practice Telephone | 9516868500 |
| Mailing Telephone | 9516868500 |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2019-01-28 |
| 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 |
|---|---|---|---|---|
| 1790232973 | Jessica Nichols | Behavioral Analyst | 571 Morse Memorial Hwy, Olmstedville, NY 12857-1825 | 2016-09-06 |
| 1528320959 | Jessica R Nichols | Optometrist | 1528 Ne 96th St, Suite #a, Liberty, MO 64068-1364 | 2012-06-12 |
| 1457580235 | Jessica Nichols | Nurse Practitioner | 10651 E. Street, Naval Health Clinic Corpus Christi, Corpus Christi, TX 78419 | 2009-07-14 |
| 1922261866 | Jessica Nichols | Pharmacist | 3501 Forbes Ave Rm 756, Pittsburgh, PA 15213-3317 | 2008-07-09 |
| 1245428812 | Jessica Nichols | Occupational Therapist | 906 Tetbury Pl, Brandon, MS 39047-9274 | 2007-10-09 |
| 1043810336 | Jessica Nichols | Case Manager/Care Coordinator | 200 12th Street Ext, Princeton, WV 24740-2329 | 2020-10-27 |
| 1629695788 | Jessica Paige Nichols | Pharmacist | 2153 E Main St Ste B9, Duncan, SC 29334-8863 | 2020-07-06 |
| 1497318505 | Jessica Nichols | Social Worker | 401 Whitney Ave Ste 135, Gretna, LA 70056-2577 | 2019-04-16 |
| 1487111936 | Jessica Nichols | Registered Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2019-02-20 |
| 1093294167 | Jessica Nichols | Licensed Vocational Nurse | 426 E Allegheny Ave, Philadelphia, PA 19134-2338 | 2018-08-09 |
| Street Address |
555 TECHNOLOGY CT STE 300 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023278090 | Carmen Ann King | Case Manager/Care Coordinator | 555 Technology Ct Ste 300, Riverside, CA 92507-2156 | 2008-06-13 |
| 1427616499 | Diana Mendoza | Counselor | 555 Technology Ct Ste 300, Riverside, CA 92507-2156 | 2019-06-04 |
| 1992363147 | Valerie Medina | Marriage & Family Therapist | 555 Technology Ct Ste 300, Riverside, CA 92507-2156 | 2019-06-03 |
| 1013570233 | Valenzuela Taitoa | Case Manager/Care Coordinator | 555 Technology Ct Ste 300, Riverside, CA 92507-2156 | 2019-04-15 |
| 1124580444 | Joshua Starks | Marriage & Family Therapist | 555 Technology Ct Ste 300, Riverside, CA 92507-2156 | 2019-04-04 |
| 1952866436 | Yulon Wroten | Case Manager/Care Coordinator | 555 Technology Ct Ste 300, Riverside, CA 92507-2156 | 2019-02-08 |
| 1194280677 | Cynthia Limon | Case Manager/Care Coordinator | 555 Technology Ct Ste 300, Riverside, CA 92507-2156 | 2019-02-08 |
| 1285198093 | Krystal Perez | Marriage & Family Therapist | 555 Technology Ct Ste 300, Riverside, CA 92507-2156 | 2019-01-25 |
| 1154894947 | Gilbert Ortiz | Case Manager/Care Coordinator | 555 Technology Ct Ste 300, Riverside, CA 92507-2156 | 2019-01-04 |
| 1114490901 | Alexia Garcia | Case Manager/Care Coordinator | 555 Technology Ct Ste 300, Riverside, CA 92507-2156 | 2019-01-04 |
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| 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.