TIFFANY JACOBS (NPI# 1922304955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922304955 |
| Entity Type | Individual |
| Full Name | TIFFANY JACOBS |
| Practice Address |
140 South Holly Street Medford OR 97501 |
| Practice Telephone | 5417748200 |
| Practice Fax Number | 5417747964 |
| Mailing Telephone | 5417748200 |
| Mailing Fax Number | 5417747964 |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2014-12-15 |
| 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 |
|---|---|---|---|---|
| 1356800486 | Tiffany Jacobs | Counselor | 108 W North Main St Ste 1, Richmond, MO 64085-1701 | 2019-03-18 |
| 1528459096 | Tiffany Jacobs | Specialist | 11098 W Jewell Ave, Suite A5, Lakewood, CO 80232-6123 | 2015-02-05 |
| 1437671914 | Tiffany Jacobs | Physical Therapy Assistant | 3110 Gracefield Rd, Silver Spring, MD 20904-1820 | 2017-07-17 |
| 1124227541 | Tiffany S. Jacobs | Counselor | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2007-07-16 |
| 1194928465 | Tiffany Markey Jacobs | Speech-Language Pathologist | 1200 1st St Ne Fl 9, Washington, DC 20002-7953 | 2007-06-06 |
| Street Address |
140 SOUTH HOLLY STREET |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407843725 | Luis Felix Oxholm | Psychiatry & Neurology | 140 South Holly Street, Medford, OR 97501 | 2005-10-03 |
| 1508313586 | Kimberli Lanelle Bean | Case Manager/Care Coordinator | 140 South Holly Street, Medford, OR 97501 | 2016-09-07 |
| 1194116640 | Albert Edward Solochier | Registered Nurse | 140 South Holly Street, Medford, OR 97501-3113 | 2015-02-05 |
| 1487051363 | Jamie Marie Barton | Counselor | 140 South Holly Street, Medford, OR 97501 | 2014-11-20 |
| 1063818342 | Caitlin Lawson | Case Manager/Care Coordinator | 140 South Holly Street, Medford, OR 97501 | 2014-11-13 |
| 1316343692 | Sheena Bisera | Case Manager/Care Coordinator | 140 South Holly Street, Medford, OR 97501 | 2014-11-13 |
| 1225434996 | Louisa Saloma | Case Manager/Care Coordinator | 140 South Holly Street, Medford, OR 97501 | 2014-11-07 |
| 1255735098 | Richelle Raelynn Marshall | Case Manager/Care Coordinator | 140 South Holly Street, Medford, OR 97501 | 2014-10-21 |
| 1992109045 | Kevin Hoeper | Case Manager/Care Coordinator | 140 South Holly Street, Medford, OR 97501 | 2014-10-17 |
| 1083018683 | Susan Sherrill | Counselor | 140 South Holly Street, Medford, OR 97501 | 2014-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| 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 |
|---|---|---|---|---|
| 1629436746 | Martina Waggener | Case Manager/Care Coordinator | 1107 Stevens St, Medford, OR 97504-6867 | 2016-02-03 |
| 1861866493 | Whitney Shipman | Case Manager/Care Coordinator | 1140 W 8th St, Medford, OR 97501-2912 | 2015-11-19 |
| 1730576109 | Samara Garnett | Case Manager/Care Coordinator | 106 Cottage St, Medford, OR 97504-7334 | 2015-04-23 |
| 1134499163 | Hannah Joy Morgan | Case Manager/Care Coordinator | 700 Crater Lake Ave, #12, Medford, OR 97504-6514 | 2012-01-06 |
| 1376812990 | Kristina Roper | Case Manager/Care Coordinator | 721 Nita Lynne, Medford, OR 97501-6635 | 2011-12-28 |
| 1881963601 | Jody Luney | Case Manager/Care Coordinator | 1911 Hazel Street, Medford, OR 97501 | 2011-12-22 |
| 1962707562 | Shirley Ann Palos | Case Manager/Care Coordinator | 1911 Hazel St, Medford, OR 97501 | 2011-01-13 |
| 1023312972 | Stacy D,ann Fountain | Case Manager/Care Coordinator | 100e. Main St., Medford, OR 97504 | 2011-01-07 |
| 1023312543 | Yvonne Melinda Shafer | Case Manager/Care Coordinator | 1005 E Main St Bldg C, Medford, OR 97504-7448 | 2010-12-23 |
| 1043810377 | Allison Rose Gida | Case Manager/Care Coordinator | 609 W 10th St, Medford, OR 97501-3106 | 2020-10-27 |
| Find all providers in MEDFORD | ||||
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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.