JENNIFER JACKSON (NPI# 1992165518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992165518 |
| Entity Type | Individual |
| Full Name | JENNIFER JACKSON |
| Practice Address |
815 Fort St Ste A Barling AR 72923-2180 |
| Mailing Address |
4171 N Crossover Rd Fayetteville AR 72703-4591 |
| Practice Telephone | 4794945700 |
| Practice Fax Number | 4794786213 |
| Mailing Telephone | 4795211427 |
| Mailing Fax Number | 4795216520 |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |
| 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 |
|---|---|---|---|---|
| 1790386738 | Jennifer O Jackson | Pharmacist | 1900 Ese Loop323, Tyler, TX 75701-8337 | 2020-11-05 |
| 1326655705 | Jennifer Nicole Jackson | Physical Therapy Assistant | 2540 Ridgeview Rd, Paris, TX 75460-3321 | 2020-09-29 |
| 1407461163 | Jennifer Jackson | Specialist/Technologist | 149 Flagstaff Dr, Bolingbrook, IL 60440-2657 | 2020-09-10 |
| 1689294829 | Jennifer K Jackson | Dietitian, Registered | 13017 Bear Dancer Trl Ne, Albuquerque, NM 87112-3726 | 2020-04-17 |
| 1285261479 | Jennifer Elizabeth Jackson | Pharmacist | 4675 W 37th Ave Apt 202, Denver, CO 80212-2079 | 2020-03-26 |
| 1487290524 | Jennifer Carol Jackson | Counselor | 76 Vassar St, Worcester, MA 01602-1535 | 2019-11-25 |
| 1275959348 | Jennifer Jackson | Dietitian, Registered | 101 Vinemont Dr, Lafayette, LA 70501-6579 | 2014-03-12 |
| 1013332535 | Jennifer Jackson | Speech-Language Pathologist | 1105 Mcmurdo Cir, Castle Rock, CO 80108-2821 | 2014-02-19 |
| 1891053526 | Jennifer Dawn Jackson | Counselor | 240 Orville Bates Ln, Estill Springs, TN 37330-4278 | 2012-05-01 |
| 1205149382 | Jennifer Lynn Lawrence Jackson | Pharmacist | 4718 Limestone Rd, Wilmington, DE 19808-1928 | 2010-07-19 |
| Street Address |
815 FORT ST STE A |
| City | BARLING |
| State | AR |
| Zip Code | 72923-2180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801001763 | Jesse R Carothers | Social Worker | 815 Fort St Ste A, Barling, AR 72923-2180 | 2007-05-14 |
| 1619487733 | Kimberlee Sartain | Nurse Practitioner | 815 Fort St Ste A, Barling, AR 72923-2180 | 2017-10-03 |
| 1932638608 | Britney Lewis | Case Manager/Care Coordinator | 815 Fort St Ste A, Barling, AR 72923-2180 | 2017-06-07 |
| 1104357128 | Sarah Walton | Case Manager/Care Coordinator | 815 Fort St Ste A, Barling, AR 72923-2180 | 2017-03-22 |
| 1336681220 | Daniel Henson | Case Manager/Care Coordinator | 815 Fort St Ste A, Barling, AR 72923-2180 | 2016-11-09 |
| 1326497934 | Madeline Quijada | Case Manager/Care Coordinator | 815 Fort St Ste A, Barling, AR 72923-2180 | 2016-06-06 |
| 1033579750 | Ronna Kaye Davis | Case Manager/Care Coordinator | 815 Fort St Ste A, Barling, AR 72923-2180 | 2016-02-24 |
| 1114308517 | Crystal Ridley | Case Manager/Care Coordinator | 815 Fort St Ste A, Barling, AR 72923-2180 | 2015-06-11 |
| 1750762225 | Dede Glover | Case Manager/Care Coordinator | 815 Fort St Ste A, Barling, AR 72923-2180 | 2015-06-10 |
| 1548648298 | Anastasia Anderson | Case Manager/Care Coordinator | 815 Fort St Ste A, Barling, AR 72923-2180 | 2015-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702182 | Marshall Sebastian Parker | Chiropractor | 7209 Chad Colley Blvd, Suite A, Barling, AR 72923 | 2020-08-26 |
| 1912568304 | Community Family Medical Clinic, LLC. | Family Medicine | 1202 Fort Street, Barling, AR 72923 | 2019-06-26 |
| 1548718125 | Chandra Mathis | Nurse Practitioner | 1200 Fort St, Barling, AR 72923 | 2016-09-13 |
| 1982961439 | Valley Behavioral Health System LLC | Psychiatric Hospital | 10301 Mayo Drive, Barling, AR 72923 | 2012-04-20 |
| 1013162031 | Dana Smith | Case Manager/Care Coordinator | 1311 Fort Street, Ste J, Barling, AR 72923 | 2008-11-18 |
| 1861643116 | Peter Nguyen | Case Manager/Care Coordinator | 1311 Fort Smith, Barling, AR 72923 | 2008-10-06 |
| 1346464120 | Alert Response, LLC | Durable Medical Equipment & Medical Supplies | 618 Fort Street, Bartling, AR 72923 | 2007-04-12 |
| 1043346752 | Jenny Burton | Case Manager/Care Coordinator | 1311 Fort St., Suite J, Barling, AR 72923 | 2007-02-26 |
| 1922142454 | Edward R Obana Jr. | Social Worker | 1311 Fort Street, Suite J, Barling, AR 72923 | 2007-02-17 |
| 1730198110 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 1610 Fort Street, Barling, AR 72923 | 2006-08-05 |
| Find all providers in zip 72923 | ||||
| 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 |
|---|---|---|---|---|
| 1255734505 | Darla Dyan Harp | Case Manager/Care Coordinator | 815 4th Street, Barling, AR 72923-2180 | 2014-10-01 |
| 1518387745 | Kelci Fulmer | Case Manager/Care Coordinator | 815 Fort Street, Barling, AR 72903 | 2014-04-28 |
| 1013162031 | Dana Smith | Case Manager/Care Coordinator | 1311 Fort Street, Ste J, Barling, AR 72923 | 2008-11-18 |
| 1861643116 | Peter Nguyen | Case Manager/Care Coordinator | 1311 Fort Smith, Barling, AR 72923 | 2008-10-06 |
| 1043346752 | Jenny Burton | Case Manager/Care Coordinator | 1311 Fort St., Suite J, Barling, AR 72923 | 2007-02-26 |
| 1831741974 | Brittany Woelber | Case Manager/Care Coordinator | 115 Fort St, Barling, AR 72923-2646 | 2019-07-09 |
| 1639637978 | Crystal Gray | Case Manager/Care Coordinator | 115 Fort St, Barling, AR 72923-2646 | 2019-03-06 |
| 1932638608 | Britney Lewis | Case Manager/Care Coordinator | 815 Fort St Ste A, Barling, AR 72923-2180 | 2017-06-07 |
| 1437686086 | Eli Hartley | Case Manager/Care Coordinator | 815 Fort St, Barling, AR 72923-2164 | 2017-05-15 |
| 1104357128 | Sarah Walton | Case Manager/Care Coordinator | 815 Fort St Ste A, Barling, AR 72923-2180 | 2017-03-22 |
| Find all providers in BARLING | ||||
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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.