JAKE ALLEN SISSON
NPI 1194334599
Case Manager/Care Coordinator in Provo, UT

Q: What is Jake Sisson's NPI number?

The NPI number for Jake Sisson is 1194334599. It was assigned to this individual provider in the NPPES registry on July 31, 2020.

Q: What is Jake Sisson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Jake Sisson was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 31, 2020

750 N FREEDOM BLVD, PROVO, UT 84601(801) 373-4760(801) 313-0639 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jake Allen Sisson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAKE ALLEN SISSON (NPI 1194334599) is an individual case manager/care coordinator provider in Provo, Utah and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1194334599

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameJAKE ALLEN SISSON

Location Address750 N FREEDOM BLVDProvo, UT 84601-1677

Mailing Address750 N Freedom BlvdProvo, UT 84601-1677 · (801) 373-4760 · Fax (801) 313-0639

Phone(801) 373-4760

Fax(801) 313-0639

Sole ProprietorNo

Enumeration DateJuly 31, 2020

NPPES CertifiedJuly 31, 2020

✔ NPI 1194334599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

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.

750 N FREEDOM BLVD, Provo, UT 84601

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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