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TYLA JACKSON
NPI 1215420435
Case Manager/Care Coordinator in Pawtucket, RI

Active since June 12, 2018
70 WOOD ST APT 22, PAWTUCKET, RI 02860(161) 751-6777 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2020, Jun 27, 2018, Jun 12, 2018 (3 updates tracked since 2018).

About Tyla Jackson NPPES

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

TYLA JACKSON (NPI 1215420435) is an individual case manager/care coordinator provider in Pawtucket, Rhode Island and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1215420435
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameTYLA JACKSON
Location Address70 WOOD ST APT 22Pawtucket, RI 02860
Mailing Address70 Wood St Apt 22Pawtucket, RI 02860-3123 · (161) 751-6777
Phone(161) 751-6777
Sole ProprietorNo
Enumeration DateJune 12, 2018
Last NPPES UpdateDecember 11, 20203 updates tracked since enumeration
NPPES CertifiedDecember 11, 2020
✔ NPI 1215420435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedBehavior TechnicianTaxonomy 106S00000X
70 WOOD ST APT 22, Pawtucket, RI 02860
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Other Identifiers 1

Other1346589215Applied Behavioral Interventions

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyla Jackson's NPI number?

The NPI number for Tyla Jackson is 1215420435. It was assigned to this individual provider in the NPPES registry on June 12, 2018.

Where is Tyla Jackson located?

Tyla Jackson practices at 70 Wood St Apt 22, Pawtucket, RI 02860. The listed phone number is (161) 751-6777.

What is Tyla Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Tyla Jackson was last updated on December 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.