AUTUMN LYNN JACKSON
NPI 1376203695
Case Manager/Care Coordinator in Escondido, CA

Q: What is Autumn Jackson's NPI number?

The NPI number for Autumn Jackson is 1376203695. It was assigned to this individual provider in the NPPES registry on December 28, 2021.

Q: What is Autumn Jackson'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 Autumn Jackson was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 December 28, 2021

474 W VERMONT AVE STE 104, ESCONDIDO, CA 92025(760) 432-9884 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 10, 2024, Dec 28, 2021 (2 updates tracked since 2021).

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About Autumn Lynn Jackson NPPES

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

AUTUMN LYNN JACKSON (NPI 1376203695) is an individual case manager/care coordinator provider in Escondido, California and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1376203695

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameAUTUMN LYNN JACKSON

Location Address474 W VERMONT AVE STE 104Escondido, CA 92025-6584

Mailing Address9465 Farnham StSan Diego, CA 92123-1308

Phone(760) 432-9884

Sole ProprietorYes

Enumeration DateDecember 28, 2021

Last NPPES UpdateJune 10, 20242 updates tracked since enumeration

NPPES CertifiedJune 10, 2024

✔ NPI 1376203695 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.

474 W VERMONT AVE STE 104, Escondido, CA 92025

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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.

CARL BRUCE STATER

Counselor