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JACKIE DEAN VANNATTA JR.
NPI 1487135869
Case Manager/Care Coordinator in Fort Wayne, IN

Active since August 24, 2018
2525 LAKE AVE, FORT WAYNE, IN 46805(260) 484-4153 Get Directions Write a Review

NPPES record last updated: August 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Dean Vannatta Jr. NPPES

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

JACKIE DEAN VANNATTA JR. (NPI 1487135869) is an individual case manager/care coordinator provider in Fort Wayne, Indiana and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1487135869
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJACKIE DEAN VANNATTA JR.
Location Address2525 LAKE AVEFort Wayne, IN 46805-5407
Mailing Address2525 Lake AveFort Wayne, IN 46805-5407 · (260) 484-4153
Phone(260) 484-4153
Sole ProprietorNo
Enumeration DateAugust 24, 2018
✔ NPI 1487135869 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.
2525 LAKE AVE, Fort Wayne, IN 46805
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Other Providers at the Same Location NPPES 18

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

DAVID M GOETZ
Case Manager/Care Coordinator
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 484-4153
CROSSROAD CHILD AND FAMILY SERVICES
Community Based Residential Treatment Facility, Mental Illness
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 484-4153
SARAH NOREEN YORK
Case Manager/Care Coordinator
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 484-4153
JEFF NEWMAN
Case Manager/Care Coordinator
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 715-7995
CROSSROAD - FORT WAYNE CHILDRENS HOME
Clinic/Center (Adolescent and Children Mental Health)
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 484-4153
MARISSA K FRESON MSED, LMFTA
Counselor (Mental Health)
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 484-4153
MRS. BARBARA A SCHULTZ MSW, LCSW
Social Worker (Clinical)
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 484-4153
KATRINA LOUISE IMBER LSW
Case Manager/Care Coordinator
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 715-0410

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 Jackie Vannatta's NPI number?

The NPI number for Jackie Vannatta is 1487135869. It was assigned to this individual provider in the NPPES registry on August 24, 2018.

Where is Jackie Vannatta located?

Jackie Vannatta practices at 2525 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 484-4153.

What is Jackie Vannatta'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 Jackie Vannatta was last updated on August 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.