Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KYNDALL NICOLE JACKSON
NPI 1639094816
Case Manager/Care Coordinator in Cincinnati, OH

Q: What is Kyndall Jackson's NPI number?

The NPI number for Kyndall Jackson is 1639094816. It was assigned to this individual provider in the NPPES registry on August 13, 2026.

Q: What is Kyndall 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 Kyndall Jackson was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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 August 13, 2026

311 MARTIN LUTHER KING DR E, CINCINNATI, OH 45219(513) 475-5300(513) 475-5300 Get Directions Write a Review

NPPES record added: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kyndall Nicole Jackson NPPES

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

KYNDALL NICOLE JACKSON (NPI 1639094816) is an individual case manager/care coordinator provider in Cincinnati, Ohio and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1639094816

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameKYNDALL NICOLE JACKSON

Location Address311 MARTIN LUTHER KING DR ECincinnati, OH 45219-2581

Mailing Address311 Martin Luther King Dr ECincinnati, OH 45219-2581 · (513) 475-5300 · Fax (513) 475-5300

Phone(513) 475-5300

Fax(513) 475-5300

Sole ProprietorYes

Enumeration DateAugust 13, 2026

NPPES CertifiedAugust 13, 2026

✔ NPI 1639094816 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.

311 MARTIN LUTHER KING DR E, Cincinnati, OH 45219

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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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