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JAE PULLIAM
NPI 1801518451
Case Manager/Care Coordinator in Lynn, MA

Active since September 12, 2022

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jae Pulliam NPPES

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

JAE PULLIAM (NPI 1801518451) is an individual case manager/care coordinator provider in Lynn, Massachusetts and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1801518451
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJAE PULLIAM
Location Address100 WILLOW STLynn, MA 01901-1139
Mailing Address100 Willow StLynn, MA 01901-1139 · (781) 691-7060
Phone(781) 691-7060
Sole ProprietorYes
Enumeration DateSeptember 12, 2022
NPPES CertifiedSeptember 12, 2022
✔ NPI 1801518451 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.
100 WILLOW ST, Lynn, MA 01901
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Other Identifiers 1

Medicaid171M00000XMA

Other Providers at the Same Location NPPES 15

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

CHIMERE C NEBOH
Case Manager/Care Coordinator
100 WILLOW ST
LYNN, MA 01901
Essex County (781) 691-7060
SHELLEY STAMOULIS
Case Manager/Care Coordinator
100 WILLOW ST
LYNN, MA 01901
Essex County (781) 593-3484
VICKIE E MATA
Case Manager/Care Coordinator
100 WILLOW ST
LYNN, MA 01901
Essex County (781) 581-6600
KERRY-LYNNE JACOBS-THOMPSON
Case Manager/Care Coordinator
100 WILLOW ST
LYNN, MA 01901
Essex County (781) 691-7060
DONNA JONES
Case Manager/Care Coordinator
100 WILLOW ST
LYNN, MA 01901
Essex County (781) 691-7060
ROBERT LEE WALLACE SR.
Case Manager/Care Coordinator
100 WILLOW ST
LYNN, MA 01901
Essex County (781) 691-7060
SIDDEEQAH A WILLIAMS
Case Manager/Care Coordinator
100 WILLOW ST
LYNN, MA 01901
Essex County (781) 691-7060
ERIC SANTOS
Case Manager/Care Coordinator
100 WILLOW ST
LYNN, MA 01901
Essex County (781) 691-7060

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 Jae Pulliam's NPI number?

The NPI number for Jae Pulliam is 1801518451. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Where is Jae Pulliam located?

Jae Pulliam practices at 100 Willow St, Lynn, MA 01901. The listed phone number is (781) 691-7060.

What is Jae Pulliam'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 Jae Pulliam was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.