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SHANTAVIA JACKSON
NPI 1881097764
Case Manager/Care Coordinator in Gainesville, FL

Active since October 06, 2014
4300 SW 13TH ST, GAINESVILLE, FL 32608(352) 374-5600 Get Directions Write a Review

NPPES record last updated: October 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shantavia Jackson NPPES

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

SHANTAVIA JACKSON (NPI 1881097764) is an individual case manager/care coordinator provider in Gainesville, Florida and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1881097764
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameSHANTAVIA JACKSON
Location Address4300 SW 13TH STGainesville, FL 32608-4006
Mailing Address4300 Sw 13th StGainesville, FL 32608-4006 · (352) 374-5600
Phone(352) 374-5600
Sole ProprietorNo
Enumeration DateOctober 6, 2014
✔ NPI 1881097764 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.
4300 SW 13TH ST, Gainesville, FL 32608
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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.

ROGER SMITH
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
JOSEPH PALMER
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
MABEL MAMBO CHE-TUMA
Registered Nurse
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
CHARNETTE MERRITT
Social Worker (Clinical)
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
KELLY MILLER
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
MURIELLE SAINT-JEAN
Case Manager/Care Coordinator
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
SHANNON MOSER
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
DOUGLAS CARL
Nurse's Aide
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600

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 Shantavia Jackson's NPI number?

The NPI number for Shantavia Jackson is 1881097764. It was assigned to this individual provider in the NPPES registry on October 6, 2014.

Where is Shantavia Jackson located?

Shantavia Jackson practices at 4300 SW 13th St, Gainesville, FL 32608. The listed phone number is (352) 374-5600.

What is Shantavia 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 Shantavia Jackson was last updated on October 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.