KANESHA JACKSON
NPI 1922713999
Case Manager/Care Coordinator in Little Rock, AR

Q: What is Kanesha Jackson's NPI number?

The NPI number for Kanesha Jackson is 1922713999. It was assigned to this individual provider in the NPPES registry on January 13, 2023.

Q: What is Kanesha 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 Kanesha Jackson was last updated on April 3, 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 January 13, 2023

20400 COLONEL GLENN RD, LITTLE ROCK, AR 72210(501) 821-5500 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 3, 2024, Jan 13, 2023 (2 updates tracked since 2023).

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About Kanesha Jackson NPPES

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

KANESHA JACKSON (NPI 1922713999) is an individual case manager/care coordinator provider in Little Rock, Arkansas and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1922713999

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameKANESHA JACKSON

Location Address20400 COLONEL GLENN RDLittle Rock, AR 72210-5323

Mailing Address20400 Colonel Glenn RdLittle Rock, AR 72210-5323 · (501) 821-5500

Phone(501) 821-5500

Sole ProprietorNo

Enumeration DateJanuary 13, 2023

Last NPPES UpdateApril 3, 20242 updates tracked since enumeration

NPPES CertifiedApril 3, 2024

✔ NPI 1922713999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedBehavior TechnicianTaxonomy 106S00000X

20400 COLONEL GLENN RD, Little Rock, AR 72210

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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.

CRYSTAL GOINS QBHP

Counselor