Taylor Jarvis

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

84 E Mound St
Jackson, OH 45640-1226

Phone

(740) 577-8348

NPI assigned

Jul 19, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Warriors 4 Christ Recovery Ministries

  • Addiction (Substance Use Disorder) Counselor
  • Jackson, OH
  • NPI 1700413424

  Case Manager/Care Coordinator

  NPD
• Warriors 4 Christ Recovery Ministries

  • Mental Health Counselor
  • Jackson, OH
  • NPI 1720606148

  Case Manager/Care Coordinator

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1184304875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 E MOUND ST",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 E MOUND ST",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401226",
            "telephone_number": "740-577-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Healthcare LLC
• Jackson Urgent Care
• Charlotte Ann Jackson
• Randy Jackson, CRNA
• Ahmad M. Jadaan, MD
• Erick Jayjohn, DDS
• Jordan Jayjohn, QMHS
• Cameron Wade Jenkins
• Christina Beth Jenkins
• Matthew Jenkins, CDCA

• Case Manager/Care Coordinator in Jackson, OH
• Providers in Jackson, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.