Jennifer Ealy, MS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

696 Jackson Ave
Memphis, TN 38105-2006

Phone

(901) 260-9124

NPI assigned

Apr 5, 2018

Last updated

Apr 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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

• The Salvation Army

  • Community/Behavioral Health Agency
  • Memphis, TN
  • NPI 1922437581
  NPD (past)

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1285130476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 ERICSON ST",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386727071",
            "telephone_number": "763-242-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 JACKSON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381052006",
            "telephone_number": "901-260-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EALY",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shuyu E, MD
• E3 Community Health/ Engage. Educate. Empower. Community Health
• Eagle Lake Holdings LLC (Shelby Oaks Post Acute)
• Eagle Medical Service EMS LLC (EMS)
• Jason Eakes, MD
• Ear, Nose & Throat Group, Inc
• Aqueya Gerinae Earl, CNA
• Mia D Earl, PH.D., MPH, CHES
• Cindy L Earle, FNP
• Malcolm Earle

• Case Manager/Care Coordinator in Memphis, TN
• Providers in Memphis, TN by specialty
• Case Manager/Care Coordinator in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.