Active NPI
Jaclyn Schultz
- Case Manager/Care Coordinator
- Pensacola, FL
National Provider Identifier
1306414701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 5045 Carpenter Creek Dr
Pensacola, FL 32503-2521 - Phone
- (850) 407-1484
- NPI assigned
- Jun 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
5045 Carpenter Creek Dr
Pensacola, FL 32503-2521
Mailing address
5045 Carpenter Creek Dr
Pensacola, FL 32503-2521
Other names 1
- Jaclyn Bryant
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jaclyn.schultz@ascension.org | Sacred Heart Health System, Inc. | |
| Direct Messaging Address | jaclyn.schultz@ascension.org | Sacred Heart Health System, Inc. | |
| Direct Messaging Address | jaclyn.schultz@ascension.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1306414701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5045 CARPENTER CREEK DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5045 CARPENTER CREEK DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032521",
"telephone_number": "850-407-1484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "JACLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-14",
"last_updated": "2021-06-14",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jaclyn.schultz@ascension.org",
"affiliation": "Y",
"affiliationName": "Sacred Heart Health System, Inc.",
"address_1": "5045 Carpenter Creek Dr",
"city": "Pensacola",
"state": "FL",
"country_code": "US",
"postal_code": "325032521",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jaclyn.schultz@ascension.org",
"affiliation": "Y",
"affiliationName": "Sacred Heart Health System, Inc.",
"address_1": "5045 Carpenter Creek Dr",
"city": "Pensacola",
"state": "FL",
"country_code": "US",
"postal_code": "325032521",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jaclyn.schultz@ascension.org",
"affiliation": "N",
"address_1": "5045 Carpenter Creek Dr",
"city": "Pensacola",
"state": "FL",
"country_code": "US",
"postal_code": "325032521",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JACLYN",
"last_name": "BRYANT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.