Jacqueline M Dicristina
Individual provider Active NPI Case Manager/Care Coordinator · Mascotte, FL
NPI 1881577500 · NPPES record last updated Jul 29, 2025
Key facts
- NPI
- 1881577500
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 6259 Chorus Dr
Mascotte, FL 34753-9307 - Phone
- (407) 209-8032
- NPI assigned
- Jul 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
6259 Chorus Dr
Mascotte, FL 34753-9307
Mailing address
6259 Chorus Dr
Mascotte, FL 34753-9307
Phone (407) 209-8032
Other providers in Mascotte, FL
- Buffard Family Companion Care LLC
- Lakeisha T Calderon
- Cherish, Love and Care LLC
- Clark Clinic Inc
- Complete Services Ride LLC
- Tammy Fernandez
- Grace'S Support Services, LLC
- HCP of Central Florida, Inc.
- Helens West Inc.
- Eric J Henry
All providers in Mascotte, FL · Case Manager/Care Coordinator in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.