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Deactivated NPI 1215175955 Deactivated / Inactive NPI Female Practitioner

Jacqueline May Bennett

Case Manager/Care Coordinator • Eureka, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jacqueline Bennett has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 03, 2009
NPI Deactivation Date January 10, 2024
Total Practice Duration ~15 Years of Practice (2009 – 2024)

Professional Overview & Biography Verified Profile Summary

Jacqueline Bennett was a registered Case Manager/Care Coordinator practicing in Eureka, CA. Throughout an active medical career spanning 15 years, Jacqueline Bennett provided care at the practice location at 2413 2ND ST until profile deactivation on 2024-01-10.

Practice Location & Contact Primary Location

Practice Address

2413 2nd St

Eureka, CA 955010811

Telephone 7072699590
Associated Practice Facility / Clinic
🏢 Waterfront Recovery Services Facility NPI 1417307125

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Eureka, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.8 Yrs
Regional Practice Density
504 Specialists

Practicing in Eureka, CA (23452 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Krystal Arnot

Case Manager/Care Coordinator

NPI 1013148790
NPI 1043404239
James George

Counselor - Addiction (Substance Use Disorder)

NPI 1043914914
Margaret Hill

Case Manager/Care Coordinator

NPI 1053628586
Laura Granados

Case Manager/Care Coordinator

NPI 1053736330
Sara Dianish

Student in an Organized Health Care Education/Training Program

NPI 1073948352

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 10, 2024

Record deactivated on January 10, 2024

NPI Profile Active January 12, 2011

NPI status registered as active in NPPES database

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Updated Practice Location January 12, 2011

Registered at 2413 2ND ST, EUREKA, CA 955010811 (Tel: 7072699590)

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Updated Business Mailing Address January 12, 2011

Registered at 4132 WALNUT DR, EUREKA, CA 955036223

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Provider Name / Credentials Updated January 12, 2011

Recorded as JACQUELINE BENNETT

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2011

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration February 03, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215175955
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2009
Last Update: January 12, 2011
Deactivation Date: January 10, 2024

Mailing Address

4132 Walnut Dr

Eureka, CA 955036223

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.