What is Jack Daniels's NPI number?

Jack Daniels's National Provider Identifier (NPI) is 1457215535, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jack Daniels's specialty?

Jack Daniels is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).

Where is Jack Daniels located?

Jack Daniels's practice location on file with NPPES is 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904.

What is Jack Daniels's phone number?

The practice phone number listed in the NPPES registry for Jack Daniels is (616) 456-6571.

Is Jack Daniels's NPI active?

Yes — Jack Daniels's NPI (1457215535) is active in the NPPES registry as of the last update on 2025-12-12.

IndividualActive

Jack Daniels

NPI 1457215535 · Case Manager/Care Coordinator · Grand Rapids, MI

Jack Daniels is a Case Manager/Care Coordinator provider in Grand Rapids, MI (NPI 1457215535).

Provider details

NPI number: 1457215535
Entity type: Individual
Primary specialty: Case Manager/Care CoordinatorOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Case Manager/Care CoordinatorPrimary171M00000X
Other Service Providers

Profile Score

Basic profile(47/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1115 Ball Ave Ne

Grand Rapids, MI 49505-5904

Phone: (616) 456-6571

Street-level locationGet directions

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Mailing address