WILLIE SMITH (NPI# 1043745003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043745003 |
| Entity Type | Individual |
| Full Name | WILLIE SMITH |
| Practice Address |
775 South Bonnrt Ruston LA 71270 |
| Mailing Address |
1204 Oakdale St Ruston LA 71270-5710 |
| Practice Telephone | 3182547050 |
| Mailing Telephone | 3183946019 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2019-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409295 | Willie Smith | Technician | 3686 Hayes St Ne Apt 101, Washington, DC 20019-7539 | 2019-07-20 |
| 1811188584 | Willie L Smith | Durable Medical Equipment & Medical Supplies | 5391 Ridgemere Ct, Stone Mountain, GA 30083-6805 | 2007-08-07 |
| 1437286713 | Willie Darrell Smith | Optometrist | 1357 S Main St, Adrian, MI 49221-4352 | 2007-02-27 |
| 1255818985 | Willie J Smith | Social Worker | 20600 Chagrin Blvd Ste 320, Shaker Heights, OH 44122-5334 | 2018-07-25 |
| 1134641079 | Willie Lee Smith | Technician/Technologist | 1116 Summit Ave, Seattle, WA 98101-2831 | 2017-07-12 |
| 1902231830 | Willie W Smith IIi | Physician Assistant | 1521 Maplewood Ave, Ronceverte, WV 24970-8026 | 2013-09-11 |
| 1356672489 | Willie J Smith | Counselor | 425 Michigan Ave, Buffalo, NY 14203-2209 | 2010-01-29 |
| 1417131293 | Willie A Smith | Case Management | 1330 West Imperial Highway, Los Angeles, CA 90044 | 2007-12-28 |
| 1679593388 | Willie Hilliard Smith Jr. | Internal Medicine | 550 Peachtree St Ne, Atlanta, GA 30308-2208 | 2006-07-19 |
| Street Address |
775 SOUTH BONNRT |
| City | RUSTON |
| State | LA |
| Zip Code | 71270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821315 | Olivia Mason | Marriage & Family Therapist | 413 North Homer Street, Ruston, LA 71270 | 2020-11-04 |
| 1972146132 | Razz Addiction and Recovery, LLC | Family Medicine | 570 Heard Rd, Ruston, LA 71270 | 2019-10-21 |
| 1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
| 1245708718 | A Plus Medical of Ruston LLC | Family Medicine | 612 S Farmerville Street, Ruston, LA 71270 | 2018-11-02 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1912473752 | Lincoln Nova Vital Recovery | Counselor | 4396 Hwy, 80, 617 South Trention, Ruston, LA 71270 | 2018-10-19 |
| 1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
| 1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
| 1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
| 1477083517 | Arnesha Beard | Counselor | 775 South Bonner, Ruston, LA 71270 | 2017-06-12 |
| Find all providers in zip 71270 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| 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. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215547732 | Brad Roberson | Case Manager/Care Coordinator | 2004 Estate Ln, Ruston, LA 71270-6715 | 2020-08-10 |
| 1154946820 | Alexis Johnay Howard | Case Manager/Care Coordinator | 3285 W California Ave Apt 18, Ruston, LA 71270-1005 | 2020-06-09 |
| 1770048654 | Rosalind Nichole Smith | Case Manager/Care Coordinator | 412 E Texas Ave, Ruston, LA 71270-4553 | 2019-02-05 |
| 1063984276 | Kaelyn Straughter | Case Manager/Care Coordinator | 1211 Skokie Dr, Ruston, LA 71270-5153 | 2018-12-28 |
| 1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
| 1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
| 1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
| 1477002178 | Van Phillips Jr | Case Manager/Care Coordinator | 106 Timbers Ave, Ruston, LA 71270 | 2016-09-23 |
| 1053868836 | Lyntoinette Jones | Case Manager/Care Coordinator | 2708 Kavanaugh Rd, Ruston, LA 71270 | 2016-09-08 |
| 1073973111 | Cortrinia Price | Case Manager/Care Coordinator | 206 East Reynolds Drive, Ruston, LA 71270 | 2016-03-02 |
| Find all providers in RUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.