BROOKE NICOLE VINES (NPI# 1043820897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043820897 |
Entity Type | Individual |
Full Name | BROOKE NICOLE VINES |
Practice Address |
7714 Conner Rd Powell TN 37849-3559 |
Mailing Address |
1923 Sulphur Springs Rd Morristown TN 37813-5654 |
Practice Telephone | 8659476220 |
Practice Fax Number | 8655121069 |
Mailing Telephone | 4233179344 |
Mailing Fax Number | 4237142355 |
Enumeration Date | 2020-08-06 |
Last Update Date | 2020-08-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Street Address |
7714 CONNER RD |
City | POWELL |
State | TN |
Zip Code | 37849-3559 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407854615 | Jean Simms Patterson | Social Worker | 7714 Conner Rd, Powell, TN 37849-3559 | 2005-07-12 |
1487262630 | Samantha Danielle Lyon | Student in an Organized Health Care Education/Training Program | 7714 Conner Rd, Powell, TN 37849-3559 | 2020-07-14 |
1720606262 | Natalie Christine Blocher | Student in an Organized Health Care Education/Training Program | 7714 Conner Rd, Powell, TN 37849-3559 | 2020-07-10 |
1609494145 | Gloria Jean Romero | Student in an Organized Health Care Education/Training Program | 7714 Conner Rd, Powell, TN 37849-3559 | 2020-07-10 |
1770968638 | Christine Beck | Student in an Organized Health Care Education/Training Program | 7714 Conner Rd, Suite 105, Powell, TN 37849-3559 | 2015-07-21 |
1629471594 | Sara Haugli | Psychologist | 7714 Conner Rd, Suite 105, Powell, TN 37849-3559 | 2014-10-06 |
1811306384 | Jon Bourn | Student in an Organized Health Care Education/Training Program | 7714 Conner Rd, Suite 105, Powell, TN 37849-3559 | 2014-08-08 |
1568894541 | Crystal Constance Mcindoo | Student in an Organized Health Care Education/Training Program | 7714 Conner Rd, Suite 105, Powell, TN 37849-3559 | 2013-08-01 |
1972852028 | Maria Moana Rowley | Student in an Organized Health Care Education/Training Program | 7714 Conner Rd, Suite 105, Powell, TN 37849-3559 | 2012-09-05 |
1346598059 | Nicholas Sylvester Bishop | Student in an Organized Health Care Education/Training Program | 7714 Conner Rd, Suite 105, Powell, TN 37849-3559 | 2012-08-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104380930 | Fannon Drug Co. | Pharmacy | 606 E. Emory Rd, Powell, TN 37849 | 2019-01-25 |
1417472507 | New Haven, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8001 Conner Road Ste102, Powell, TN 37849 | 2017-08-09 |
1790207785 | Sarah Beuerlein Guerrette | Registered Nurse | 7730 Dannaher Drive, Powell, TN 37849 | 2017-07-11 |
1255860383 | Eye Surgery Center of Knoxville, LLC | Clinic/Center | 7739 Dannaher Drive, Powell, TN 37849 | 2017-06-12 |
1306375720 | Elizabeth Kathy Haun | Nurse Practitioner | 325 Strader Rd, Powell, TN 37849 | 2017-06-08 |
1063642593 | Emily H Griffith | Pharmacist | 430 Emory Road, Powell, TN 37849 | 2009-07-17 |
1497909428 | Carolyn E Pendergast | Occupational Therapist | 7557 Dannaher Lane, Suite G30, Powell, TN 37849 | 2008-11-04 |
1982883468 | Marcella June Greene | Surgery | 7557a Dannaher Dr, Suite 110, Powell, TN 37849 | 2007-10-31 |
1629260542 | Frances L Do | Physician Assistant | 7557 Dannaher Dr., Tennessee Urology Associates, Powell, TN 37849 | 2007-08-14 |
1780715870 | Diane Elizabeth Crabb | Registered Nurse | 7714 Conner Road, Ste 105, Powell, TN 37849 | 2007-03-08 |
Find all providers in zip 37849 |
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 |
---|---|---|---|---|
1235790635 | Anna Mae Sapp | Case Manager/Care Coordinator | 840 N Day St, Powell, WY 82435-1614 | 2019-06-26 |
1902365000 | Tiana M Preator | Case Manager/Care Coordinator | 440 E 8th St, Powell, WY 82435-1602 | 2019-03-18 |
1982114138 | Peggy Ruth Cheatham | Case Manager/Care Coordinator | 317 S Day St, Powell, WY 82435 | 2017-10-02 |
1942633151 | Erica Berger | Case Manager/Care Coordinator | 1715 Carriage Rd, Powell, OH 43065-8575 | 2013-08-12 |
1902176548 | Michele Diane Hampton | Case Manager/Care Coordinator | 18 John Wayne Ln, Powell, WY 82435-9469 | 2012-01-11 |
1114221470 | Espri Keaton Lance | Case Manager/Care Coordinator | 146 S Bent St, Powell, WY 82435-2714 | 2010-12-30 |
1225343031 | Jessi R Borcher | Case Manager/Care Coordinator | 1004 Greenfield Dr, Powell, WY 82435-2249 | 2010-08-17 |
1487981460 | Trisha Meredith Shorb | Case Manager/Care Coordinator | 646 N Clark St, Powell, WY 82435-1918 | 2009-11-11 |
1538392576 | Diane Holl-rambo | Case Manager/Care Coordinator | 898 Road 5, Powell, WY 82435-8422 | 2009-08-25 |
1962635946 | Leif Ohman | Case Manager/Care Coordinator | 349 W 3rd St, Powell, WY 82435-2303 | 2009-08-25 |
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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.