TIESHA SHERIDAN (NPI# 1053925891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053925891 |
| Entity Type | Individual |
| Full Name | TIESHA SHERIDAN |
| Practice Address |
201 Pavilion St Lafayette LA 70507-2691 |
| Practice Telephone | 3185125124 |
| Mailing Telephone | 3185125124 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| 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 |
201 PAVILION ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70507-2691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043724107 | Danielle Bias | Counselor | 106 Smalley Rd, Lafayette, LA 70507 | 2017-11-28 |
| 1720505076 | Amy C Rochon | Counselor | 315 Amesbury Drive, Apt 292, Lafayette, LA 70507 | 2017-08-28 |
| 1174045504 | Mia Collins | Case Manager/Care Coordinator | 315 Amesbury Dr Apt 357, Lafayette, LA 70507 | 2017-07-07 |
| 1942739792 | Precious Charles | Counselor | 200 Buttercup Dr Apt 613, Lafayette, LA 70507 | 2017-06-06 |
| 1346633831 | Minute Med Clinic - Pont De Mouton LLC | Clinic/Center | 104 Banister Court, Suite 1c, Lafayette, LA 70507 | 2015-03-09 |
| 1134559578 | Britt Elliott Martin | Pharmacist | 920 West Gloria Switch Road, Lafayette, LA 70507 | 2013-11-21 |
| 1801130877 | Barney Joseph Fusilier Jr. | Pharmacist | 920 W. Gloria Switch Rd., Walgreens, Lafayette, LA 70507 | 2012-11-15 |
| 1508140773 | Joseph Kenneth Vizena | Pharmacist | 3754 Moss Street, Lafayette, LA 70507 | 2011-10-05 |
| 1629177399 | Kevin Lyle Francois | Pharmacist | 3803-f Moss St, Lafayette, LA 70507 | 2006-09-21 |
| 1821024563 | Vermilion Hospital LLC | Psychiatric Hospital | 2520 N. University Ave, Lafayette, LA 70507 | 2006-06-24 |
| Find all providers in zip 70507 | ||||
| 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 |
|---|---|---|---|---|
| 1043817331 | Wanda Frazier | Case Manager/Care Coordinator | 203 Robert Lee Cir, Lafayette, LA 70506-3130 | 2020-10-08 |
| 1821608621 | Dana St Julien | Case Manager/Care Coordinator | 103 Whirlaway Drive, Lafayette, LA 70507-2592 | 2020-08-06 |
| 1023636032 | Kayla Lynn Falgout | Case Manager/Care Coordinator | 112 Hillside Dr Apt 36, Lafayette, LA 70503-2837 | 2020-07-07 |
| 1437772258 | Cristian Jose Leopoldo Caraballo Rodriguez | Case Manager/Care Coordinator | 2509 Johnston St Apt 7-06, Lafayette, LA 70503-3261 | 2020-05-27 |
| 1124649371 | Jean Harford | Case Manager/Care Coordinator | 415 N 26th St Ste 102, Lafayette, IN 47904-2855 | 2020-04-29 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1700410925 | Ireland Williams | Case Manager/Care Coordinator | 201 High Meadows Blvd Apt 116, Lafayette, LA 70507-3454 | 2020-02-26 |
| 1619508173 | Erik Narcisse | Case Manager/Care Coordinator | 1318 Lee Ave Apt A8, Lafayette, LA 70506-3663 | 2020-02-03 |
| 1841821899 | Bailey Derrion Valentine | Case Manager/Care Coordinator | 1400 N Bertrand Dr Apt 5111, Lafayette, LA 70506-3066 | 2020-01-29 |
| 1639709389 | Meagan Citron | Case Manager/Care Coordinator | 113 West Covent St, Lafayette, LA 70501-6390 | 2020-01-22 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on TIESHA SHERIDAN.
| 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.