SHANNON GAUTIER


Address: 209 Huntington Hill Dr, Clinton, MS 39056-6322
Phone: 6012598003

SHANNON GAUTIER (NPI# 1053945717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053945717
Entity Type Individual
Full Name SHANNON GAUTIER
Practice Address 209 Huntington Hill Dr
Clinton
MS 39056-6322
Mailing Address Po Box 701
Clinton
MS 39060-0701
Practice Telephone 6012598003
Enumeration Date 2020-03-02
Last Update Date 2020-03-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator MS Other Service Providers

Office Location

Street Address 209 HUNTINGTON HILL DR
City CLINTON
State MS
Zip Code 39056-6322

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376012724 John Melvin Goolsby Jr. Dentist 457 Highway 80 East, Clinton, MS 39056 2018-11-15
1225534530 Magnolia Allergy Clinic LLC Internal Medicine 402 Cynthia St Ste E, Clinton, MS 39056 2018-04-04
1578093704 Melinda A Weisenberger Specialist/Technologist 4600 W Northside Drive, Clinton, MS 39056 2017-06-20
1962859702 Telehealthone, LLC Nurse Practitioner 200 Clinton Plaza, Clinton, MS 39056 2016-05-23
1841686581 1st America Infusion Services LLC Durable Medical Equipment & Medical Supplies 132 Fairmont Street, Suite B, Clinton, MS 39056 2015-04-09
1023412822 Rebecca Brooks Prewitt Social Worker 130 B Fairmont Street, Clinton, MS 39056 2014-10-22
1396184149 Robert Joseph Hargis Urology 116 Afton Way, Clinton, MS 39056 2013-06-14
1750626321 Clinton Dental Care, Inc. Dentist 736 Clinton Pkwy, Clinton, MS 39056 2012-12-07
1922394469 Daphenia C. Knight Starling Nurse Practitioner Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 2011-06-23
1134443385 Gwendolyn Coleman Garror Pharmacist 132 Fairmount Drive, Clinton, MS 39056 2010-03-17
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437758794 Rachel Marie Hensley Case Manager/Care Coordinator 320 Red Frk, Clinton, OK 73601-3644 2020-10-19
1073121976 Jackson Kerry England Case Manager/Care Coordinator 512 S 9th St, Clinton, OK 73601-4430 2020-07-16
1770124729 Heart 2 Heart Industries Case Manager/Care Coordinator 1623 W 600 N, Clinton, UT 84015-8470 2019-10-01
1164079281 Amber Dawn Cox Case Manager/Care Coordinator 1206 Orient Ave, Clinton, OK 73601-2756 2019-08-22
1982262101 Timothy Cook Case Manager/Care Coordinator 604 Highway 80 W Ste Roffice2, Clinton, MS 39056-4108 2019-06-03
1487111902 Leslie Washington Case Manager/Care Coordinator 9508 Plank Rd Ste C, Clinton, LA 70722-3701 2019-02-21
1841768009 Khaila Nicoll Mitchell Case Manager/Care Coordinator 423 S 15th St, Clinton, OK 73601-4207 2018-11-06
1689169831 Jordyn Taylor Laughlin Case Manager/Care Coordinator 2962 Serfass Rd, Clinton, OH 44216-9369 2018-06-28
1588160741 United Care Homes Case Manager/Care Coordinator 11001 Sweet Gum Way, Clinton, MD 20735-3934 2018-04-04
1255874038 Jamie Thatcher Case Manager/Care Coordinator 716 Santa Fe Dr, Clinton, OK 73601-1855 2016-11-28
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City CLINTON
Zip Code 39056

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Dataset Information

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.

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