EBONI TAKENDRIA SMITH (NPI# 1063896686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063896686 |
| Entity Type | Individual |
| Full Name | EBONI TAKENDRIA SMITH |
| Practice Address |
3993 Shinault Ln Memphis TN 38125-2649 |
| Mailing Address |
3993 Shinault Lane Memphis TN 38125 |
| Practice Telephone | 9018579107 |
| Mailing Telephone | 9018579107 |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 47 4445545 | TN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457753733 | Eboni Renee Smith | Home Health Aide | 341 Fernwood Dr, Akron, OH 44320-2317 | 2014-09-18 |
| 1831384742 | Eboni Mikelle Smith | Pediatrics | 6701 Fannin St, Houston, TX 77030-2608 | 2007-09-13 |
| Street Address |
3993 SHINAULT LN |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38125-2649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
| 1417458944 | Crestwyn Health Group, LLC | Psychiatry & Neurology | 9485 Crestwyn Hills Cv, Memphis, TN 38125 | 2018-02-21 |
| 1982121323 | Ruthie Rayford | Non-emergency Medical Transport (VAN) | 7244 Grande Bay Cove, Memphis, TN 38125 | 2017-08-25 |
| 1952769119 | Crestwyn Health Group, LLC | Psychiatric Hospital | 9485 Crestwyn Hills Cove, Memphis, TN 38125 | 2016-02-03 |
| 1033590500 | Katherine Brown | Optometrist | 7706 Winchester Road, Suite 105, Memphis, TN 38125 | 2015-06-10 |
| 1073856514 | Quaneshia R Farris | Nurse Practitioner | 7685 Winchester Rd Ste 100, Memphis, TN 38125 | 2013-04-03 |
| 1225379811 | Americare At Southbreeze Assisted Living, LLC | Assisted Living Facility | 3168 Hacks Road Cross, Memphis, TN 38125 | 2013-03-07 |
| 1780934281 | Freds Stores of Tennessee Inc | Pharmacy | 7143 Winchester Rd, Memphis, TN 38125 | 2012-09-12 |
| 1174893598 | Andi Marie Anderson | Nurse Anesthetist, Certified Registered | 3340 Players Club Parkway, Suite 350, Memphis, TN 38125 | 2012-01-02 |
| 1285938266 | Melita Robbins | Behavioral Analyst | 8922 E. Trophy Way, Ste 202, Memphis, TN 38125 | 2011-01-05 |
| Find all providers in zip 38125 | ||||
| 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 |
|---|---|---|---|---|
| 1447623202 | Cordra Denise Childs | Case Manager/Care Coordinator | 1615 Cane Meadow Cir Apt 117, Memphis, TN 38106-6127 | 2015-11-02 |
| 1861877375 | Jacqueline Webb | Case Manager/Care Coordinator | 685 Emerald View Way, Memphis, TN 38109-6385 | 2015-07-26 |
| 1750429437 | Cheryl Ann Cole | Case Manager/Care Coordinator | 408 S Front St Apt 202, Memphis, TN 38103-4448 | 2007-02-02 |
| 1366002305 | E3 Community Health/ Engage. Educate. Empower. Community Health | Case Manager/Care Coordinator | 5587 Murray Ave Ste 205, Memphis, TN 38119-0896 | 2019-06-20 |
| 1326533878 | Kelcey Johnson | Case Manager/Care Coordinator | 82 N 2nd St, Memphis, TN 38103-2203 | 2018-06-27 |
| 1649777665 | Latasia Tednoria Brunson | Case Manager/Care Coordinator | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2018-04-06 |
| 1063916625 | Mary Summers | Case Manager/Care Coordinator | 2600 Poplar Ave Ste 112, Memphis, TN 38112-3835 | 2018-03-20 |
| 1376057299 | Jamaica Raffeal Ivery-glover | Case Manager/Care Coordinator | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2017-11-30 |
| 1023522752 | Darius William Moravian | Case Manager/Care Coordinator | 4095 American Way Ste 1, Memphis, TN 38118-8339 | 2017-11-16 |
| 1396268157 | Erika Marie Collins | Case Manager/Care Coordinator | 4095 American Way Ste 1, Memphis, TN 38118-8339 | 2017-07-24 |
| Find all providers in MEMPHIS | ||||
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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.