CHANNEL BUSH (NPI# 1063945814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063945814 |
| Entity Type | Individual |
| Full Name | CHANNEL BUSH |
| Practice Address |
200 S Broad St New Orleans LA 70119 |
| Mailing Address |
2611 Mercedes Blvd New Orleans LA 70114-6833 |
| Practice Telephone | 5048217616 |
| Practice Fax Number | 5048217617 |
| Mailing Telephone | 5042361816 |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2018-08-20 |
| 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 |
200 S BROAD ST |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952634040 | Shari M Purry | Counselor | 200 S Broad St, Ste 205, New Orleans, LA 70119-6447 | 2009-09-08 |
| 1275003055 | Thawanda R Clark | Counselor | 200 S Broad St, New Orleans, LA 70119-6447 | 2018-12-05 |
| 1194213959 | Sylvon Dent | Social Worker | 200 S Broad St, New Orleans, LA 70119-6447 | 2018-04-27 |
| 1669972568 | Regina Edwards | Counselor | 200 S Broad St, New Orleans, LA 70119-6447 | 2018-02-16 |
| 1316479249 | Aimee Rust | Counselor | 200 S Broad St, Ste. 8a, New Orleans, LA 70119-6447 | 2017-03-30 |
| 1487195228 | Chantal Banks | Counselor | 200 S Broad St, Suite 7, New Orleans, LA 70119-6447 | 2017-03-13 |
| 1609318195 | Chantel Banks | Counselor | 200 S Broad St, Suite 7, New Orleans, LA 70119-6447 | 2016-11-15 |
| 1700328432 | Jeremy Paul Connolly | Psychologist | 200 S Broad St, Suite 7, New Orleans, LA 70119-6447 | 2016-11-11 |
| 1477000263 | Chevelle Thompson Rose | Social Worker | 200 S Broad St, Suite 8a, New Orleans, LA 70119-6447 | 2016-09-08 |
| 1497202667 | Elaine Borskey | Counselor | 200 S Broad St, Suite 7, New Orleans, LA 70119-6447 | 2016-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161105 | Mark P Kostelak | Perfusionist | Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA 70119 | 2020-10-15 |
| 1922626365 | Shanika Valcour-leduff | Nurse Practitioner | 535 S Galvez St., New Orleans, LA 70119 | 2020-07-13 |
| 1932723335 | Just Health | Clinic/Center | 2800 Perdido St, New Orleans, LA 70119 | 2020-06-01 |
| 1205460235 | Lily Tran | Registered Nurse | 119 S Galvez Street, New Orleans, LA 70119 | 2020-02-28 |
| 1740823137 | Kaylyn Bernard | Case Manager/Care Coordinator | 2626 Canal St., New Orleans, LA 70119 | 2019-10-18 |
| 1114577954 | Alyssia Breion Smith | Case Manager/Care Coordinator | 1995 Gentilly Blvd. Ste. C-400, New Orleans, LA 70119 | 2019-09-13 |
| 1457903387 | Brian Steven Goldfarb | Dentist | 3701 Conti St, Apt #3403, New Orleans, LA 70119 | 2019-07-11 |
| 1013404011 | Made Positive, Inc. | Community/Behavioral Health | 3443 Esplanade Ave., Suite 215, New Orleans, LA 70119 | 2018-04-16 |
| 1972008654 | Griffin Caballero Brown | Student in an Organized Health Care Education/Training Program | 520 Jefferson Davis Hwy, New Orleans, LA 70119 | 2018-03-26 |
| 1902300544 | Kyle Raymond Hoppens | Student in an Organized Health Care Education/Training Program | 4502 Saint Ann Street, New Orleans, LA 70119 | 2018-03-20 |
| Find all providers in zip 70119 | ||||
| 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 |
|---|---|---|---|---|
| 1134727514 | Shatiya Reshun Williams | Case Manager/Care Coordinator | 6121 Dauphine St, New Orleans, LA 70117-2109 | 2020-10-16 |
| 1982201547 | Keiara Shermetra Cline | Case Manager/Care Coordinator | 1351 Burbank Dr, New Orleans, LA 70122-2031 | 2020-10-07 |
| 1770199143 | Tatyana Henry | Case Manager/Care Coordinator | 4727 Knight Dr, New Orleans, LA 70127-3329 | 2020-09-21 |
| 1013542398 | Leslie Marie Arceneaux | Case Manager/Care Coordinator | 2732 Saint Anthony St, New Orleans, LA 70119-1153 | 2020-03-07 |
| 1568092880 | Shanna Paige Powell | Case Manager/Care Coordinator | 4107 Maple Leaf Dr, New Orleans, LA 70131-7422 | 2020-01-26 |
| 1396375945 | Kathleen Barre | Case Manager/Care Coordinator | 6500 Elysian Fields Ave, New Orleans, LA 70122 | 2020-01-23 |
| 1457998023 | Kechelle Jackson | Case Manager/Care Coordinator | 1819 Duels St, New Orleans, LA 70119-1110 | 2019-12-03 |
| 1437795580 | Chanel Mercadel | Case Manager/Care Coordinator | 6631 W Laverne St, New Orleans, LA 70126-2504 | 2019-11-25 |
| 1922642933 | Renard Jamal Lewis Jr. | Case Manager/Care Coordinator | 3801 Canal St # S5ite325, New Orleans, LA 70119-6082 | 2019-11-01 |
| 1154965374 | Paulette Facianne | Case Manager/Care Coordinator | 6408 Arts St, New Orleans, LA 70122-5604 | 2019-10-31 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70119 |
Please comment or provide details below to improve the information on CHANNEL BUSH.
| 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.