DOMONIC WHATLEY (NPI# 1073002614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073002614 |
| Entity Type | Individual |
| Full Name | DOMONIC WHATLEY |
| Credential | QMHS |
| Practice Address |
6640 Poe Ave Ste 100 Dayton OH 45414 |
| Mailing Address |
6640 Poe Ave Ste 100 Dayton OH 45414-2678 |
| Practice Telephone | 9376172273 |
| Practice Fax Number | 9373879987 |
| Mailing Telephone | 9376172273 |
| Mailing Fax Number | 9373879987 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2019-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2640 Saint Charles Ave, Dayton, OH 454103147 | 9375860435 |
| Street Address |
6640 POE AVE STE 100 |
| City | DAYTON |
| State | OH |
| Zip Code | 45414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598187437 | Carly Nagel | Counselor | 6640 Poe Ave Ste 100, Dayton, OH 45414-2678 | 2014-01-13 |
| 1073124749 | Elaysia Hill | Case Manager/Care Coordinator | 6640 Poe Ave Ste 100, Dayton, OH 45414-2678 | 2020-08-14 |
| 1295364016 | Gabriella Faye Craft | Social Worker | 6640 Poe Ave Ste 100, Dayton, OH 45414-2678 | 2020-04-03 |
| 1073147831 | Benjamin Barker | Case Manager/Care Coordinator | 6640 Poe Ave Ste 100, Dayton, OH 45414-2678 | 2020-03-02 |
| 1083261457 | Francis Long | Social Worker | 6640 Poe Ave Ste 100, Dayton, OH 45414-2678 | 2019-08-21 |
| 1811542418 | Kirsten Johnson | Case Manager/Care Coordinator | 6640 Poe Ave Ste 100, Dayton, OH 45414-2678 | 2019-08-09 |
| 1699327833 | Andrew Brown | Social Worker | 6640 Poe Ave Ste 100, Dayton, OH 45414-2678 | 2019-07-09 |
| 1952969974 | Kayleigh Day | Social Worker | 6640 Poe Ave Ste 100, Dayton, OH 45414-2678 | 2019-06-04 |
| 1407411101 | Jessica Guizzo | Case Manager/Care Coordinator | 6640 Poe Ave Ste 100, Dayton, OH 45414-2678 | 2019-05-08 |
| 1518420843 | Kendra Tolle | Case Manager/Care Coordinator | 6640 Poe Ave Ste 100, Dayton, OH 45414-2678 | 2019-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578047916 | Amanda Adkins | Counselor | 4977 Northcutt Pl, Dayton, OH 45414 | 2018-09-21 |
| 1477062180 | Andria Shoebridge | Case Manager/Care Coordinator | 7695 Poe Ave., Dayton, OH 45414 | 2017-09-26 |
| 1164826871 | Joana's | Custodial Care Facility | 323 Timberlake Drive, Dayton, OH 45414 | 2014-10-09 |
| 1376956839 | Shanata Rankins | Home Health Aide | 3252 Ridge Ave, Dayton, OH 45414 | 2014-06-03 |
| 1689086845 | Michelle Laree Cargle-adams | Licensed Practical Nurse | 6217 Miller Lane, Vandalia, OH 45414 | 2014-05-22 |
| 1962847236 | Tessa Skeens | Home Health | 1914 Palisades Dr, Dayton, OH 45414 | 2013-05-01 |
| 1053661397 | Jeffrey Michael Pope | Pharmacist | 3700 North Dixie Highway, Dayton, OH 45414 | 2012-09-13 |
| 1174871784 | Elizabeth Long | Counselor | 3821 Little York Rd., Dayton, OH 45414 | 2012-08-29 |
| 1265709885 | Eddie Dudley | Pharmacist | 5651 Dixie Ave, Dayton, OH 45414 | 2011-11-28 |
| 1568774743 | Martin Nicholas Kanetsky | Dentist | 6800 N. Dixie Dr., Dayton, OH 45414 | 2010-07-05 |
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| 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 |
|---|---|---|---|---|
| 1871193706 | Brooke Siggers | Case Manager/Care Coordinator | 829 S Gettysburg Ave # 45416, Dayton, OH 45417-3569 | 2020-10-29 |
| 1790396240 | Joanne Davis | Case Manager/Care Coordinator | 829 S Gettysburg Ave # 45424, Dayton, OH 45417-3569 | 2020-08-10 |
| 1083233548 | Lee Wagner | Case Manager/Care Coordinator | 829 S Gettysburg Ave # 45404, Dayton, OH 45417-3569 | 2020-04-14 |
| 1639703655 | Karmeika Michelle Mcintosh | Case Manager/Care Coordinator | 117 Ashwood Ave, Dayton, OH 45405-2643 | 2020-02-28 |
| 1043869126 | Joshua Hawes | Case Manager/Care Coordinator | 1258 Catalpa Dr, Dayton, OH 45402-5847 | 2019-09-10 |
| 1154970580 | Dorothy Robinson | Case Manager/Care Coordinator | 5342 Deer Path Ln, Dayton, OH 45415-2807 | 2019-09-09 |
| 1376191080 | Cara Sandell | Case Manager/Care Coordinator | 7691 Poe Ave, Dayton, OH 45414-2552 | 2019-08-27 |
| 1609434844 | Latosha Scott | Case Manager/Care Coordinator | 1442 Swinger Dr, Dayton, OH 45417-8225 | 2019-06-03 |
| 1407410608 | James Darwin Muir | Case Manager/Care Coordinator | 30 Hannah Dr, Dayton, NJ 08810-1365 | 2019-04-24 |
| 1851865703 | Katherine Bernadette Brossart | Case Manager/Care Coordinator | 33 West 1st St, Suite 100, Dayton, OH 45402-1298 | 2019-01-14 |
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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.