EDDIE WHITE (NPI# 1073009528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073009528 |
| Entity Type | Individual |
| Full Name | EDDIE WHITE |
| Practice Address |
2706 Hodges St Lake Charles LA 70601-7366 |
| Practice Telephone | 3374911740 |
| Practice Fax Number | 3374911741 |
| Mailing Telephone | 3374911740 |
| Mailing Fax Number | 3374911741 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629555917 | Eddie White | Rehabilitation Practitioner | 3680 N Rancho Dr, Las Vegas, NV 89130-3180 | 2018-07-19 |
| 1174825848 | Eddie James White II | Pharmacist | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2010-12-01 |
| 1295854867 | Eddie White | Physical Therapy Assistant | 101 13th St, Huntington, WV 25701-1653 | 2007-03-28 |
| 1023166881 | Eddie Vernon White | Prosthetist | 3224 Lake Woodard Dr, Suite 100, Raleigh, NC 27604-3659 | 2007-01-08 |
| Street Address |
2706 HODGES ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-7366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467588962 | Kara Elizabeth Newingham | Counselor | 2706 Hodges St, Lake Charles, LA 70601-7366 | 2007-02-26 |
| 1639702822 | Laci Hill | Case Manager/Care Coordinator | 2706 Hodges St, Lake Charles, LA 70601-7366 | 2020-02-17 |
| 1174167761 | Jeri Payne | Case Manager/Care Coordinator | 2706 Hodges St, Lake Charles, LA 70601-7366 | 2019-11-06 |
| 1043786643 | Kia White | Counselor | 2706 Hodges St, Lake Charles, LA 70601-7366 | 2018-10-22 |
| 1013401199 | Laura Holmes | Counselor | 2706 Hodges St, Lake Charles, LA 70601-7366 | 2018-06-21 |
| 1992298947 | Natalie Johnson | Counselor | 2706 Hodges St, Lake Charles, LA 70601-7366 | 2018-06-13 |
| 1235621699 | Shakeesha Griffin | Counselor | 2706 Hodges St, Lake Charles, LA 70601-7366 | 2018-06-01 |
| 1376058107 | Patrick Woodard | Counselor | 2706 Hodges St, Lake Charles, LA 70601 | 2017-12-01 |
| 1538674361 | Brandi White | Counselor | 2706 Hodges St, Lake Charles, LA 70601 | 2017-12-01 |
| 1922530781 | Lakeem Holmes | Counselor | 2706 Hodges St, Lake Charles, LA 70601 | 2017-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| 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 |
|---|---|---|---|---|
| 1235768235 | Joi Reed | Case Manager/Care Coordinator | 1511 Kirkman St, Lake Charles, LA 70601-5346 | 2020-04-02 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| 1932682580 | Leigha Marie Robinson | Case Manager/Care Coordinator | 1202 W Kirkman St., Lake Charles, LA 70601 | 2018-09-10 |
| 1831680461 | Esther Lee Augustine | Case Manager/Care Coordinator | 2508 Oak Park Blvd, Lake Charles, LA 70601-8158 | 2018-05-18 |
| 1407366339 | Helena Thomas | Case Manager/Care Coordinator | 1202 Kirman Street, Suite C, Lake Charles, LA 70601 | 2017-10-05 |
| 1154794253 | Shemica Moss | Case Manager/Care Coordinator | 1639 Ryan St, Lake Charles, LA 70601-5948 | 2015-11-11 |
| 1942673256 | Belinda Williams | Case Manager/Care Coordinator | 312 Heather St, Lake Charles, LA 70605-6508 | 2015-11-09 |
| 1851764757 | Teneisha Frank Wright | Case Manager/Care Coordinator | 1313 Common St, Lake Charles, LA 70601 | 2015-11-02 |
| 1356711626 | Adrianna White | Case Manager/Care Coordinator | 3501 5th Ave Ste A, Lake Charles, LA 70607-2155 | 2015-09-30 |
| 1366871477 | Andrew Jordan | Case Manager/Care Coordinator | 1011 Lake Shore Dr Ste 618, Lake Charles, LA 70601-9419 | 2013-11-08 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on EDDIE WHITE.
| 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.