ELECIA A SELMON (NPI# 1073079497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073079497 |
| Entity Type | Individual |
| Full Name | ELECIA A SELMON |
| Practice Address |
1545 W Mockingbird Ln Ste 4000 Dallas TX 75235-5014 |
| Mailing Address |
126 Wooded Creek Dr Red Oak TX 75154-6234 |
| Practice Telephone | 9729351247 |
| Mailing Telephone | 9729351247 |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |
| 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 |
1545 W MOCKINGBIRD LN STE 4000 |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-5014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518492883 | Angela Denise Heggins | Counselor | 1545 W Mockingbird Ln Ste 4000, Dallas, TX 75235-5014 | 2017-04-25 |
| 1538721808 | Jentrelle Moore | Counselor | 1545 W Mockingbird Ln Ste 4000, Dallas, TX 75235-5014 | 2019-07-08 |
| 1205497302 | Randi M Bradfield | Counselor | 1545 W Mockingbird Ln Ste 4000, Dallas, TX 75235-5014 | 2019-06-28 |
| 1306320544 | Zachary Jon Truman Walker | Counselor | 1545 W Mockingbird Ln Ste 4000, Dallas, TX 75235-5014 | 2018-09-24 |
| 1386143402 | Devonte Dejaun Hardy | Case Manager/Care Coordinator | 1545 W Mockingbird Ln Ste 4000, Dallas, TX 75235-5014 | 2018-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| 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 |
|---|---|---|---|---|
| 1174184485 | Rocio Ponce | Case Manager/Care Coordinator | 1314 Grigsby Ave, Dallas, TX 75204-6873 | 2019-06-26 |
| 1144885583 | Deangela Reese | Case Manager/Care Coordinator | 1414 Belleview St Apt 334, Dallas, TX 75215-2241 | 2019-05-01 |
| 1275007551 | Gina L Escamilla | Case Manager/Care Coordinator | 6128 Misty Wood Dr, Dallas, TX 75217-5605 | 2019-01-19 |
| 1447722442 | Demetra L Williams | Case Manager/Care Coordinator | 2026 Cedar Valley Ln, Dallas, TX 75232-2306 | 2019-01-02 |
| 1154809432 | Briona Patterson | Case Manager/Care Coordinator | 1111 W Mockingbird Ln Ste 1030, Dallas, TX 75247-5028 | 2018-07-30 |
| 1457845737 | Jennifer Jo Hamilton | Case Manager/Care Coordinator | 1140 Empire Central Dr Ste 260, Dallas, TX 75247-4322 | 2018-06-19 |
| 1265931695 | Phylisity M Slaughter | Case Manager/Care Coordinator | 2811 Bonnie View Rd, Dallas, TX 75216-3303 | 2018-02-12 |
| 1427563220 | Lisa Shardon | Case Manager/Care Coordinator | 8215 Westchester Dr Ste 213, Dallas, TX 75225-6116 | 2017-12-04 |
| 1700310224 | Shalonda Duncan | Case Manager/Care Coordinator | 1449 Brook Valley Pl, Dallas, TX 75232-1519 | 2017-04-12 |
| 1710418231 | Susan Hibbs | Case Manager/Care Coordinator | 9027 Guildhall Dr, Dallas, TX 75238-3533 | 2017-03-26 |
| Find all providers in DALLAS | ||||
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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.