CHARLOTTE DAVIS (NPI# 1083128631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083128631 |
| Entity Type | Individual |
| Full Name | CHARLOTTE DAVIS |
| Practice Address |
9220 Mentor Ave Mentor OH 44060-6412 |
| Practice Telephone | 4406393581 |
| Practice Fax Number | 4402051009 |
| Mailing Telephone | 4406393581 |
| Mailing Fax Number | 4402051009 |
| Enumeration Date | 2017-11-18 |
| Last Update Date | 2017-11-18 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427447473 | Charlotte Campbell Davis | Counselor | 1111 N Dixie Hwy Ste 2, Elizabethtown, KY 42701-2764 | 2015-01-14 |
| 1316382104 | Charlotte Davis | Registered Nurse | 8548 Willtown Rd, Yonges Island, SC 29449-5515 | 2013-05-07 |
| 1104977818 | Charlotte Yvonne Davis | Pharmacist | 7460 Arnold St Ste 126, Tinker Afb, OK 73145-9040 | 2007-01-16 |
| 1790211886 | Charlotte Davis | Behavior Technician | 7000 Austin St, Suite 200, Forest Hills, NY 11375-1022 | 2017-05-10 |
| 1487099792 | Charlotte Lynn Davis | Nurse Practitioner | 1480 Fowler St, Richland, WA 99352-4717 | 2013-05-01 |
| 1881980712 | Charlotte Tatum Davis | Registered Nurse | 21810 Burbank Hl, San Antonio, TX 78256-1677 | 2011-06-20 |
| 1194041699 | Charlotte Davis | Counselor | 4149 Highline Blvd, Suite 400, Oklahoma City, OK 73108-2103 | 2010-04-09 |
| 1659522712 | Charlotte Marie Davis | Nurse Practitioner | 1867 Airport Way, Suite 110b, Fairbanks, AK 99701-4007 | 2008-10-08 |
| 1467592485 | Charlotte Gail Davis | Marriage & Family Therapist | 6980 Santa Teresa Blvd, Suite 140, San Jose, CA 95119-1393 | 2007-02-07 |
| Street Address |
9220 MENTOR AVE |
| City | MENTOR |
| State | OH |
| Zip Code | 44060-6412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124228523 | Michael Louis Gorjanc | Psychiatry & Neurology | 9220 Mentor Ave, Beacon Health, Mentor, OH 44060-6412 | 2007-07-23 |
| 1639778640 | Jennifer Kovell | Case Manager/Care Coordinator | 9220 Mentor Ave, Mentor, OH 44060-6412 | 2020-10-21 |
| 1184272197 | Taylor Conner | Community/Behavioral Health | 9220 Mentor Ave, Mentor, OH 44060-6412 | 2019-09-03 |
| 1245888049 | Colton Alexander Luther | Community/Behavioral Health | 9220 Mentor Ave, Mentor, OH 44060-6412 | 2019-08-27 |
| 1518514629 | Jessica Lynn Jones | Counselor | 9220 Mentor Ave, Mentor, OH 44060-6412 | 2019-08-22 |
| 1689229031 | Kearra Gibson | Community/Behavioral Health | 9220 Mentor Ave, Mentor, OH 44060-6412 | 2019-08-02 |
| 1578115168 | Sharron Howell | Community/Behavioral Health | 9220 Mentor Ave, Mentor, OH 44060-6412 | 2019-07-12 |
| 1295387116 | Jillian Bush | Community/Behavioral Health | 9220 Mentor Ave, Mentor, OH 44060-6412 | 2019-07-11 |
| 1588216527 | Kathleen Denise Williams | Community/Behavioral Health | 9220 Mentor Ave, Mentor, OH 44060-6412 | 2019-07-10 |
| 1386203701 | Toni Michelle Lima | Community/Behavioral Health | 9220 Mentor Ave, Mentor, OH 44060-6412 | 2019-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364143 | Pamela Adams | Technician | 6079 Center St, Mentor, OH 44060 | 2019-09-10 |
| 1255800298 | Brittani Joy Lumpkin | Community/Behavioral Health | 9220 Mentor Road., Mentor, OH 44060 | 2018-11-20 |
| 1043726763 | Sharon Bollinger | Counselor | 7232 Tyler Blvd., Mentor, OH 44060 | 2017-12-18 |
| 1255863635 | Mentor Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 8151 Norton Pkwy, Mentor, OH 44060 | 2017-04-03 |
| 1144695933 | Kirsten Lorek | Specialist/Technologist | 8400 Paddock Ct, Mentor, OH 44060 | 2015-12-06 |
| 1346638848 | Darlean Williams | Licensed Practical Nurse | 6477 Center Street, Mentor High School, Mentor, OH 44060 | 2015-01-06 |
| 1316357130 | Kathryn Arnette Romo | Speech-Language Pathologist | 6451 Center Street, Mentor Exempted Village Schools, Mentor, OH 44060 | 2014-05-01 |
| 1730599705 | Marianne. P. Kostiha | Registered Nurse | 6451 Center St., Mentor Public Schools, Mentor, OH 44060 | 2014-04-30 |
| 1558788190 | Jeanne Marie Markusic | Physical Therapist | 7687 Ellington Pl, Mentor, OH 44060 | 2014-03-20 |
| 1477979391 | Center for Advanced Vein Care LLC | Emergency Medicine | 7200 Mentor Avenue, Mentor, OH 44060 | 2014-03-17 |
| Find all providers in zip 44060 | ||||
| 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 |
|---|---|---|---|---|
| 1689275596 | Candice M Secotte | Case Manager/Care Coordinator | 7232 Justin Way, Mentor, OH 44060-4881 | 2020-11-06 |
| 1982205563 | Ebony Lea Culton | Case Manager/Care Coordinator | 8532 Mentor Ave, Mentor, OH 44060-5822 | 2020-11-02 |
| 1760082010 | Leah M Huff | Case Manager/Care Coordinator | 7232 Justin Way, Mentor, OH 44060-4881 | 2020-10-27 |
| 1912506577 | Andria Crawford | Case Manager/Care Coordinator | 7232 Justin Way, Mentor, OH 44060-4881 | 2020-10-23 |
| 1720687569 | Andrea Smiley | Case Manager/Care Coordinator | 7232 Justin Way, Mentor, OH 44060-4881 | 2020-10-22 |
| 1639778640 | Jennifer Kovell | Case Manager/Care Coordinator | 9220 Mentor Ave, Mentor, OH 44060-6412 | 2020-10-21 |
| 1457959967 | Christina Joann Fularz | Case Manager/Care Coordinator | 7232 Justin Way, Mentor, OH 44060-4881 | 2020-10-16 |
| 1518564483 | Denzel Henderson | Case Manager/Care Coordinator | 7232 Justin Way, Mentor, OH 44060-4881 | 2020-10-05 |
| 1255948592 | Natalie Arnold | Case Manager/Care Coordinator | 7232 Justin Way, Mentor, OH 44060-4881 | 2020-09-30 |
| 1114530920 | Renee Carder | Case Manager/Care Coordinator | 8532 Mentor Ave, Mentor, OH 44060-5822 | 2020-08-31 |
| Find all providers in MENTOR | ||||
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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.