COURTNEY JO TATUM (NPI# 1083135701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083135701 |
| Entity Type | Individual |
| Full Name | COURTNEY JO TATUM |
| Practice Address |
209 Stanfield Ave Cheyenne WY 82007 |
| Mailing Address |
209 Stanfield Ave Cheyenne WY 82007-2308 |
| Practice Telephone | (307) 631-1636 |
| Mailing Telephone | 3076311636 |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2017-07-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124649934 | Courtney Tatum | Counselor | 4801 Woodway Dr, Houston, TX 77056-1884 | 2020-05-04 |
| 1326551417 | Courtney Renee Tatum | Case Manager/Care Coordinator | 5900 Sharon Woods Blvd Ste A, Columbus, OH 43229-2600 | 2017-11-10 |
| Street Address |
209 STANFIELD AVE |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548788102 | Melanie Ann Traas | Speech-Language Pathologist | 236 Parsley Blvd, Cheyenne, WY 82007 | 2017-09-05 |
| 1679838056 | Ryan Wayne Ackerman | Counselor | 117 West 9th Street, Cheyenne, WY 82007 | 2012-07-11 |
| 1992932420 | Libby Jane Phillips | Pharmacist | 700 S. Greeley Hwy, Cheyenne, WY 82007 | 2009-06-11 |
| 1043382336 | Dale C Brentlinger | Internal Medicine | 2508 E Fox Farm Road, #1a, Cheyenne, WY 82007 | 2006-11-14 |
| 1841273901 | Ryan C Benne | Chiropractor | 2809 Evans Ave, Cheyenne, WY 82007 | 2005-11-22 |
| 1386632594 | Cheyenne Health & Wellness Center | Clinic/Center | 2508 East Fox Farm Road, Suite 1a, Cheyenne, WY 82007 | 2005-10-11 |
| 1255718953 | Wal-mart Srores Inc | Technician/Technologist | 580 Livingston Ave, Cheyenne, WY 82007 | 2015-05-01 |
| 1811030554 | Stride Learning Center | Clinic/Center | 326 Parsley Blvd, Cheyenne, WY 82007-1014 | 2007-02-14 |
| 1568006443 | Audrey Marie Saling | Occupational Therapist | 326 Parsley Blvd, Cheyenne, WY 82007-1014 | 2019-11-04 |
| 1922641281 | Teresa Kay Barnes | Speech-Language Pathologist | 326 Parsley Blvd, Cheyenne, WY 82007-1014 | 2019-10-18 |
| Find all providers in zip 82007 | ||||
| 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 |
|---|---|---|---|---|
| 1710585476 | Amanda Marie Mccarty | Case Manager/Care Coordinator | 3122 Thomes Ave, Cheyenne, WY 82001-2552 | 2020-10-15 |
| 1326658451 | Joni Lyn Edwards | Case Manager/Care Coordinator | 1911 Silverton Dr, Cheyenne, WY 82001-8501 | 2020-08-04 |
| 1619591625 | Jason Coston | Case Manager/Care Coordinator | 215 Walterscheid Blvd Apt E107, Cheyenne, WY 82007-2455 | 2020-06-04 |
| 1366063786 | Angela Marie Silvester | Case Manager/Care Coordinator | 3400 S Greeley Hwy Lot 50, Cheyenne, WY 82007-9730 | 2020-04-27 |
| 1053942144 | Sadie Leigh Elliott | Case Manager/Care Coordinator | 300 E Prosser Rd Lot 71, Cheyenne, WY 82007-3154 | 2020-01-28 |
| 1285284596 | Jennifer Corrine Quinlivan | Case Manager/Care Coordinator | 2325 E 12th St, Cheyenne, WY 82001-5207 | 2019-09-18 |
| 1932762473 | Angela Folds | Case Manager/Care Coordinator | 709 Oakhurst Dr, Cheyenne, WY 82009-1053 | 2019-04-19 |
| 1215499934 | Robin Truax | Case Manager/Care Coordinator | 7501 Max Ct, Cheyenne, WY 82009-1868 | 2019-04-02 |
| 1427515469 | Jennifer Blair | Case Manager/Care Coordinator | 701 W Dale Blvd, Cheyenne, WY 82009-5930 | 2019-02-26 |
| 1861959157 | Danielle Ingleby | Case Manager/Care Coordinator | 1511 Pinion Dr, Cheyenne, WY 82001-5856 | 2019-02-22 |
| Find all providers in CHEYENNE | ||||
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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.