BRANDEN EDMONDSON (NPI# 1083227144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083227144 |
| Entity Type | Individual |
| Full Name | BRANDEN EDMONDSON |
| Practice Address |
6300 N Main St Dayton OH 45415-3154 |
| Mailing Address |
6300 N Main St # Oh Dayton OH 45415-3154 |
| Practice Telephone | 9372751500 |
| Mailing Telephone | 9372751500 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
6300 N MAIN ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45415-3154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700989514 | Mahendra Kumar Mahajan | Psychiatry & Neurology | 6300 N Main St, Ste 3, Dayton, OH 45415-3154 | 2006-09-07 |
| 1144820085 | Kayleen Bingham | Registered Nurse | 6300 N Main St, Dayton, OH 45415-3154 | 2020-10-29 |
| 1457951766 | Amber Shepard | Case Manager/Care Coordinator | 6300 N Main St, Dayton, OH 45415-3154 | 2020-10-27 |
| 1720694276 | Kelsey Thorson | Case Manager/Care Coordinator | 6300 N Main St, Dayton, OH 45415-3154 | 2020-09-21 |
| 1801401625 | Kevin Salsbury | Counselor | 6300 N Main St, Dayton, OH 45415-3154 | 2020-09-09 |
| 1003421868 | Caitlyn Carpenter | Case Manager/Care Coordinator | 6300 N Main St, Dayton, OH 45415-3154 | 2020-09-09 |
| 1720691850 | Tonya Brock | Case Manager/Care Coordinator | 6300 N Main St, Dayton, OH 45415-3154 | 2020-08-28 |
| 1205449261 | Brad Gibson | Registered Nurse | 6300 N Main St, Dayton, OH 45415-3154 | 2020-08-28 |
| 1306457106 | Emilie Sturgill | Case Manager/Care Coordinator | 6300 N Main St, Dayton, OH 45415-3154 | 2020-08-14 |
| 1356968259 | Kercelia Woodruff | Case Manager/Care Coordinator | 6300 N Main St, Dayton, OH 45415-3154 | 2020-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457881062 | Angelique Oluyitan | Registered Nurse | 50 Granite Dr, Dayton, OH 45415 | 2017-06-15 |
| 1255869244 | Sherry Marie Buchanan | Occupational Therapy Assistant | 140 Ewoodbury Dr, Dayton, OH 45415 | 2017-06-02 |
| 1417328972 | Thomas Riddell | Hearing Instrument Specialist | 5525 N. Main St, Dayton, OH 45415 | 2015-10-09 |
| 1932448537 | Mory Summer | General Practice | 141 Trailwoods Dr., Dayton, OH 45415 | 2013-02-04 |
| 1184909095 | Yolanda Jean Jenkins | Registered Nurse | 6339 Afton Drive, Dayton, OH 45415 | 2011-10-12 |
| 1023392560 | Megan E Betts | Specialist/Technologist, Other | 9000 N Main St. Ste 303, Dayton, OH 45415 | 2011-10-03 |
| 1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
| 1811141559 | Dayton Physicians, LLC | Durable Medical Equipment & Medical Supplies | 9000 N Main St Suite 333, Dayton, OH 45415 | 2008-11-07 |
| 1730331224 | Joel Metze | Obstetrics & Gynecology | 9000 N Main St Ste 232, Englewood, OH 45415 | 2008-10-16 |
| 1023236247 | James Otis Hurst | Dentist | 9000 N. Main Street, Suite 207, Dayton, OH 45415 | 2007-04-23 |
| Find all providers in zip 45415 | ||||
| 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 |
| Find all providers in DAYTON | ||||
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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.