COURTNEY DIANE BAILEY (NPI# 1104337849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104337849 |
| Entity Type | Individual |
| Full Name | COURTNEY DIANE BAILEY |
| Other Name | COURTNEY DIANE JACKSON |
| Practice Address |
12628 Hooper Rd Ste C Baton Rouge LA 70818-3527 |
| Practice Telephone | 2259538170 |
| Practice Fax Number | 2259538175 |
| Mailing Telephone | 2259538170 |
| Mailing Fax Number | 2259538175 |
| Enumeration Date | 2017-10-21 |
| Last Update Date | 2017-10-21 |
| 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 |
|---|---|---|---|---|
| 1578174215 | Courtney Bailey | Nurse Practitioner | 199 Plymouth St, Pembroke, MA 02359-3521 | 2020-08-16 |
| 1497125900 | Courtney Bailey | Contractor | 66 Daughtrey Ave Apt 1010, Waco, TX 76706-1680 | 2015-09-28 |
| 1386298222 | Courtney Lynn Bailey | Behavior Technician | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2019-07-29 |
| 1467953299 | Courtney Bailey | Licensed Practical Nurse | 418 Center St, Wheelersburg, OH 45694-1712 | 2018-02-27 |
| 1992116834 | Courtney Drew Bailey | Student in an Organized Health Care Education/Training Program | 6565 Fannin, Mgj9-002, Houston, TX 77030-2703 | 2014-05-14 |
| 1144568460 | Courtney Mels Bailey | Nurse Practitioner | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2013-01-21 |
| 1700142320 | Courtney Bailey | Anesthesiology | 1002 Gemini St Ste 128, Houston, TX 77058-2746 | 2012-04-09 |
| 1366767675 | Courtney A Bailey | Social Worker | 111 South St, Somerville, MA 02143 | 2010-03-30 |
| 1184858342 | Courtney H. Bailey | Occupational Therapy Assistant | 3400 Anderson Rd Ste C, Greenville, SC 29611-7651 | 2009-05-04 |
| 1619089141 | Courtney Mitchell Bailey | Anesthesiology | 900 Round Valley, Park City Medical Center, Park City, UT 84060 | 2006-08-31 |
| Street Address |
12628 HOOPER RD STE C |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70818-3527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881138899 | New Horizons Behavior Health Center | Community/Behavioral Health | 12628 Hooper Rd Ste C, Baton Rouge, LA 70818-3527 | 2016-12-09 |
| 1114536935 | Anjellica Mar'che Borris | Case Manager/Care Coordinator | 12628 Hooper Rd Ste C, Baton Rouge, LA 70818-3527 | 2020-07-28 |
| 1366074411 | Melanie Louise Voll | Case Manager/Care Coordinator | 12628 Hooper Rd Ste C, Baton Rouge, LA 70818-3527 | 2020-02-06 |
| 1053942516 | Crystal Nixon | Case Manager/Care Coordinator | 12628 Hooper Rd Ste C, Baton Rouge, LA 70818-3527 | 2020-02-03 |
| 1780142414 | Lacy Michelle Kemker | Case Manager/Care Coordinator | 12628 Hooper Rd Ste C, Baton Rouge, LA 70818-3527 | 2019-03-12 |
| 1932671419 | Michelle James | Case Manager/Care Coordinator | 12628 Hooper Rd Ste C, Baton Rouge, LA 70818-3527 | 2018-12-21 |
| 1518455070 | Tiffanie Nicole Davis | Counselor | 12628 Hooper Rd Ste C, Baton Rouge, LA 70818-3527 | 2018-04-30 |
| 1720591670 | Misty Eaton | Behavioral Analyst | 12628 Hooper Rd Ste C, Baton Rouge, LA 70818-3527 | 2017-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508385576 | Stacia Clay | Driver | 8210 Brennen Drive, Baton Rouge, LA 70818 | 2017-09-11 |
| 1952650376 | Tara Rispone Delee | Social Worker | 12249 Hooper Road, Baton Rouge, LA 70818 | 2012-08-30 |
| 1417231705 | Cyril Floyd Broussard | Pharmacist | 14360 Wax Rd., Central, LA 70818 | 2011-10-05 |
| 1972887263 | Charles Erwin Seymour | Pharmacist | 14360 Wax Road, Central, LA 70818 | 2011-10-05 |
| 1306146089 | Central Chiropractic Center, Inc. | Preferred Provider Organization | 8755 Sullivan Road, Suite A, Central, LA 70818 | 2010-10-27 |
| 1649596321 | Fast Lane of Central LLC | Clinic/Center | 11421 Sullivan Rd, Bldg B, Baton Rouge, LA 70818 | 2010-04-20 |
| 1992837710 | James H Hebert | Dentist | 11424 Sullivan Road, Suite A, Baton Rouge, LA 70818 | 2007-03-09 |
| 1235295221 | Walter Jules Vaughan | Dentist | 13323 Hooper Rd., Baton Rouge, LA 70818 | 2006-12-28 |
| 1245329325 | Melissa R Barrett | Emergency Medicine | 11055 Shoe Creek Dr, Baton Rouge, LA 70818 | 2006-10-12 |
| 1740208867 | Michael Romaguera | Family Medicine | 11055 Shoe Creek Drive, Baton Rouge, LA 70818 | 2006-07-17 |
| Find all providers in zip 70818 | ||||
| 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 |
|---|---|---|---|---|
| 1992305023 | Deonna Hawkins Jackson | Case Manager/Care Coordinator | 17616 Heritage Estates Dr, Baton Rouge, LA 70810-6579 | 2020-10-28 |
| 1306445713 | Beverly Jean Holmes | Case Manager/Care Coordinator | 9331 Foster Rd Apt C, Baton Rouge, LA 70811-2736 | 2020-10-19 |
| 1922606326 | Christie Hitchens | Case Manager/Care Coordinator | 1041 Chariot Dr, Baton Rouge, LA 70816-1842 | 2020-10-16 |
| 1750989190 | Bridgette Lynette Azoanee | Case Manager/Care Coordinator | 4119 Lake Sherwood Ave E, Baton Rouge, LA 70816-7322 | 2020-10-16 |
| 1629676465 | Jessica Dennis | Case Manager/Care Coordinator | 2950 Chippewa St, Baton Rouge, LA 70805-8126 | 2020-10-14 |
| 1720686769 | Wyona Jordan | Case Manager/Care Coordinator | 6980 Saint Francis Ave, Baton Rouge, LA 70811-1419 | 2020-10-13 |
| 1659984748 | Lasondra Finley | Case Manager/Care Coordinator | 6024 N Howell Dr, Baton Rouge, LA 70805-7231 | 2020-08-28 |
| 1134730476 | Melissa Urch | Case Manager/Care Coordinator | 14635 S Harrells Ferry Rd Ste 3a, Baton Rouge, LA 70816-2960 | 2020-08-11 |
| 1780294058 | Yolande Eileen Thomas | Case Manager/Care Coordinator | Array of Hope, 11940 Bricksome Ave, Baton Rouge, LA 70816 | 2020-08-03 |
| 1285243691 | Adriana Arshell Vessell | Case Manager/Care Coordinator | 2211 Weymouth Dr, Baton Rouge, LA 70809-2017 | 2020-07-31 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70818 |
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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.