KARDEQUA PHILLIPS (NPI# 1144730672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144730672 |
| Entity Type | Individual |
| Full Name | KARDEQUA PHILLIPS |
| Practice Address |
2911 Cameron St Monroe LA 71201 |
| Mailing Address |
103 Goldie St Apt A Farmerville LA 71241-6609 |
| Practice Telephone | 3186519363 |
| Practice Fax Number | 3186519251 |
| Mailing Telephone | 3467746027 |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2019-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1705 Washington St, Monroe, LA 712017046 | 3183258050 |
| Street Address |
2911 CAMERON ST |
| City | MONROE |
| State | LA |
| Zip Code | 71201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790717593 | James Willie Curlee | Counselor | 2911 Cameron St, Monroe, LA 71201-3713 | 2006-07-06 |
| 1356902902 | Alexis L. Hogg | Case Manager/Care Coordinator | 2911 Cameron St, Monroe, LA 71201-3713 | 2019-06-25 |
| 1932765187 | Jamecia Jaquariette Woods | Case Manager/Care Coordinator | 2911 Cameron St, Monroe, LA 71201-3713 | 2019-05-14 |
| 1437617198 | Rosalind Aulette Penegar | Case Manager/Care Coordinator | 2911 Cameron St, Monroe, LA 71201-3713 | 2019-03-12 |
| 1790241057 | Jacarlius Q Stromile | Case Manager/Care Coordinator | 2911 Cameron St, Monroe, LA 71201-3713 | 2019-02-12 |
| 1962987461 | Charles Hunter II | Case Manager/Care Coordinator | 2911 Cameron St, Monroe, LA 71201-3713 | 2018-10-01 |
| 1124503875 | Victoria Lee Beaudoin-williams | Counselor | 2911 Cameron St, Monroe, LA 71201-3713 | 2018-09-28 |
| 1285118562 | Shareese Finley | Counselor | 2911 Cameron St, Monroe, LA 71201-3713 | 2018-09-21 |
| 1396232302 | Christopher C Collins | Counselor | 2911 Cameron St, Monroe, LA 71201-3713 | 2018-04-16 |
| 1780182303 | Allison Elizabeth Robinson | Counselor | 2911 Cameron St, Monroe, LA 71201-3713 | 2018-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| 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 |
|---|---|---|---|---|
| 1346856960 | Ebony Hall | Case Manager/Care Coordinator | 2911 Cameron St # A, Monroe, LA 71201-3713 | 2020-09-18 |
| 1285251785 | Good News Counseling | Case Manager/Care Coordinator | 3217 Concordia Ave, Monroe, LA 71201-5131 | 2020-06-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1164060331 | Myrtle Burks | Case Manager/Care Coordinator | 820 Jackson St, Monroe, LA 71201-8422 | 2019-12-18 |
| 1114583069 | Brandon Rashaard Collins | Case Manager/Care Coordinator | 5504 Robinson Drive, Monroe, LA 71202 | 2019-05-16 |
| 1851956007 | Dorothy Marie Page | Case Manager/Care Coordinator | 811 Maplewood Dr, Monroe, LA 71202-2362 | 2019-05-03 |
| 1235792029 | Jasmine Powell | Case Manager/Care Coordinator | 2808 Evangeline St, Monroe, LA 71201-3750 | 2019-04-17 |
| 1922560150 | Isabelle Rocher | Case Manager/Care Coordinator | 3000 Evangeline St Apt 191, Monroe, LA 71201-3831 | 2019-04-05 |
| 1912463274 | Brittany Johnson | Case Manager/Care Coordinator | 141 Desiard St Apt 303, Monroe, LA 71201-7340 | 2019-02-12 |
| 1043774862 | Krystal J. Williams | Case Manager/Care Coordinator | 3000 Kilpatrick Blvd, Monroe, LA 71201-5166 | 2019-01-25 |
| Find all providers in MONROE | ||||
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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.