ERICKA KENNEDY (NPI# 1154963866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154963866 |
| Entity Type | Individual |
| Full Name | ERICKA KENNEDY |
| Practice Address |
14117 Mount Vernon Pl Edmond OK 73013-6455 |
| Practice Telephone | 4052347866 |
| Mailing Telephone | 4052347867 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |
| 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 |
| Street Address |
14117 MOUNT VERNON PL |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-6455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| 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 |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1417599085 | Jacob Oliver Buchanan | Case Manager/Care Coordinator | 4100 Nw 155th St, Edmond, OK 73013-9139 | 2019-10-15 |
| 1265073936 | Nick Edward Cole | Case Manager/Care Coordinator | 5200 E Sorghum Mill Rd, Edmond, OK 73034-9446 | 2019-10-03 |
| 1083268213 | Lyndsey Stewart | Case Manager/Care Coordinator | 1504 Canary Pl, Edmond, OK 73034-6115 | 2019-07-25 |
| 1922669639 | Flavio Vital | Case Manager/Care Coordinator | 157 Stonebridge Blvd Apt 1325, Edmond, OK 73013-4685 | 2019-06-24 |
| 1861056889 | Latasha Langley | Case Manager/Care Coordinator | 501 W 15th St Apt 171, Edmond, OK 73013-3654 | 2019-04-24 |
| 1962960732 | Amy Reynolds | Case Manager/Care Coordinator | 529 Cinnamon Dr, Edmond, OK 73003-3119 | 2019-03-11 |
| 1285198721 | Antonio De'shawn Johnson | Case Manager/Care Coordinator | 400 S Broadway Ste 6, Edmond, OK 73034-3848 | 2019-01-29 |
| 1356814701 | Kimley Deutsch | Case Manager/Care Coordinator | 518 W 2nd St, Edmond, OK 73003-5418 | 2019-01-08 |
| 1700363868 | John William Matheny | Case Manager/Care Coordinator | 2416 Nez Perce Trl, Edmond, OK 73003-1178 | 2018-07-22 |
| Find all providers in EDMOND | ||||
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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.