JACQUELINE BAHAM (NPI# 1174057806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174057806 |
Entity Type | Individual |
Full Name | JACQUELINE BAHAM |
Credential | BA |
Practice Address |
2540 Severn Ave Ste 100 Metairie LA 70002 |
Mailing Address |
2540 Severn Ave Ste 100 Metairie LA 70002-5941 |
Practice Telephone | 5044543740 |
Practice Fax Number | 5044543738 |
Mailing Telephone | 5044543740 |
Mailing Fax Number | 5044543738 |
Enumeration Date | 2017-04-19 |
Last Update Date | 2018-06-28 |
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 |
Street Address |
2540 SEVERN AVE STE 100 |
City | METAIRIE |
State | LA |
Zip Code | 70002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902377815 | Roshand Lebeauf Miller | Case Manager/Care Coordinator | 2540 Severn Ave Ste 100, Metairie, LA 70002-5941 | 2018-12-17 |
1205318193 | Janee Tierra Chambers | Case Manager/Care Coordinator | 2540 Severn Ave Ste 100, Metairie, LA 70002-5941 | 2018-09-06 |
1982191185 | Sherrell Sams Griffin | Case Manager/Care Coordinator | 2540 Severn Ave Ste 100, Metairie, LA 70002 | 2018-04-13 |
1528565918 | Damien Anthony Moses X | Case Manager/Care Coordinator | 2540 Severn Ave Ste 100, Metairie, LA 70002 | 2018-04-11 |
1902303399 | Cedric Jerome Governor | Counselor | 2540 Severn Ave Ste 100, Metairie, LA 70002-5941 | 2018-04-11 |
1881109817 | Kristen Obbo | Counselor | 2540 Severn Ave Ste 100, Metairie, LA 70002-5941 | 2017-12-13 |
1073024899 | Chriscynthia Marie West | Community Health Worker | 2540 Severn Ave Ste 100, Metairie, LA 70002 | 2017-10-19 |
1801325915 | Terryelle Johnson | Counselor | 2540 Severn Ave Ste 100, Metairie, LA 70002-5941 | 2017-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114541737 | Solstice Technologies, Inc. | Clinical Medical Laboratory | 3501 Severn Ave Suite 24, Metairie, LA 70002 | 2020-05-29 |
1891335071 | Kristin Alongi | Nurse Practitioner | 3838 N Causeway Blvd. Ste 2200, Metairie, LA 70002 | 2020-01-15 |
1841850450 | Emily Suarez Tan | Dentist | 3301 Veterans Blvd., Suite 203, Metairie, LA 70002 | 2019-06-17 |
1902369317 | Unitedhealthcare of Louisiana, Inc. | Health Maintenance Organization | 3838 N. Causeway Blvd., Suite 2600, Metairie, LA 70002 | 2019-04-11 |
1013479195 | Jeffrey Scott Toler | Dentist | 2937 Veterans Memorial Blvd, Ste C, Metairie, LA 70002 | 2019-04-05 |
1982188470 | Kelly Brooke Anderson | Clinic/Center | 2215 Veterans Blvd, Metairie, LA 70002 | 2018-09-20 |
1831695253 | A&g Pediatrics LLC | Community Based Residential Treatment Facility, Mental Illness | 3001 Division St., Suite 206, Metairie, LA 70002 | 2018-04-04 |
1730691064 | Desire Care, LLC | Technician | 2800 Hessmer Ave, Suite B, Metairie, LA 70002 | 2017-10-26 |
1104338458 | Monet Wiltz | Case Manager/Care Coordinator | 2637 Edenborn Ave Ste 302, Metairie, LA 70002 | 2017-10-26 |
1316461395 | Crystal Mc Bride | Counselor | 3100 Ridgelake Dr. Suite 309, Metairie, LA 70002 | 2017-08-01 |
Find all providers in zip 70002 |
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 |
---|---|---|---|---|
1972117117 | Christina Dill | Case Manager/Care Coordinator | 2509 Mississippi Ave, Metairie, LA 70003-5441 | 2020-09-04 |
1417572561 | Kenneth W Vernon Jr. | Case Manager/Care Coordinator | 3105 Edenborn Ave Apt 803, Metairie, LA 70002-4709 | 2020-06-15 |
1669002861 | Andrea Williams | Case Manager/Care Coordinator | 3200 Taft Park, Metairie, LA 70002-5736 | 2020-01-16 |
1457994006 | Tiffany Higginbotham | Case Manager/Care Coordinator | 1813 Home Ave, Metairie, LA 70001-2320 | 2019-10-25 |
1336797703 | Vanessa Batiste-leal | Case Manager/Care Coordinator | 827 S. Causeway Blvd, Suite 206, Metairie, LA 70124 | 2019-08-29 |
1235786351 | Margaret Gay Thompson | Case Manager/Care Coordinator | 324 Montgomery Ave, Metairie, LA 70003-4314 | 2019-08-22 |
1891279246 | Duracare Counseling & Consulting Services, LLC | Case Manager/Care Coordinator | Duracare Counseling & Consulting Services LLC, 4323 Division St. Suite 102, Metairie, LA 70002-3179 | 2018-09-21 |
1871005504 | Theresa Ward | Case Manager/Care Coordinator | 7813 Airline Dr Ste B, Metairie, LA 70003 | 2017-11-03 |
1104338458 | Monet Wiltz | Case Manager/Care Coordinator | 2637 Edenborn Ave Ste 302, Metairie, LA 70002 | 2017-10-26 |
1336685270 | Monet Somerville | Case Manager/Care Coordinator | 3400 Kent Ave Apt A106, Metairie, LA 70006 | 2017-01-17 |
Find all providers in METAIRIE |
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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.