AHMAD D EVANS (NPI# 1184004582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184004582 |
| Entity Type | Individual |
| Full Name | AHMAD D EVANS |
| Practice Address |
5150 Highway 22 Ste C11 Mandeville LA 70471-2670 |
| Mailing Address |
750 Waxwing Dr Mandeville LA 70448-6109 |
| Practice Telephone | 9853267011 |
| Practice Fax Number | 9856851500 |
| Mailing Telephone | 9859560073 |
| Mailing Fax Number | 9856851500 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2019-11-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| 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 |
| Street Address |
5150 HIGHWAY 22 STE C11 |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70471-2670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598479 | Danya Soast Kane | Case Manager/Care Coordinator | 5150 Highway 22 Ste C11, Mandeville, LA 70471-2670 | 2018-11-29 |
| 1396260246 | Sylvia Fay Brumfield | Case Manager/Care Coordinator | 5150 Highway 22 Ste C11, Mandeville, LA 70471-2670 | 2017-08-11 |
| 1932571403 | Adrian Tigues | Social Worker | 5150 Highway 22 Ste C11, Mandeville, LA 70471-2670 | 2015-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398234 | Joshua Joseph Leblanc | Pharmacist | 541 Asbury Dr., Mandeville, LA 70471 | 2019-10-24 |
| 1700356789 | John R. Macgregor Jr. M.d. (apmc) | Non-Pharmacy Dispensing Site | 1502 West Causeway Approach, Suite D, Mandeville, LA 70471 | 2018-12-03 |
| 1619462082 | Southern Family Chiropractic, LLC | Chiropractor | 2077 North Causeway Blvd, Mandeville, LA 70471 | 2018-06-27 |
| 1518459833 | Marissa Rose Ledet Corneille | Audiologist | 1420 N Causeway Blvd., Mandeville, LA 70471 | 2018-06-01 |
| 1891285193 | Tyler Gravley | Chiropractor | 2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471 | 2018-05-14 |
| 1831640259 | Trey Stokes | Nurse Anesthetist, Certified Registered | 104 West Brighton Court, Mandeville, LA 70471 | 2016-10-20 |
| 1619420759 | Erin Salerno | Counselor | 6408 Village Ln, Mandeville, LA 70471 | 2016-07-25 |
| 1699121822 | Austin Fontenot | Chiropractor | 1011 N. Caueway Blvd. Ste 28, Mandeville, LA 70471 | 2016-05-06 |
| 1578935136 | Vanessa Hadden | Social Worker | 600 Mariners Plaza, Mandeville, LA 70471 | 2015-10-22 |
| 1134590912 | Slent Investments, LLC | Clinic/Center | 1420 North Causeway Boulevard, Suite B, Mandeville, LA 70471 | 2015-10-19 |
| Find all providers in zip 70471 | ||||
| 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 |
|---|---|---|---|---|
| 1396236725 | Alexia Fisher | Case Manager/Care Coordinator | 324 Chateau Sonesta, Mandeville, LA 70471-8511 | 2018-05-21 |
| 1376914820 | David Hastie | Case Manager/Care Coordinator | 2150 General Pershing Street, Mandeville, LA 70448 | 2015-10-09 |
| 1194108704 | Lauren Apkhazava | Case Manager/Care Coordinator | 823 Carroll St Ste B, Mandeville, LA 70448 | 2015-06-30 |
| 1194847053 | Benita Louise Cole | Case Manager/Care Coordinator | 5150 Highway 22, Mandeville, LA 70471-2620 | 2007-04-04 |
| 1457968224 | Natalie Dicharry | Case Manager/Care Coordinator | 820 Asbury Dr, Mandeville, LA 70471-1842 | 2020-09-25 |
| 1598373953 | Linda Bell | Case Manager/Care Coordinator | 820 Asbury Dr, Mandeville, LA 70471-1842 | 2020-07-21 |
| 1568088938 | Christon Crowley | Case Manager/Care Coordinator | 820 Asbury Dr, Mandeville, LA 70471-1842 | 2020-06-22 |
| 1033734629 | Crystal Roberson | Case Manager/Care Coordinator | 600 Mariners Plaza Dr Ste 603, Mandeville, LA 70448-6826 | 2020-06-10 |
| 1972137164 | Sylvia Dunn Mark | Case Manager/Care Coordinator | 820 Asbury Dr, Mandeville, LA 70471-1842 | 2020-02-26 |
| 1134762297 | Joyce Hunter | Case Manager/Care Coordinator | 820 Asbury Dr, Mandeville, LA 70471-1842 | 2019-10-22 |
| Find all providers in MANDEVILLE | ||||
| City | MANDEVILLE |
| Zip Code | 70471 |
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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.