BREANNA WALKER


Address: 1644 B Carter Street, Vidalia, LA 71373
Phone: 3184143065

BREANNA WALKER (NPI# 1184081853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184081853
Entity Type Individual
Full Name BREANNA WALKER
Practice Address 1644 B Carter Street
Vidalia
LA 71373
Mailing Address 1644 B Carter Street Suite 2
Vidalia
LA 71373
Practice Telephone 3184143065
Practice Fax Number 3184143067
Mailing Telephone 3184143065
Mailing Fax Number 3184143067
Enumeration Date 2016-01-26
Last Update Date 2019-01-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator LA Other Service Providers

Other Providers BREANNA WALKER

NPI Name Taxonomy Address Enumeration
1619532868 Breanna Blakley Walker Physician Assistant 650 Julian Rd, Salisbury, NC 28147-9078 2019-05-03
1174843635 Breanna Leah Walker Obstetrics & Gynecology 2000 Lake Ave, Woodstock, IL 60098-7401 2010-06-08

Office Location

Street Address 1644 B CARTER STREET
City VIDALIA
State LA
Zip Code 71373

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144711664 Ebony Hall-jones Counselor 1644 B Carter Street, Suite 2, Vidalia, LA 71373 2018-05-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710513494 Total Urgent Care Clinic/Center 4014 Carter Street, Vidalia, LA 71373 2020-03-13
1609412097 Hulin Urgent Care Services, LLC Clinic/Center 4319 Highway 84, Vidalia, LA 71373 2019-11-21
1720562556 Neashion Marie Davis Counselor 1644 B Carter Street. Suite #2, Vidalia, LA 71373 2018-09-18
1992292403 Angelica Francheska Woods Counselor 1644 B. Carter Street Suite 2, Vidalia, LA 71373 2018-04-19
1164973780 Linda Sherbia Counselor 1644 B Carter St., Suite 2, Vidalia, LA 71373 2016-10-19
1518418045 Cheryl Clark Case Manager/Care Coordinator 1644 B Carter Suite 2, Vidalia, LA 71373 2016-10-19
1972054500 Sherry Cade Counselor 1644 B Carter Street, Suite 2, Vidalia, LA 71373 2016-10-19
1457801136 Sarai Johnson Counselor 1644 B Carter Street Suite 2, Vidalia, LA 71373 2016-10-06
1053766410 Erin Fournet Woodruff Physical Therapist 402 Holly Street, Vidalia, LA 71373 2016-05-04
1184084113 Troy Nolan Thomas Jr. Counselor 4012 Carter St., Vidalia, LA 71373 2016-03-03
Find all providers in zip 71373

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518418045 Cheryl Clark Case Manager/Care Coordinator 1644 B Carter Suite 2, Vidalia, LA 71373 2016-10-19
1487025953 Felicia Bowman Case Manager/Care Coordinator 4012 Carter Street, Vidalia, LA 71373 2015-10-09
1326653536 Colton Davis Case Manager/Care Coordinator 1109 Carter St Ste 10, Vidalia, LA 71373-3227 2020-09-14
1437764651 Shelby Holsted Case Manager/Care Coordinator 1109 Carter St Ste 10, Vidalia, LA 71373-3227 2020-09-14
1114537826 Lasheka Coleman Eanochs Case Manager/Care Coordinator 4012 Carter St, Vidalia, LA 71373-3013 2020-08-06
1730798547 Valesha Johnson Case Manager/Care Coordinator 1109 Carter St Ste 10, Vidalia, LA 71373-3227 2020-07-28
1528677804 Kenya Simmons Case Manager/Care Coordinator 1109 Carter St Ste 10, Vidalia, LA 71373-3227 2020-07-23
1477176733 Danielle Spencer Case Manager/Care Coordinator 806 Carter St, Vidalia, LA 71373-3206 2020-05-21
1841826070 April Frost Case Manager/Care Coordinator 1109 Carter St Ste 10, Vidalia, LA 71373-3227 2020-03-19
1134753502 Tyshica Rodgers Case Manager/Care Coordinator 1109 Carter St Ste 10, Vidalia, LA 71373-3227 2020-02-25
Find all providers in VIDALIA

Competitor

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City VIDALIA
Zip Code 71373

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Dataset Information

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.

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