MARILYN JOHNSON (NPI# 1184162554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184162554 |
Entity Type | Individual |
Full Name | MARILYN JOHNSON |
Credential | MS |
Practice Address |
9245 Wallace Lake Rd Ste A Shreveport LA 71106 |
Mailing Address |
9245 Wallace Lake Rd Ste A Shreveport LA 71106-7331 |
Practice Telephone | 3185102188 |
Mailing Telephone | 3182212828 |
Enumeration Date | 2017-02-06 |
Last Update Date | 2018-05-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | LA | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
351 W 79th St, Shreveport, LA 711064819 | 3186888190 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700175072 | Marilyn Elizabeth Johnson | Physical Therapy Assistant | 2525 Sw 75 Avenue, Miami, FL 33155 | 2011-04-07 |
1992031033 | Marilyn Johnson | Chiropractor | 1911 Lake Ave, Altadena, CA 91001-3037 | 2009-10-25 |
1073557708 | Marilyn Staroba Johnson | Physical Therapist | 5030 Camino De La Siesta Ste 220, San Diego, CA 92108-3118 | 2006-06-15 |
1932601044 | Marilyn J. Johnson | Counselor | 132 Riverview Dr Ste B, Flowood, MS 39232-8924 | 2018-03-05 |
1720595838 | Marilyn Michele Johnson | Case Manager/Care Coordinator | 911 Sycamore St, Cincinnati, OH 45202-1318 | 2018-01-10 |
1841664893 | Marilyn Johnson | Behavioral Analyst | 6330 Mcleod Dr Ste 3, Las Vegas, NV 89120-4431 | 2015-11-13 |
1326437773 | Marilyn Johnson | Clinic/Center | 1642 W Avenue J, Lancaster, CA 93534-2814 | 2015-01-22 |
1972904696 | Marilyn Molly Johnson | Registered Nurse | 1835 Franklin St, Denver, CO 80218-1126 | 2014-09-12 |
1811234701 | Marilyn Little Johnson | Speech-Language Pathologist | 5330 Raeford Rd, Fayetteville, NC 28304-3074 | 2013-01-11 |
1346531688 | Marilyn Faye Johnson | Speech-Language Pathologist | 10450 Brian Mooney Ave, El Paso, TX 79935-2809 | 2011-04-20 |
Street Address |
9245 WALLACE LAKE RD STE A |
City | SHREVEPORT |
State | LA |
Zip Code | 71106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538631684 | Alice Lewis | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106-7331 | 2018-12-28 |
1568958486 | Kourteni Henderson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106-7331 | 2018-07-03 |
1922519677 | Joe Nathan Duirden | Community Health Worker | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-10-21 |
1831600584 | Breanna Shawnta Hickman | Community Health Worker | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106-7331 | 2017-10-21 |
1659882397 | Yulonda Shonta Lane | Community Health Worker | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-10-21 |
1740791482 | Demarcus Williams | Community Health Worker | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106-7331 | 2017-10-21 |
1568973204 | Tyria Lashay Snow | Community Health Worker | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-10-21 |
1104337856 | Constance Colettle Ellis | Community Health Worker | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-10-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
1871044586 | Lester Jackson Jr. | Case Manager/Care Coordinator | 378 W. 79th St, Shreveport, LA 71106 | 2016-10-18 |
Find all providers in zip 71106 |
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 |
---|---|---|---|---|
1497360887 | Halena Jones | Case Manager/Care Coordinator | 9409 Chaparral Ln, Shreveport, LA 71118-4337 | 2020-09-11 |
1598376196 | Michaela Nicole Bradley | Case Manager/Care Coordinator | 10021 Stratmore Cir, Shreveport, LA 71115-3416 | 2020-08-17 |
1619585791 | Kimberly Bissell | Case Manager/Care Coordinator | 7505 Pines Rd Ste 1115, Shreveport, LA 71129-3900 | 2020-07-15 |
1902414170 | Unique Lashae Lister | Case Manager/Care Coordinator | 2611 Corbitt St, Shreveport, LA 71108-2805 | 2020-07-14 |
1407474828 | Angela Harris | Case Manager/Care Coordinator | 1111 W 70th St Apt 93, Shreveport, LA 71106-3558 | 2020-07-13 |
1669096921 | Ryan Barham | Case Manager/Care Coordinator | 824 Oneonta St, Shreveport, LA 71106-1130 | 2020-06-02 |
1922621085 | Julian White | Case Manager/Care Coordinator | 8529 Grover Pl, Shreveport, LA 71115-2707 | 2020-05-24 |
1396368817 | Shannon Marie Cannon | Case Manager/Care Coordinator | 1543 Summers St, Shreveport, LA 71108-3131 | 2020-05-19 |
1730701954 | Brianna Mason | Case Manager/Care Coordinator | 1533 Marshall St, Shreveport, LA 71101-3941 | 2020-05-11 |
1295355238 | Angela Rice | Case Manager/Care Coordinator | 2704 Frostwood Dr, Shreveport, LA 71108-5524 | 2020-04-20 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71106 |
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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.