LEE ANN CLARK (NPI# 1215491048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215491048 |
| Entity Type | Individual |
| Full Name | LEE ANN CLARK |
| Practice Address |
326 W 11th St Shawnee OK 74801-6710 |
| Mailing Address |
607 N Beard Ave Shawnee OK 74801-6105 |
| Practice Telephone | 9186961545 |
| Mailing Telephone | 9186961545 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053735464 | Lee Ann Clark | Registered Nurse | 15305 Waller Rd E, Tacoma, WA 98446-1533 | 2014-02-06 |
| 1790817948 | Lee Lani Clark | Counselor | 2221 Enborg Ln, San Jose, CA 95128-2608 | 2007-03-12 |
| 1497899272 | Lee W Clark | Psychiatry & Neurology | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2007-02-16 |
| 1417910860 | Lee A Clark Jr. | Optometrist | 1707 Medical Park Dr W, Wilson, NC 27893-2788 | 2006-04-07 |
| Street Address |
326 W 11TH ST |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74801-6710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019933 | Jana Alicyn Satzler | Case Manager/Care Coordinator | 326 W 11th St, Shawnee, OK 74801-6710 | 2020-10-05 |
| 1750990719 | Michael Robert Haider | Contractor | 326 W 11th St, Shawnee, OK 74801-6710 | 2020-07-27 |
| 1154930311 | Kristin Linn Brown | Case Manager/Care Coordinator | 326 W 11th St, Shawnee, OK 74801-6710 | 2020-07-23 |
| 1083237564 | Debra Joan Webster | Case Manager/Care Coordinator | 326 W 11th St, Shawnee, OK 74801-6710 | 2020-05-19 |
| 1922621481 | Kaylee Wilburn | Counselor | 326 W 11th St, Shawnee, OK 74801-6710 | 2020-05-19 |
| 1366063935 | Gabrielle R Watts | Case Manager/Care Coordinator | 326 W 11th St, Shawnee, OK 74801-6710 | 2020-05-05 |
| 1114553716 | Julianne Ennis | Case Manager/Care Coordinator | 326 W 11th St, Shawnee, OK 74801-6710 | 2020-03-16 |
| 1972134237 | Kelsey Case | Case Manager/Care Coordinator | 326 W 11th St, Shawnee, OK 74801-6710 | 2020-01-27 |
| 1831647791 | Sharon Trammell | Social Worker | 326 W 11th St, Shawnee, OK 74801-6710 | 2016-09-20 |
| 1346798295 | David Colvin | Social Worker | 326 W 11th St, Shawnee, OK 74801-6710 | 2016-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
| 1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
| 1134532229 | Megan Malouf | Registered Nurse | 2307 Gordon Cooper Dr., Shawnee, OK 74801 | 2014-06-05 |
| 1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
| 1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
| 1881948644 | Lena I Samilton | Counselor | 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 | 2012-11-01 |
| 1235433681 | Jenifer Sloan | Case Manager/Care Coordinator | 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 | 2010-12-28 |
| 1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
| 1942375274 | M Gerald Ball | Psychologist | 819 North Kickapoo, Shawnee, OK 74801 | 2006-11-21 |
| 1205912573 | Regina Steciak Tanner | Physical Therapist | 909 N Kickapoo, Shawnee, OK 74801 | 2006-10-31 |
| Find all providers in zip 74801 | ||||
| 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 |
|---|---|---|---|---|
| 1134753833 | Karley Rian English | Case Manager/Care Coordinator | 1204 N Market Ave, Shawnee, OK 74801-4924 | 2020-03-03 |
| 1194369090 | Jamie Hileman | Case Manager/Care Coordinator | 1829 N Louisa Ave, Shawnee, OK 74804-3627 | 2019-11-04 |
| 1225527278 | Lisa I Zientek | Case Manager/Care Coordinator | 108 Rene Pl, Shawnee, OK 74804-8980 | 2018-05-04 |
| 1083131437 | Calla Cashai Carolina | Case Manager/Care Coordinator | 712 W Wood St, Shawnee, OK 74801-4705 | 2017-08-26 |
| 1033650080 | Micaela R Yu | Case Manager/Care Coordinator | 2521 Bradford Ct, Shawnee, OK 74804-1837 | 2017-03-09 |
| 1225489818 | Billy Wayne Copeland | Case Manager/Care Coordinator | 2208 N Minnesota Ave, Shawnee, OK 74804-3029 | 2016-06-25 |
| 1508223314 | Jennifer Creecy | Case Manager/Care Coordinator | 1510 N Minnesota Ave, Shawnee, OK 74804-3841 | 2016-01-25 |
| 1144608563 | Troy Thomas Becker | Case Manager/Care Coordinator | 1900 Brownstone Way, Shawnee, OK 74804-1843 | 2015-05-18 |
| 1639568355 | Jeana Tiger | Case Manager/Care Coordinator | 33207 45th St, Shawnee, OK 74804-3423 | 2015-01-19 |
| 1952722704 | Janet Durbin | Case Manager/Care Coordinator | 1204 Monroe Dr, Shawnee, OK 74804-4139 | 2013-12-20 |
| Find all providers in SHAWNEE | ||||
Please comment or provide details below to improve the information on LEE ANN CLARK.
| 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.