WANDA JEAN PORTER (NPI# 1225524358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225524358 |
| Entity Type | Individual |
| Full Name | WANDA JEAN PORTER |
| Practice Address |
5980 Rhodes Rd Kent OH 44240-8100 |
| Mailing Address |
5982 Rhodes Rd Kent OH 44240-8100 |
| Practice Telephone | 3305480030 |
| Mailing Telephone | 3306731347 |
| Mailing Fax Number | 3306783677 |
| Enumeration Date | 2018-07-01 |
| Last Update Date | 2018-07-01 |
| 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 |
| Street Address |
5980 RHODES RD |
| City | KENT |
| State | OH |
| Zip Code | 44240-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940694 | Danielle Marie Giles | Counselor | 5980 Rhodes Rd, Kent, OH 44240-8100 | 2018-02-01 |
| 1366064586 | Jolynn Richards | Case Manager/Care Coordinator | 5980 Rhodes Rd, Kent, OH 44240-8100 | 2020-05-11 |
| 1144842451 | Gavin Lee Oranski | Case Manager/Care Coordinator | 5980 Rhodes Rd, Kent, OH 44240-8100 | 2020-05-08 |
| 1114402203 | Courtney Paige Klubek | Case Manager/Care Coordinator | 5980 Rhodes Rd, Kent, OH 44240-8100 | 2018-09-25 |
| 1366923526 | Stephanie Rae Caldwell | Case Manager/Care Coordinator | 5980 Rhodes Rd, Kent, OH 44240-8100 | 2018-08-27 |
| 1699261123 | Deanna Elizabeth Juan | Case Manager/Care Coordinator | 5980 Rhodes Rd, Kent, OH 44240-8100 | 2018-07-09 |
| 1104312198 | Robin Denise Greer | Case Manager/Care Coordinator | 5980 Rhodes Rd, Kent, OH 44240-8100 | 2018-07-03 |
| 1407340557 | Charles Wills Jr. | Case Manager/Care Coordinator | 5980 Rhodes Rd, Kent, OH 44240-8100 | 2018-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201887 | Julia Repasky | Speech-Language Pathologist | 4170 Oh-43, Kent, OH 44240 | 2020-09-24 |
| 1811515000 | Natasha Loveridge | Speech-Language Pathologist | 1949 Oh-59, Suite 202, Kent, OH 44240 | 2020-07-14 |
| 1215569256 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 247 Tallmadge Rd., Kent, OH 44240 | 2020-02-07 |
| 1710526702 | Rebecca K Cibik | Pediatrics | 2497 State Route 59, Kent, OH 44240 | 2019-12-23 |
| 1073099834 | Sean Joseph Hiemstra | Case Manager/Care Coordinator | 5982 Rhodes Road Kent Ohio 44240, Kent, OH 44240 | 2018-07-16 |
| 1740798081 | Mason Brain Yoder | Counselor | 1025 Erin Drive, Kent, OH 44240 | 2018-01-22 |
| 1710405055 | Ashley Barczok | Nurse Practitioner | 5982 Rhodes Road, Kent, OH 44240 | 2017-09-07 |
| 1073963930 | Kimberly Ruth Griffith | Counselor | 190 Currie Hall Pkwy Ste A, Kent, OH 44240 | 2016-06-21 |
| 1801257456 | Ra'mone Williams | Audiologist | 717 Beryl Dr, Kent, OH 44240 | 2016-03-10 |
| 1730546615 | Christina Cole | Nurse Practitioner | 1675 E Main St Ste 328, Kent, OH 44240 | 2016-01-22 |
| Find all providers in zip 44240 | ||||
| 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 |
|---|---|---|---|---|
| 1225691280 | Haley Christine Adams | Case Manager/Care Coordinator | 1662 Loblolly Ct Apt 246, Kent, OH 44240-7636 | 2019-04-16 |
| 1073099834 | Sean Joseph Hiemstra | Case Manager/Care Coordinator | 5982 Rhodes Road Kent Ohio 44240, Kent, OH 44240 | 2018-07-16 |
| 1376039784 | Cheyanne Michele Wilson | Case Manager/Care Coordinator | 5974 Rhodes Rd, Kent, OH 44240-8100 | 2018-07-09 |
| 1699204727 | Sarah O'neal | Case Manager/Care Coordinator | 23960 35th Pl S, Kent, WA 98032-3784 | 2017-06-12 |
| 1770623720 | Kevin Yi | Case Manager/Care Coordinator | 456 Wolcott Ave, Kent, OH 44240-2356 | 2007-02-07 |
| 1033710199 | Alyssa Marie Durocher | Case Manager/Care Coordinator | 5982 Rhodes Rd, Kent, OH 44240-8100 | 2020-11-05 |
| 1902413560 | Mackenzie Christina Murphy | Case Manager/Care Coordinator | 5982 Rhodes Rd, Kent, OH 44240-8100 | 2020-09-28 |
| 1972118933 | Aaron M Dubosar | Case Manager/Care Coordinator | 155 N Water St, Kent, OH 44240-2418 | 2020-09-15 |
| 1669080545 | Wendi Marie Darlas | Case Manager/Care Coordinator | 5982 Rhodes Rd, Kent, OH 44240-8100 | 2020-07-16 |
| 1114545076 | Samona S Laury | Case Manager/Care Coordinator | 5982 Rhodes Rd, Kent, OH 44240-8100 | 2020-07-08 |
| Find all providers in KENT | ||||
Please comment or provide details below to improve the information on WANDA JEAN PORTER.
| 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.