MR. BEAU JENNINGS (NPI# 1235406661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235406661 |
| Entity Type | Individual |
| Full Name | MR. BEAU JENNINGS |
| Credential | BA |
| Practice Address |
6110 Shallowford Rd Suite B Chattanooga TN 37421-1894 |
| Mailing Address |
600 Tremont St Apt 3 Chattanooga TN 37405-4190 |
| Practice Telephone | 4235094128 |
| Mailing Telephone | 3256602998 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275568115 | Beau Charles Jennings | Family Medicine | 1551 N 9th St, Broken Arrow, OK 74012-8898 | 2006-07-11 |
| Street Address |
6110 SHALLOWFORD RD SUITE B |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-1894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275569774 | Christopher Douglas Blazina | Psychologist | 6110 Shallowford Rd, C O Crc, Chattanooga, TN 37421-1615 | 2006-06-25 |
| 1245839240 | Rachel Collins | Counselor | 6110 Shallowford Rd, Chattanooga, TN 37421-1894 | 2020-10-21 |
| 1245838622 | Alison Morris | Counselor | 6110 Shallowford Rd, Chattanooga, TN 37421-1894 | 2020-10-16 |
| 1700491719 | Ann Marie Moore | Counselor | 6110 Shallowford Rd, Chattanooga, TN 37421-1894 | 2020-09-15 |
| 1922610336 | Jessica Irvin | Social Worker | 6110 Shallowford Rd, Chattanooga, TN 37421-1894 | 2020-08-18 |
| 1356952519 | William Griffin Hatcliff Jr. | Counselor | 6110 Shallowford Rd, Chattanooga, TN 37421-1894 | 2020-08-12 |
| 1720698525 | Kelseigh Garrett | Counselor | 6110 Shallowford Rd, Chattanooga, TN 37421-1894 | 2020-08-06 |
| 1184233868 | Shirley Miriah Carroll | Social Worker | 6110 Shallowford Rd, Chattanooga, TN 37421-1894 | 2020-07-28 |
| 1356959696 | Vienna Cornell | Counselor | 6110 Shallowford Rd, Chattanooga, TN 37421-1894 | 2020-07-22 |
| 1669095907 | Jason Hamrick | Registered Nurse | 6110 Shallowford Rd, Chattanooga, TN 37421-1894 | 2020-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| 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 |
|---|---|---|---|---|
| 1053785147 | Charlotte Williams | Case Manager/Care Coordinator | 8808 Heathfield Dr, Chattanooga, TN 37416-1522 | 2015-11-30 |
| 1801268370 | Chris Morgan | Case Manager/Care Coordinator | 530 Cherokee Blvd, B, Chattanooga, TN 37405-3815 | 2015-10-23 |
| 1174942601 | Tyler Covington | Case Manager/Care Coordinator | 601 S Holtzclaw Ave, Chattanooga, TN 37421 | 2014-04-14 |
| 1669722997 | Stephanie Denise Delaney | Case Manager/Care Coordinator | 7502 Berthas Place, Chattanooga, AMERICA 37421 | 2012-09-13 |
| 1528344439 | Ira Canada | Case Manager/Care Coordinator | 1510 Anderson Ave, Chattanooga, TN 37404-4204 | 2011-10-25 |
| 1689800575 | Stacey Marie Bristol | Case Manager/Care Coordinator | 601 Cumberland Street, Chattanooga, TN 37404-1922 | 2009-06-05 |
| 1275131195 | Asia Danielle Burks | Case Manager/Care Coordinator | 6055 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-10-13 |
| 1558975243 | Heather Wooten | Case Manager/Care Coordinator | 601 Cumberland St, Chattanooga, TN 37404-1922 | 2020-09-01 |
| 1932719069 | Sharice Hill | Case Manager/Care Coordinator | 6049 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-08-04 |
| 1942819347 | Heather Christine Bayer | Case Manager/Care Coordinator | 601 Cumberland St, Chattanooga, TN 37404-1922 | 2020-07-31 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on MR. BEAU JENNINGS.
| 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.