LYNN WEAVER (NPI# 1265083034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265083034 |
| Entity Type | Individual |
| Full Name | LYNN WEAVER |
| Practice Address |
4417 Brookmere Dr Se Kentwood MI 49512-5610 |
| Practice Telephone | 6164859865 |
| Mailing Telephone | 6164859865 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| 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 |
|---|---|---|---|---|
| 1164914750 | Lynn Weaver | Student in an Organized Health Care Education/Training Program | 121 N Nyes Rd, Harrisburg, PA 17112-3247 | 2018-05-31 |
| 1518116490 | Lynn C Weaver | Dental Hygienist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511 | 2008-09-16 |
| Street Address |
4417 BROOKMERE DR SE |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49512-5610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| 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 |
|---|---|---|---|---|
| 1205315157 | Brenda Faye Causey | Case Manager/Care Coordinator | 35103 Ollie Dedon Rd, Kentwood, LA 70444-5527 | 2018-08-11 |
| 1942785472 | Robert Dale Stoner IIi | Case Manager/Care Coordinator | 3300 36th St Se, Kentwood, MI 49512-2810 | 2018-10-01 |
| 1821270968 | Irma Ruth Ledy | Case Manager/Care Coordinator | 3300 36th St Se, Kentwood, MI 49512-2810 | 2007-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851670 | Kendall Brocavich | Case Manager/Care Coordinator | 397 Blunk St, Plymouth, MI 48170-3752 | 2020-11-04 |
| 1932700242 | Best Choice Health Services, LLC | Case Manager/Care Coordinator | 19300 Greenfield Rd Ste C, Detroit, MI 48235-2003 | 2020-11-03 |
| 1871193557 | Pierce Reynolds | Case Manager/Care Coordinator | 160 E Cambourne St, Ferndale, MI 48220-1310 | 2020-10-30 |
| 1588262331 | Emmarose Malone Dwyer | Case Manager/Care Coordinator | 3843 Thomas Rd, Oxford, MI 48371-1556 | 2020-10-14 |
| 1861090953 | Jordan Johnson | Case Manager/Care Coordinator | 19710 Cherry Hill St, Southfield, MI 48076-1061 | 2020-10-12 |
| 1871191957 | Katrina M Dicesare | Case Manager/Care Coordinator | 39340 Medallion Ct Apt 7103, Farmington Hills, MI 48331-4913 | 2020-10-12 |
| 1144837618 | Lisa Glover | Case Manager/Care Coordinator | 1977 Radcliff Ave Se, Grand Rapids, MI 49506-5140 | 2020-09-28 |
| 1891301347 | Cierra C Coward | Case Manager/Care Coordinator | 20752 Camden Sq Apt 205, Southfield, MI 48076-3824 | 2020-09-21 |
| 1245845791 | Amanda Evanoff | Case Manager/Care Coordinator | 4619 Jerome Rd, Clarkston, MI 48346-3735 | 2020-09-11 |
| 1326653122 | Malika Triplett | Case Manager/Care Coordinator | 3002 Meisner Ave, Flint, MI 48506-2434 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
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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.