RENEE MARIE BRAXTON (NPI# 1316405467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316405467 |
| Entity Type | Individual |
| Full Name | RENEE MARIE BRAXTON |
| Practice Address |
109 S 2nd St Central City KY 42330-1505 |
| Mailing Address |
Po Box 614 Hopkinsville KY 42241-0614 |
| Practice Telephone | 2709315113 |
| Practice Fax Number | 2707544633 |
| Mailing Telephone | 2708862205 |
| Mailing Fax Number | 2708860392 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |
| 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 |
109 S 2ND ST |
| City | CENTRAL CITY |
| State | KY |
| Zip Code | 42330-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629627369 | Ja'vonna Danielle Gott | Counselor | 109 S 2nd St, Central City, KY 42330-1505 | 2019-09-05 |
| 1437662038 | Terri Schulze | Peer Specialist | 109 S 2nd St, Central City, KY 42330-1505 | 2017-11-06 |
| 1154834703 | Timothy Martin | Peer Specialist | 109 S 2nd St, Central City, KY 42330-1505 | 2017-11-06 |
| 1083084214 | Ava Allen | Counselor | 109 S 2nd St, Central City, KY 42330-1505 | 2015-09-30 |
| 1922423763 | Lori Humphries | Counselor | 109 S 2nd St, Central City, KY 42330 | 2014-03-04 |
| 1285058560 | Mallory Moore | Social Worker | 109 S 2nd St, Central City, KY 42330-1505 | 2014-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194200550 | Cross Services, Inc | Pharmacy | 1603 West Everly Brothers Blvd, Suite 2d, Central City, KY 42330 | 2018-10-01 |
| 1154679520 | Eades Family Dentistry | Dentist | 1603 W Everly Bros Blvd Suite 2a, Central City, KY 42330 | 2012-08-16 |
| 1760683874 | Holly Ann Courtney | Pharmacist | 102 West Broad Street, Central City, KY 42330 | 2007-05-29 |
| 1427274703 | Shirley Brewer Hunt | Dentist | 200 W Reservoir, Central City, KY 42330 | 2007-04-17 |
| 1053537332 | James Brewer Jr. | Dentist | 200 West Reservoir, Central City, KY 42330 | 2007-04-17 |
| 1861514226 | Carrie Lynn Mcpherson | Speech-Language Pathologist | 906 W Everly Brothers Blvd, Central City, KY 42330 | 2007-04-05 |
| 1134224140 | Gerald Wayne Joines II | Chiropractor | 1731 W Everly Bros Blvd, Central City, KY 42330 | 2006-09-14 |
| 1891800454 | David Scott Morehead | Dentist | 300 West Broad St, Central City, KY 42330 | 2006-08-21 |
| 1467823328 | A New Start II, LLC | Counselor | 222 Phillip Stone Way, Central City, KY 42330 | 2015-10-16 |
| 1255515748 | Muhlenberg County Health Dept | Public Health or Welfare | 1000 N Main St, Central City, KY 42330 | 2007-12-20 |
| Find all providers in zip 42330 | ||||
| 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 |
|---|---|---|---|---|
| 1992204846 | Alyssa Marie Thomas | Case Manager/Care Coordinator | 222 Phillip Stone Way, Central City, KY 42330-1929 | 2018-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607605 | Yasmeen Barnes | Case Manager/Care Coordinator | 10207 Allentree Pl, Louisville, KY 40229-2214 | 2020-10-22 |
| 1669070348 | Ryan Bailey Meade | Case Manager/Care Coordinator | 1203 Greeting Card Road, Corbin, KY 40701-4811 | 2020-10-14 |
| 1669087466 | Sherry L Young | Case Manager/Care Coordinator | 72 Southland Dr, Somerset, KY 42501-6120 | 2020-09-09 |
| 1447863493 | Stacie Elizabeth Centers | Case Manager/Care Coordinator | 3212 Meeting Creek Rd, Eastview, KY 42732-9751 | 2020-08-28 |
| 1457963779 | Rebecca Erin Miller | Case Manager/Care Coordinator | 100 Francis St, Irvine, KY 40336-1018 | 2020-08-18 |
| 1952911190 | Arianne Riley | Case Manager/Care Coordinator | 418 W 9th St, Covington, KY 41011-2145 | 2020-08-03 |
| 1851914048 | Ryon Piphus | Case Manager/Care Coordinator | 1169 Eastern Pkwy Ste 336, Louisville, KY 40217-1417 | 2020-05-21 |
| 1518591908 | Sabrina Lee Stapp | Case Manager/Care Coordinator | 1500 Parkside Dr, Bowling Green, KY 42101-2756 | 2020-02-25 |
| 1801435524 | Virginia Carroll Shea | Case Manager/Care Coordinator | 1044 Rose Cir, Park Hills, KY 41011-1925 | 2019-12-27 |
| 1154969129 | Michelle Rae Hicks | Case Manager/Care Coordinator | 1151 S 4th St Ste 208, Louisville, KY 40203-3101 | 2019-12-20 |
| Find all providers with the same taxonomy | ||||
| City | CENTRAL CITY |
| Zip Code | 42330 |
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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.