TANGELA S. WATSON (NPI# 1336705086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336705086 |
| Entity Type | Individual |
| Full Name | TANGELA S. WATSON |
| Practice Address |
706 Highway 51 N Brookhaven MS 39601-2366 |
| Mailing Address |
Po Box 984 Fayette MS 39069-0984 |
| Practice Telephone | 6019902513 |
| Practice Fax Number | 6019902526 |
| Mailing Telephone | 6015320245 |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-17 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | DRIVER'S LICENSE | 801415495 | 01 |
| Street Address |
706 HIGHWAY 51 N |
| City | BROOKHAVEN |
| State | MS |
| Zip Code | 39601-2366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995593 | Kersten Vanem | Counselor | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-01-08 |
| 1407497621 | Randall K Jones | Counselor | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-09-30 |
| 1821643958 | Sarah Hux | Contractor | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-08-06 |
| 1417502923 | Allisa Alexander | Counselor | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-08-02 |
| 1487208377 | Felicia Byrd | Counselor | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-07-29 |
| 1609333251 | Valencia Bingham | Counselor | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-03-01 |
| 1497212054 | Rejohna Bledsoe | Counselor | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-03-01 |
| 1699232256 | Porcia Combs | Counselor | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-03-01 |
| 1902363567 | Courtney Fleming | Counselor | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-03-01 |
| 1033676721 | Kristi D. Webber | Counselor | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1306371687 | Rocky Mountain Holdings, LLC | Ambulance | 411 Highway 51 N, Brookhaven, MS 39601 | 2017-04-25 |
| 1043759269 | Candace C Turner | Counselor | 860 E River Pl Suite 100, Jackson, MS 39601 | 2017-02-21 |
| 1619419694 | Therapy Nook PC | Speech-Language Pathologist | 520 Schwem Avenue, Brookhaven, MS 39601 | 2016-11-08 |
| 1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
| 1134597107 | Passionate Care Home Health,llc | Home Health | 537 St Charles Places, Brookhaven, MS 39601 | 2015-09-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1386930113 | Hospice Advantage, LLC. | Hospice Care, Community Based | 120 W Cherokee St, Brookhaven, MS 39601 | 2011-06-20 |
| Find all providers in zip 39601 | ||||
| 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 |
|---|---|---|---|---|
| 1255883468 | Charlene Sealy | Case Manager/Care Coordinator | 1350 Dresden Dr Ne, Brookhaven, GA 30319-3454 | 2016-11-04 |
| 1093122731 | Antonette Smith | Case Manager/Care Coordinator | 216 Spruce St, Brookhaven, MS 39601-3385 | 2014-07-15 |
| 1194322446 | Cheyenne Grace Skinner | Case Manager/Care Coordinator | 3103 Clairmont Rd Ne, Brookhaven, GA 30329-1043 | 2020-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048650 | Eppsinstituteforhealthyfamilyandcommunityliving,llc | Case Manager/Care Coordinator | 501 W County Line Rd, Tougaloo, MS 39174-9606 | 2020-03-16 |
| 1053945717 | Shannon Gautier | Case Manager/Care Coordinator | 209 Huntington Hill Dr, Clinton, MS 39056-6322 | 2020-03-02 |
| 1982262101 | Timothy Cook | Case Manager/Care Coordinator | 604 Highway 80 W Ste Roffice2, Clinton, MS 39056-4108 | 2019-06-03 |
| 1013478643 | Makeshia Warden | Case Manager/Care Coordinator | 655 Pine Ln, Jackson, MS 39212-3563 | 2019-03-27 |
| 1053809053 | Natasha W Tyler | Case Manager/Care Coordinator | 5615 Brentwood Dr, Jackson, MS 39211-4233 | 2018-04-25 |
| 1124526322 | Khalihah Ellis | Case Manager/Care Coordinator | 980 Fairwood Dr, Grenada, MS 38901-3609 | 2018-01-23 |
| 1376083204 | Sharon Harris | Case Manager/Care Coordinator | 138 Kaye Dr, Columbus, MS 39702-7880 | 2017-02-25 |
| 1982056651 | Barbara Cox | Case Manager/Care Coordinator | 341 E Main St Ste A-1, Tupelo, MS 38804-4025 | 2016-07-06 |
| 1659737286 | Life Changing Adult Daycare | Case Manager/Care Coordinator | 305 Birch Ave, Indianola, MS 38751-2107 | 2016-01-12 |
| 1073983433 | Lillie Christine Hauer | Case Manager/Care Coordinator | 9 Roux 61, Suite C, Natchez, MS 39120 | 2015-09-29 |
| Find all providers with the same taxonomy | ||||
| City | BROOKHAVEN |
| Zip Code | 39601 |
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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.