MRS. JEANNIE MARIE LAKES (NPI# 1366715443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366715443 |
| Entity Type | Individual |
| Full Name | MRS. JEANNIE MARIE LAKES |
| Practice Address |
137 Raven Drive Berea KY 40403 |
| Mailing Address |
137 Raven Dr Berea KY 40403-8707 |
| Practice Telephone | 8596252513 |
| Mailing Telephone | 8596252513 |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-02-20 |
| 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 |
| Street Address |
137 RAVEN DRIVE |
| City | BEREA |
| State | KY |
| Zip Code | 40403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
| 1710479241 | Mccays Total Care Pharmacy South LLC | Pharmacy | 852 Ridgewood Drive, Suite F, Berea, KY 40403 | 2018-05-31 |
| 1306371703 | Ariel Boyd | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403 | 2017-04-24 |
| 1093060188 | Kevin Allen Skidmore | Optometrist | 854 Ridgewood Drive, Berea, KY 40403 | 2012-07-16 |
| 1679858138 | Anita Zlamal | Pharmacist | 220 Richmond Rd, Berea, KY 40403 | 2011-10-17 |
| 1093099210 | Teresa Leigh Turner | Nurse Practitioner | 208 Kidd Drive, Berea, KY 40403 | 2011-10-06 |
| 1992005839 | Madison County Health Department | Public Health or Welfare | 751 Farristown Industrial, Berea, KY 40403 | 2010-10-26 |
| 1154632271 | Jones Family & Cosmetic Dentistry | Dentist | 201 Pauline Dr., Suite H, Berea, KY 40403 | 2010-06-23 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| 1144551573 | Annette A Freel | Psychologist | 164 Plaza Dr., Suite D, Berea, KY 40403 | 2010-01-25 |
| Find all providers in zip 40403 | ||||
| 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 |
|---|---|---|---|---|
| 1639485261 | Donna Saunders Eastham | Case Manager/Care Coordinator | 246 Marcellus Dr, Berea, KY 40403-2078 | 2010-08-20 |
| 1922230903 | Jamie Leeann Shepperson | Case Manager/Care Coordinator | 143 Newport Ln, Berea, KY 40403-8053 | 2009-08-10 |
| 1659420701 | Rachel V Fraley | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2007-01-09 |
| 1013077296 | Robin G Beaver | Case Manager/Care Coordinator | 84 Ridge Ave, Berea, KY 40403-1880 | 2006-12-11 |
| 1376161265 | Tyler Planck | Case Manager/Care Coordinator | 1000 Ace Dr, Berea, KY 40403-1327 | 2020-07-08 |
| 1093338378 | D'anthony Hanible | Case Manager/Care Coordinator | 398 W Bagley Rd Ste 216, Berea, OH 44017-1312 | 2020-05-21 |
| 1497378772 | Robert Guy | Case Manager/Care Coordinator | 398 W Bagley Rd Ste 216, Berea, OH 44017-1312 | 2020-05-21 |
| 1639720626 | Nicole Yvette Brooks | Case Manager/Care Coordinator | 398 W Bagley Rd, Berea, OH 44017-1369 | 2019-09-22 |
| 1447809736 | Amber Savannah Rose | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2019-09-09 |
| 1639739824 | Ashleigh Brooke Martin | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2019-06-19 |
| Find all providers in BEREA | ||||
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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.