MS. DEANNA S LOCKETT (NPI# 1376031674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376031674 |
| Entity Type | Individual |
| Full Name | MS. DEANNA S LOCKETT |
| Practice Address |
12625 Page Hill Ct Fort Wayne IN 46818-0012 |
| Practice Telephone | 2603484738 |
| Mailing Telephone | 2603484738 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |
| 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 |
|---|---|---|---|
| IN | 3500053430 | 05 |
| Street Address |
12625 PAGE HILL CT |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46818-0012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710464938 | Heather Smith | Day Training/Habilitation Specialist | 9434 Lima Road, Suite C, Fort Wayne, IN 46818 | 2018-07-20 |
| 1184146748 | Danielle Macias | Speech-Language Pathologist | 4935 Hillegas Road, Suite 200, Fort Wayne, IN 46818 | 2017-07-14 |
| 1801326533 | Kimberly M Kindt | Optometrist | 9426 Lima Rd Ste C, Fort Wayne, IN 46818 | 2017-06-15 |
| 1578983359 | Sarah Buzzard | Occupational Therapy Assistant | 9426 Lima Road, A, Fort Wayne, IN 46818 | 2014-04-21 |
| 1306196704 | Peter Yang Gaw Go | Occupational Therapist | 3406 Bluefield Place, Fort Wayne, IN 46818 | 2012-09-12 |
| 1043593536 | Carol Lynn Steinbach | Massage Therapist | 12101 Hand Rd., Fort Wayne, IN 46818 | 2011-09-21 |
| 1295058071 | Summit Nutrition Services, LLC | Dietitian, Registered | 3027 Mariposa Place, Fort Wayne, IN 46818 | 2010-03-08 |
| 1184871899 | The Arc of Northeast Indiana, Inc | Intermediate Care Facility, Mentally Retarded | 9104 Strathmore Lane, Fort Wayne, IN 46818 | 2008-08-25 |
| 1285851121 | Angela Coleman | Dentist | 10505 Lima Road, Fort Wayne, IN 46818 | 2007-04-20 |
| 1942335534 | Angela S King | Dentist | 9019 Lima Road, Fort Wayne, IN 46818 | 2007-02-22 |
| Find all providers in zip 46818 | ||||
| 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 |
|---|---|---|---|---|
| 1437766086 | Jaron Mathews Ford | Case Manager/Care Coordinator | 2710 Northaven Ct, Fort Wayne, IN 46825-7108 | 2020-09-28 |
| 1982234191 | Erin Hall | Case Manager/Care Coordinator | 5800 Faifield, Fort Wayne, IN 46807 | 2020-01-16 |
| 1194208348 | Ametria Russell | Case Manager/Care Coordinator | 7209 Engle Rd, Fort Wayne, IN 46804-2238 | 2018-09-13 |
| 1104247337 | Paytons Place, LLC | Case Manager/Care Coordinator | 409 East Cook Rd, Suite 100, Fort Wayne, IN 46825 | 2013-12-13 |
| 1427324219 | Tonyetta Eley | Case Manager/Care Coordinator | 2419 Shadyoak Dr, Fort Wayne, IN 46806-5329 | 2012-03-27 |
| 1174657480 | Robert Anthony Ford | Case Manager/Care Coordinator | 525 Oxford St., Fort Wayne, IN 46806 | 2007-03-16 |
| 1477635852 | Aids Task Force, Inc. | Case Manager/Care Coordinator | 525 Oxford St, Fort Wayne, IN 46806-4177 | 2006-10-19 |
| 1528665700 | Bryan Patrick Espinosa | Case Manager/Care Coordinator | 1825 Beacon St, Fort Wayne, IN 46805-4750 | 2020-10-01 |
| 1427655604 | Mark Robert Adang | Case Manager/Care Coordinator | 1825 Beacon St, Fort Wayne, IN 46805-4750 | 2020-10-01 |
| 1912519562 | Sydney Erin Bayer | Case Manager/Care Coordinator | 7209 Engle Rd Ste 200, Fort Wayne, IN 46804-2238 | 2020-08-17 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46818 |
Please comment or provide details below to improve the information on MS. DEANNA S LOCKETT.
| 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.