SHANTILA NICOLE WOLFORD (NPI# 1386095032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386095032 |
| Entity Type | Individual |
| Full Name | SHANTILA NICOLE WOLFORD |
| Practice Address |
411 Gibson Lane Richmond KY 40475 |
| Practice Telephone | 8596265030 |
| Practice Fax Number | 8596268020 |
| Mailing Telephone | 8596265030 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-07-01 |
| 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 |
411 GIBSON LANE |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| 1043679186 | Sylvia Michelle Jones | Speech-Language Pathologist | 2150 Lexington Road, Suite G, Richmond, KY 40475 | 2016-02-17 |
| Find all providers in zip 40475 | ||||
| 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 |
|---|---|---|---|---|
| 1558961102 | Melanie Welzel | Case Manager/Care Coordinator | 500 Hull St Apt 314, Richmond, VA 23224-4348 | 2020-10-31 |
| 1205469814 | Raymon Ward | Case Manager/Care Coordinator | 3813 Old Post Rd, Richmond, VA 23234-2023 | 2020-02-21 |
| 1285277467 | Shamika Melton | Case Manager/Care Coordinator | 6316 Oak Middle Ct Apt 304, Richmond, VA 23231-4870 | 2019-10-21 |
| 1497305171 | Kenithia Evans | Case Manager/Care Coordinator | 6966 Chessgate Falls Ln, Richmond, TX 77469-1818 | 2019-09-16 |
| 1689226540 | Mercades Chevis | Case Manager/Care Coordinator | 19118 Cannon Hills Ln, Richmond, TX 77407-8608 | 2019-07-11 |
| 1609338268 | Nadine Deborah De La Torre | Case Manager/Care Coordinator | 244 S 47th St Apt B, Richmond, CA 94804-3498 | 2019-04-03 |
| 1861956708 | Marcy Williams | Case Manager/Care Coordinator | 312 Brook Rd, Richmond, VA 23220-4225 | 2019-01-24 |
| 1790278000 | Miranda Nicole Dobbs | Case Manager/Care Coordinator | 1081 Heathcliff Dr, Richmond, KY 40475-2659 | 2018-06-11 |
| 1477050433 | Maurie Dennis | Case Manager/Care Coordinator | 1600 Eagles Roost Ct, Richmond, VA 23223-1274 | 2018-04-06 |
| 1790284537 | Alicia Rashelle Harris | Case Manager/Care Coordinator | 151 W Commerce Rd Apt 322, Richmond, VA 23224-2374 | 2018-02-07 |
| Find all providers in RICHMOND | ||||
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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.