RENEE WATSON (NPI# 1386100568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386100568 |
| Entity Type | Individual |
| Full Name | RENEE WATSON |
| Practice Address |
17746 Oak Park Ave Tinley Park IL 60477-3936 |
| Practice Telephone | 7084441012 |
| Mailing Telephone | 7084441012 |
| Mailing Fax Number | 7086147831 |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639337264 | Renee Samone Watson | Occupational Therapist | 32726 Winona, Westland, MI 48185 | 2008-05-30 |
| 1669420089 | Renee G Watson | Family Medicine | 713 Wilkins St, Smithfield, NC 27577-4647 | 2006-05-05 |
| 1851667976 | Renee R Watson | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2012-03-23 |
| 1013051242 | Renee Colette Watson | Social Worker | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2007-02-19 |
| Street Address |
17746 OAK PARK AVE |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60477-3936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346304979 | Grand Prairie Services | Clinic/Center | 17746 Oak Park Ave, Tinley Park, IL 60477-3936 | 2006-12-20 |
| 1407464860 | Brian Williams | Counselor | 17746 Oak Park Ave, Tinley Park, IL 60477-3936 | 2020-07-21 |
| 1073157939 | Ryan Thomas | Counselor | 17746 Oak Park Ave, Tinley Park, IL 60477-3936 | 2019-11-04 |
| 1154965010 | Fred Groves | Counselor | 17746 Oak Park Ave, Tinley Park, IL 60477-3936 | 2019-11-04 |
| 1831742345 | Naisa Holmes | Counselor | 17746 Oak Park Ave, Tinley Park, IL 60477-3936 | 2019-07-23 |
| 1801454699 | Patricia Young | Case Manager/Care Coordinator | 17746 Oak Park Ave, Tinley Park, IL 60477-3936 | 2019-06-05 |
| 1265994735 | Keisha Kimble | Counselor | 17746 Oak Park Ave, Tinley Park, IL 60477-3936 | 2019-04-03 |
| 1740747567 | Pleashette Pinkston | Case Manager/Care Coordinator | 17746 Oak Park Ave, Tinley Park, IL 60477-3936 | 2019-02-28 |
| 1134693070 | Levon Davis | Counselor | 17746 Oak Park Ave, Tinley Park, IL 60477-3936 | 2019-01-14 |
| 1740764414 | Sharron Hannah | Counselor | 17746 Oak Park Ave, Tinley Park, IL 60477-3936 | 2018-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
| 1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
| 1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| Find all providers in zip 60477 | ||||
| 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 |
|---|---|---|---|---|
| 1093012304 | Amanda Koerber | Case Manager/Care Coordinator | 6015 Lakeside Pl, Tinley Park, IL 60477-1979 | 2011-02-23 |
| 1487831541 | Joan Tomczak | Case Manager/Care Coordinator | 16700 Anne Marie Dr, Tinley Park, IL 60477-2996 | 2008-01-30 |
| 1801454699 | Patricia Young | Case Manager/Care Coordinator | 17746 Oak Park Ave, Tinley Park, IL 60477-3936 | 2019-06-05 |
| 1740747567 | Pleashette Pinkston | Case Manager/Care Coordinator | 17746 Oak Park Ave, Tinley Park, IL 60477-3936 | 2019-02-28 |
| 1144731159 | Daniel Dees | Case Manager/Care Coordinator | 17746 Oak Park Ave, Tinley Park, IL 60477-3936 | 2017-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887157 | Forefront Healthcare Solutions, Inc. | Case Manager/Care Coordinator | 60 E Monroe St Unit 3801, Chicago, IL 60603-2751 | 2020-10-08 |
| 1205441698 | Desirae Mccrainey | Case Manager/Care Coordinator | 55 E Monroe St Ste 38109, Chicago, IL 60603-5713 | 2020-09-11 |
| 1871119966 | Nimble Corporation | Case Manager/Care Coordinator | 28369 Davis Pkwy Ste 403, Warrenville, IL 60555-3036 | 2020-06-24 |
| 1659993954 | Aubrey Williams | Case Manager/Care Coordinator | 1533 W Warren Blvd, Chicago, IL 60607-1852 | 2020-05-11 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1720616063 | Amber Lynn Gille | Case Manager/Care Coordinator | 13262 Foxglove Ln, Winnebago, IL 61088-9012 | 2020-03-31 |
| 1467084897 | Lisa S Johnson | Case Manager/Care Coordinator | 510 Exeter Pl, Lake Forest, IL 60045-1521 | 2020-02-04 |
| 1073158085 | Danny Living | Case Manager/Care Coordinator | 1050 Freemont St, Yorkville, IL 60560-2074 | 2019-11-13 |
| 1235772864 | Rebekah Johnson | Case Manager/Care Coordinator | 208 E 87th St, Chicago, IL 60619-6040 | 2019-10-27 |
| 1558903161 | Isadora Borrero | Case Manager/Care Coordinator | 1850 W Highland Ave # F101, Elgin, IL 60123-5095 | 2019-10-15 |
| Find all providers with the same taxonomy | ||||
| City | TINLEY PARK |
| Zip Code | 60477 |
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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.