MISS DOMINIQUE STEVENSON


Address: 6800 Rasberry Lane Apt.1901, Shreveport, LA 71129
Phone: 3188345287

MISS DOMINIQUE STEVENSON (NPI# 1407381973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407381973
Entity Type Individual
Full Name MISS DOMINIQUE STEVENSON
Practice Address 6800 Rasberry Lane Apt.1901
Shreveport
LA 71129
Mailing Address 6800 Rasberry Ln Apt 1901
Shreveport
LA 71129-2525
Practice Telephone 3188345287
Mailing Telephone 3188345287
Enumeration Date 2017-04-21
Last Update Date 2019-03-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist Other Service Providers
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers DOMINIQUE STEVENSON

NPI Name Taxonomy Address Enumeration
1194363796 Dominique Stevenson Licensed Vocational Nurse 6733 Camp Bowie Blvd, Fort Worth, TX 76116-7112 2019-12-13

Office Location

Street Address 6800 RASBERRY LANE APT.1901
City SHREVEPORT
State LA
Zip Code 71129

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184241739 D&d Transportation Agency LLC Non-emergency Medical Transport (VAN) 6171 Bert Kouns Industrial Loop, Apt D100, Shreveport, LA 71129 2020-06-30
1013407006 Kimron Smith Counselor 7550 Pines Road Suite 1115, Shreveport, LA 71129 2018-05-15
1801383518 Latarsha Parker Counselor 6009 Financial Plaza, Suite 105, Shreveport, LA 71129 2018-04-18
1003317652 Demarkus Webb Case Manager/Care Coordinator 6117 Newton Abbott Dr, Shreveport, LA 71129 2018-02-27
1073024014 Charnita Thomas Case Manager/Care Coordinator 5610 Buncombe Rd Apt 504, Shreveport, LA 71129 2017-10-17
1578073334 Keyon Williams Counselor 7000 Red Fox Trail, Shreveport, Shreveport, LA 71129 2017-10-06
1689193765 Beranna R Smith Physical Therapy Assistant 8186 Dance Dr., Shreveport, LA 71129 2017-09-11
1699204982 Bac Foundation Community/Behavioral Health 8500 Pines Rd 19, Shrevepot, LA 71129 2017-06-08
1538692496 Dale Smith Counselor 5925 Dexter Pl, Shreveport, LA 71129 2017-04-07
1942740162 Shante Gardner Counselor 6009 Financial Plz Ste 230, Shreveport, LA 71129 2017-03-07
Find all providers in zip 71129

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497360887 Halena Jones Case Manager/Care Coordinator 9409 Chaparral Ln, Shreveport, LA 71118-4337 2020-09-11
1598376196 Michaela Nicole Bradley Case Manager/Care Coordinator 10021 Stratmore Cir, Shreveport, LA 71115-3416 2020-08-17
1619585791 Kimberly Bissell Case Manager/Care Coordinator 7505 Pines Rd Ste 1115, Shreveport, LA 71129-3900 2020-07-15
1902414170 Unique Lashae Lister Case Manager/Care Coordinator 2611 Corbitt St, Shreveport, LA 71108-2805 2020-07-14
1407474828 Angela Harris Case Manager/Care Coordinator 1111 W 70th St Apt 93, Shreveport, LA 71106-3558 2020-07-13
1669096921 Ryan Barham Case Manager/Care Coordinator 824 Oneonta St, Shreveport, LA 71106-1130 2020-06-02
1922621085 Julian White Case Manager/Care Coordinator 8529 Grover Pl, Shreveport, LA 71115-2707 2020-05-24
1396368817 Shannon Marie Cannon Case Manager/Care Coordinator 1543 Summers St, Shreveport, LA 71108-3131 2020-05-19
1730701954 Brianna Mason Case Manager/Care Coordinator 1533 Marshall St, Shreveport, LA 71101-3941 2020-05-11
1295355238 Angela Rice Case Manager/Care Coordinator 2704 Frostwood Dr, Shreveport, LA 71108-5524 2020-04-20
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71129

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Dataset Information

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.

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