RENATA PEAVY (NPI# 1437549334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437549334 |
| Entity Type | Individual |
| Full Name | RENATA PEAVY |
| Practice Address |
2241 Thornton Taylor Pkwy Fayetteville TN 37334-3637 |
| Practice Telephone | 8882914357 |
| Mailing Telephone | 8882914357 |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |
| 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 |
2241 THORNTON TAYLOR PKWY |
| City | FAYETTEVILLE |
| State | TN |
| Zip Code | 37334-3637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780712745 | Amy Macmurdo-broadhurst | Case Manager/Care Coordinator | 2241 Thornton Taylor Pkwy, Fayetteville, TN 37334-3637 | 2007-03-01 |
| 1295376317 | Micah Quincey O'dell | Social Worker | 2241 Thornton Taylor Pkwy, Fayetteville, TN 37334-3637 | 2019-09-30 |
| 1790261261 | Veronica Lewis | Counselor | 2241 Thornton Taylor Pkwy, Fayetteville, TN 37334-3637 | 2018-07-17 |
| 1487104543 | Carla Rutledge | Case Manager/Care Coordinator | 2241 Thornton Taylor Pkwy, Fayetteville, TN 37334-3637 | 2016-10-12 |
| 1083168694 | Rasheda Long | Social Worker | 2241 Thornton Taylor Pkwy, Fayetteville, TN 37334-3637 | 2016-08-11 |
| 1720457757 | Katie Odom | Counselor | 2241 Thornton Taylor Pkwy, Fayetteville, TN 37334-3637 | 2015-09-21 |
| 1467833145 | Tenisha Murry | Social Worker | 2241 Thornton Taylor Pkwy, Fayetteville, TN 37334-3637 | 2015-06-17 |
| 1013314616 | Brianna Grindberg | Case Manager/Care Coordinator | 2241 Thornton Taylor Pkwy, Fayetteville, TN 37334-3637 | 2014-11-25 |
| 1821494188 | Mary Causey | Case Manager/Care Coordinator | 2241 Thornton Taylor Pkwy, Fayetteville, TN 37334-3637 | 2014-11-14 |
| 1003224007 | Lori Williams | Registered Nurse | 2241 Thornton Taylor Pkwy, Fayetteville, TN 37334-3637 | 2014-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902385198 | Denisia Bernadette Maldonado | Specialist/Technologist, Other | 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 | 2018-08-09 |
| 1457801011 | Joshua Meadows | Specialist/Technologist | 101 Industrial Blvd, Fayetteville, TN 37334 | 2016-10-07 |
| 1891083762 | Kathryn Clare Moran | Physical Therapist | 1412 Huntsville Hwy, Fayetteville, TN 37334 | 2011-07-13 |
| 1891997714 | Calvin H Parks | Chiropractor | 1321 Huntsville Hwy, Fayetteville, TN 37334 | 2007-06-04 |
| 1225249691 | Stacey Starr Pace | Family Medicine | 1931 Wilson Pky, Suite A, Fayetteville, TN 37334 | 2007-05-25 |
| 1144388992 | Tom Spain Bigham IIi | Dentist | 608 West College Street, Fayetteville, TN 37334 | 2006-12-05 |
| 1932286259 | Alan B Drewry | Dentist | 602 West College Street, Fayetteville, TN 37334 | 2006-11-01 |
| 1083724561 | Samuel Michael Ashby | Internal Medicine | 804 William D Jones Blvd, Fayetteville, TN 37334 | 2006-08-30 |
| 1194336818 | Collin Amos | Pharmacist | 1000 Huntsville Hwy, Fayetteville, TN 37334 | 2020-08-14 |
| 1629450614 | William Daniel | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334 | 2015-06-25 |
| Find all providers in zip 37334 | ||||
| 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 |
|---|---|---|---|---|
| 1700495595 | Brittany Huerta | Case Manager/Care Coordinator | 5649 Gatewood Rd, Fayetteville, WV 25840-5135 | 2020-07-28 |
| 1508474867 | Anna L Kincaid | Case Manager/Care Coordinator | 1257 Terry Ave, Fayetteville, WV 25840-5444 | 2020-07-22 |
| 1619501087 | 1 Source Senior Care | Case Manager/Care Coordinator | 1820 Shelby Ln, Fayetteville, AR 72704-5255 | 2020-02-25 |
| 1326679473 | Megan Thomas | Case Manager/Care Coordinator | 3715 N Business Dr Ste 201, Fayetteville, AR 72703-5288 | 2020-01-28 |
| 1275172298 | Kelsy Timas | Case Manager/Care Coordinator | 143 Skateway Dr, Fayetteville, NC 28304-2640 | 2019-12-23 |
| 1679131726 | Scharmane Porter | Case Manager/Care Coordinator | 110 Westbridge Cir, Fayetteville, GA 30214-2638 | 2019-06-04 |
| 1790259117 | Mackenzie Birdsong | Case Manager/Care Coordinator | 3715 N Business Dr Ste 105, Fayetteville, AR 72703-5287 | 2019-01-18 |
| 1134659162 | Sheila May Reynolds | Case Manager/Care Coordinator | 1872 N Cannondale Dr, Fayetteville, AR 72704-6931 | 2017-06-13 |
| 1528596285 | Alexander Garcia II | Case Manager/Care Coordinator | 1687 W Lodge Way Apt 100a, Fayetteville, AR 72701-5084 | 2017-05-25 |
| 1619414786 | Markese Ware | Case Manager/Care Coordinator | 3715 N Business Dr, Ste 104, Fayetteville, AR 72703-5204 | 2017-01-26 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 37334 |
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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.