ATHENA DRATTLO (NPI# 1447734702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447734702 |
| Entity Type | Individual |
| Full Name | ATHENA DRATTLO |
| Practice Address |
21 Municipal Dr Arnold MO 63010-1012 |
| Mailing Address |
227 Main St Festus MO 63028-1952 |
| Practice Telephone | 6362966206 |
| Practice Fax Number | 6362960102 |
| Mailing Telephone | 6369312700 |
| Mailing Fax Number | 6369315304 |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |
| 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 |
21 MUNICIPAL DR |
| City | ARNOLD |
| State | MO |
| Zip Code | 63010-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154386746 | C Jos | Psychiatry & Neurology | 21 Municipal Dr, Arnold, MO 63010-1012 | 2006-04-18 |
| 1730791658 | Monica Johnson | Registered Nurse | 21 Municipal Dr, Arnold, MO 63010-1012 | 2020-08-21 |
| 1720696982 | Kelsey Whitehead | Case Manager/Care Coordinator | 21 Municipal Dr, Arnold, MO 63010-1012 | 2020-07-14 |
| 1992324529 | Nicole Mowery | Case Manager/Care Coordinator | 21 Municipal Dr, Arnold, MO 63010-1012 | 2020-04-14 |
| 1265072912 | Holly Lee | Case Manager/Care Coordinator | 21 Municipal Dr, Arnold, MO 63010-1012 | 2020-01-10 |
| 1013551589 | Jessica Coffelt | Case Manager/Care Coordinator | 21 Municipal Dr, Arnold, MO 63010-1012 | 2019-10-29 |
| 1639711831 | Tamara Hancock | Case Manager/Care Coordinator | 21 Municipal Dr, Arnold, MO 63010-1012 | 2019-10-09 |
| 1164073219 | Robert Gatewood | Case Manager/Care Coordinator | 21 Municipal Dr, Arnold, MO 63010-1012 | 2019-09-20 |
| 1427527126 | Elizabeth Pennycook | Case Manager/Care Coordinator | 21 Municipal Dr, Arnold, MO 63010-1012 | 2018-11-26 |
| 1922577592 | Terra Gatewood | Case Manager/Care Coordinator | 21 Municipal Dr, Arnold, MO 63010-1012 | 2018-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952962474 | Kayla Davelle Thompson | Occupational Therapist | 4 Arnold Park Mall, Arnold, MO 63010 | 2019-06-25 |
| 1750884466 | Casey Brooks | Chiropractor | 28 Fox Valley Ctr, Arnold, MO 63010 | 2018-03-09 |
| 1831628247 | Lice Clinics of America | Technician, Other | 39 Fox Valley, Arnold, MO 63010 | 2017-06-08 |
| 1235668633 | Lauren Mareschal | Occupational Therapist | 4 Arnold Park, Arnold, MO 63010 | 2017-06-08 |
| 1851760292 | Valerie Tribl | Registered Nurse | 3937 Vogel Road, Walgreens Healthcare Clinic, Arnold, MO 63010 | 2015-09-16 |
| 1942615265 | Rachel Kyllo | Dermatology | 3783 Vogel Rd, Arnold, MO 63010 | 2014-06-25 |
| 1538584669 | Alex Sharifian Dds Water Tower Dental Group PC | Dentist | 2231 Michigan Avenue, Arnold, MO 63010 | 2014-02-26 |
| 1669897815 | Diana E Toler | Chiropractor | 2190 Tenbrook Rd, Arnold, MO 63010 | 2014-02-25 |
| 1902163280 | Sheila Kay Schaefer | Physical Therapist | 3488 Jeffco Blvd., Suite 102, Arnold, MO 63010 | 2012-04-11 |
| 1639400179 | Arnold Physical Therapy & Sports Medicine LLC | Clinic/Center | #160 Richardson Crossing, Arnold, MO 63010 | 2010-01-22 |
| Find all providers in zip 63010 | ||||
| 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 |
|---|---|---|---|---|
| 1720696982 | Kelsey Whitehead | Case Manager/Care Coordinator | 21 Municipal Dr, Arnold, MO 63010-1012 | 2020-07-14 |
| 1992324529 | Nicole Mowery | Case Manager/Care Coordinator | 21 Municipal Dr, Arnold, MO 63010-1012 | 2020-04-14 |
| 1265072912 | Holly Lee | Case Manager/Care Coordinator | 21 Municipal Dr, Arnold, MO 63010-1012 | 2020-01-10 |
| 1013551589 | Jessica Coffelt | Case Manager/Care Coordinator | 21 Municipal Dr, Arnold, MO 63010-1012 | 2019-10-29 |
| 1639711831 | Tamara Hancock | Case Manager/Care Coordinator | 21 Municipal Dr, Arnold, MO 63010-1012 | 2019-10-09 |
| 1164073219 | Robert Gatewood | Case Manager/Care Coordinator | 21 Municipal Dr, Arnold, MO 63010-1012 | 2019-09-20 |
| 1427527126 | Elizabeth Pennycook | Case Manager/Care Coordinator | 21 Municipal Dr, Arnold, MO 63010-1012 | 2018-11-26 |
| 1922577592 | Terra Gatewood | Case Manager/Care Coordinator | 21 Municipal Dr, Arnold, MO 63010-1012 | 2018-11-13 |
| 1174091813 | Ben Roig | Case Manager/Care Coordinator | 21 Municipal Dr, Arnold, MO 63010-1012 | 2018-11-12 |
| 1700361250 | Miranda D'angelo | Case Manager/Care Coordinator | 21 Municipal Dr, Arnold, MO 63010-1012 | 2018-10-01 |
| Find all providers in ARNOLD | ||||
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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.