THEODORA MARTIN (NPI# 1487026159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487026159 |
Entity Type | Individual |
Full Name | THEODORA MARTIN |
Practice Address |
3921 Independence Dr Ste 104 Alexandria LA 71303 |
Mailing Address |
3921 Independence Dr Ste 104 Alexandria LA 71303-3566 |
Practice Telephone | 3188808711 |
Enumeration Date | 2015-10-21 |
Last Update Date | 2018-07-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Street Address |
3921 INDEPENDENCE DR STE 104 |
City | ALEXANDRIA |
State | LA |
Zip Code | 71303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144696170 | Candy Ann Vandevelde | Counselor | 3921 Independence Dr Ste 104, Alexandria, LA 71303-3566 | 2015-08-13 |
1992295042 | Courtney Lowe Satcher | Counselor | 3921 Independence Dr Ste 104, Alexandria, LA 71303-3566 | 2018-05-15 |
1245728351 | Sharon Parks | Counselor | 3921 Independence Dr Ste 104, Alexandria, LA 71303-3566 | 2018-04-24 |
1083111744 | Christy Lea Pringle | Case Manager/Care Coordinator | 3921 Independence Dr Ste 104, Alexandria, LA 71303 | 2018-04-10 |
1154826865 | Alice Thompson | Case Manager/Care Coordinator | 3921 Independence Dr Ste 104, Alexandria, LA 71303 | 2018-03-26 |
1114420072 | Louis Jacob Vanasselberg | Case Manager/Care Coordinator | 3921 Independence Dr Ste 104, Alexandria, LA 71303 | 2018-03-16 |
1952819807 | Kimberly Freeman | Case Manager/Care Coordinator | 3921 Independence Dr Ste 104, Alexandria, LA 71303 | 2018-01-12 |
1043728991 | Roneeka Reado | Case Manager/Care Coordinator | 3921 Independence Dr Ste 104, Alexandria, LA 71303 | 2018-01-12 |
1861906190 | Keara Crouse | Case Manager/Care Coordinator | 3921 Independence Dr Ste 104, Alexandria, LA 71303 | 2017-11-22 |
1497269724 | Demetrius January | Counselor | 3921 Independence Dr Ste 104, Alexandria, LA 71303-3566 | 2017-11-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
Find all providers in zip 71303 |
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 |
---|---|---|---|---|
1447858923 | Ajona Lavallais | Case Manager/Care Coordinator | 521 Redbird Dr, Alexandria, LA 71303-3934 | 2020-10-15 |
1235752890 | Jamarcus Reed | Case Manager/Care Coordinator | 424 Faith Way, Alexandria, LA 71302-5046 | 2020-05-18 |
1083240444 | Chenika Fowler | Case Manager/Care Coordinator | 808 23rd St Apt A, Alexandria, LA 71301-5202 | 2020-03-18 |
1790315984 | Kiana Larae Johnson | Case Manager/Care Coordinator | 4338 Carlyle Loop, Alexandria, LA 71302-2864 | 2020-01-16 |
1780222521 | Natoshia Wellman | Case Manager/Care Coordinator | 1450 Peterman Dr # Dra, Alexandria, LA 71301-3432 | 2019-12-11 |
1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
1740833847 | Dominique Rue | Case Manager/Care Coordinator | 1906 Dixie St, Alexandria, LA 71303-4718 | 2019-07-18 |
1659931293 | Ryshee Wilson | Case Manager/Care Coordinator | 1321 Shirland Ave, Alexandria, LA 71301-7249 | 2019-06-17 |
1992267363 | Caitlyn Lauren Woodard | Case Manager/Care Coordinator | 109a Yorktown Dr Ste A, Alexandria, LA 71303-3621 | 2019-04-03 |
1194297325 | Kiondra Chambliess | Case Manager/Care Coordinator | 4335 Clubhouse Dr, Alexandria, LA 71303-3569 | 2018-12-28 |
Find all providers in ALEXANDRIA |
City | ALEXANDRIA |
Zip Code | 71303 |
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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.