MR. KENNAN M DEWITT (NPI# 1487808622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487808622 |
| Entity Type | Individual |
| Full Name | MR. KENNAN M DEWITT |
| Practice Address |
2811 E Court St Ste F Flint MI 48506-4054 |
| Mailing Address |
3315 Brentwood Dr Flint MI 48503-2341 |
| Practice Telephone | 8102326081 |
| Mailing Telephone | 8104293596 |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |
| Gender Code | M |
| 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 |
2811 E COURT ST STE F |
| City | FLINT |
| State | MI |
| Zip Code | 48506-4054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790934396 | Rebecca Elizabeth Merz | Case Management | 2811 E Court St Ste F, Flint, MI 48506-4054 | 2008-09-18 |
| 1992046585 | Jennifer Novak | Case Manager/Care Coordinator | 2811 E Court St Ste F, Flint, MI 48506-4054 | 2013-03-07 |
| 1710228234 | June Dolores Coen-hewitt | Registered Nurse | 2811 E Court St Ste F, Flint, MI 48506-4054 | 2013-03-07 |
| 1407006919 | Lisa Kay Morrow | Case Manager/Care Coordinator | 2811 E Court St Ste F, Flint, MI 48506-4054 | 2008-09-22 |
| 1346490810 | Stephanie Renee Sergent | Social Worker | 2811 E Court St Ste F, Flint, MI 48506-4054 | 2008-09-22 |
| 1154571719 | Lorie Birmingham | Case Management | 2811 E Court St Ste F, Flint, MI 48506-4054 | 2008-09-19 |
| 1760632343 | Kristen Bordeau | Case Management | 2811 E Court St Ste F, Flint, MI 48506-4054 | 2008-09-19 |
| 1902055502 | Ann M. Tinney | Case Management | 2811 E Court St Ste F, Flint, MI 48506-4054 | 2008-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629453725 | Sydney Wilson | Case Manager/Care Coordinator | 1526 Utah Ave, Flint, MI 48506 | 2015-07-30 |
| 1790199313 | Laurel Anne Paradise-bumhoffer | Nurse Practitioner | 3807 North Center Road, Flint, MI 48506 | 2014-06-12 |
| 1285982520 | Andrea Ann Rossi | Nurse Practitioner | 4302 Underhill Drive, Flint, MI 48506 | 2012-08-16 |
| 1134433329 | Shelia Evette Tucker | Social Worker | 3807 North Center Rd, Flint, MI 48506 | 2010-07-30 |
| 1851629125 | Amber Mayhew Homecare | Occupational Therapist | 5503 Mcnamara Lane, Flint, MI 48506 | 2009-11-25 |
| 1285872093 | Sherrie A Medling | Registered Nurse | 2811 E Court, Flint, MI 48506 | 2009-02-02 |
| 1013121631 | Jeffrey Wade Anderson | Occupational Therapist | 3011 North Center Road, Briarwood Manor, Flint, MI 48506 | 2007-05-10 |
| 1396803508 | Kalman J Knizner | Dentist | 5529 Richfield Rd, Flint, MI 48506 | 2006-12-04 |
| 1427151679 | Gertrude Burton Rutherford | Social Worker | 4302 Underhill Dr, Flint, MI 48506 | 2006-09-06 |
| 1164532966 | Bethany Lynn Pummill | Nurse Practitioner | 3011 North Center Rd, Flint, MI 48506 | 2006-08-30 |
| Find all providers in zip 48506 | ||||
| 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 |
|---|---|---|---|---|
| 1326653122 | Malika Triplett | Case Manager/Care Coordinator | 3002 Meisner Ave, Flint, MI 48506-2434 | 2020-09-09 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1568018281 | Lanasia Hood | Case Manager/Care Coordinator | G3169 Beecher Rd Ste 201, Flint, MI 48532-3645 | 2019-08-19 |
| 1548733512 | Respite Care Services Eemc | Case Manager/Care Coordinator | 1701 Laurel Oak Dr, Flint, MI 48507-2210 | 2019-01-02 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1356714398 | Kimberly Ann Ashburn | Case Manager/Care Coordinator | 3714 Comanche Ave, Flint, MI 48507-4305 | 2015-11-12 |
| 1629453725 | Sydney Wilson | Case Manager/Care Coordinator | 1526 Utah Ave, Flint, MI 48506 | 2015-07-30 |
| 1710368329 | Samantha Denison | Case Manager/Care Coordinator | 1413 Begole St, Flint, MI 48503-1233 | 2015-06-10 |
| 1891108106 | Kelly Pierron | Case Manager/Care Coordinator | 440 Saginaw St, Flint, MI 48507 | 2014-06-04 |
| Find all providers in FLINT | ||||
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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.