ALEXANDRA MONIQVE CROMWELL (NPI# 1487828711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487828711 |
Entity Type | Individual |
Full Name | ALEXANDRA MONIQVE CROMWELL |
Credential | BA |
Practice Address |
3407 Shamrock Ct Gautler MS 39553 |
Practice Telephone | 2284970690 |
Practice Fax Number | 2284971363 |
Mailing Telephone | 2284970690 |
Mailing Fax Number | 2284971363 |
Enumeration Date | 2008-04-17 |
Last Update Date | 2008-04-17 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00018214 | 05 |
Street Address |
3407 SHAMROCK CT |
City | GAUTLER |
State | MS |
Zip Code | 39553 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194014662 | Debra Jones Harkins | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautler, MS 39553-6429 | 2011-04-05 |
1346549177 | Lindsay Michelle Thibodeaux | Social Worker | 3407 Shamrock Ct, Gautler, MS 39553-6429 | 2011-03-18 |
1750688446 | Lashonda Trennell Nettles | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautler, MS 39553-6429 | 2011-02-16 |
1891096400 | Desseray Strickland | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautler, MS 39553-6429 | 2010-11-12 |
1730499419 | Whitney Arcoila Bass | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautler, MS 39553-6429 | 2010-10-15 |
1891006458 | Marla Lynette Ford | Counselor | 3407 Shamrock Ct, Gautler, MS 39553-6429 | 2010-06-29 |
1053581298 | Paula Fogarty Lawalin | Counselor | 3407 Shamrock Ct, Gautler, MS 39553 | 2008-03-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205465044 | Loggan Malone | Dentist | 2808 Us-90 W, Gautier, MS 39553 | 2020-04-03 |
1770979775 | Catherine Durham | Counselor | 3407 Shamrock Dr., Gautier, MS 39553 | 2015-04-07 |
1851648836 | Pharmatex, LLC | Pharmacy | 4551-d Gautier Vancleave Road, Gautier, MS 39553 | 2012-08-09 |
1891957544 | David W Bonderer Dds Pllc | Dentist | 2808 Hwy 90, Suite 1, Gautier, MS 39553 | 2008-06-25 |
1790830313 | William D Parrish | Dentist | 713 Us Hwy 90, Gautier, MS 39553 | 2007-01-24 |
1073685830 | Jeffrey Lamone Knight | Dentist | 3105 Shaw Dr., Gautier, MS 39553 | 2006-11-15 |
1720178437 | Erica B Wilson | Counselor | 3704 Shamrock Court, Gautier, MS 39553 | 2006-10-13 |
1881781631 | James D Victory | Chiropractor | 315 Highway 90, Gautier, MS 39553 | 2006-10-05 |
1508959180 | Robert Douglas Holbert | Internal Medicine | 2105 Old Spanish Trail, Gautier, MS 39553 | 2006-10-02 |
1962508119 | Sentry-gautier, Inc. | Nursing Facility/Intermediate Care Facility | 5090 Gautier Vancleave Road, Gautier, MS 39553 | 2006-09-15 |
Find all providers in zip 39553 |
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 |
---|---|---|---|---|
1194014662 | Debra Jones Harkins | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautler, MS 39553-6429 | 2011-04-05 |
1750688446 | Lashonda Trennell Nettles | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautler, MS 39553-6429 | 2011-02-16 |
1891096400 | Desseray Strickland | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautler, MS 39553-6429 | 2010-11-12 |
1730499419 | Whitney Arcoila Bass | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautler, MS 39553-6429 | 2010-10-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063048650 | Eppsinstituteforhealthyfamilyandcommunityliving,llc | Case Manager/Care Coordinator | 501 W County Line Rd, Tougaloo, MS 39174-9606 | 2020-03-16 |
1053945717 | Shannon Gautier | Case Manager/Care Coordinator | 209 Huntington Hill Dr, Clinton, MS 39056-6322 | 2020-03-02 |
1982262101 | Timothy Cook | Case Manager/Care Coordinator | 604 Highway 80 W Ste Roffice2, Clinton, MS 39056-4108 | 2019-06-03 |
1013478643 | Makeshia Warden | Case Manager/Care Coordinator | 655 Pine Ln, Jackson, MS 39212-3563 | 2019-03-27 |
1053809053 | Natasha W Tyler | Case Manager/Care Coordinator | 5615 Brentwood Dr, Jackson, MS 39211-4233 | 2018-04-25 |
1124526322 | Khalihah Ellis | Case Manager/Care Coordinator | 980 Fairwood Dr, Grenada, MS 38901-3609 | 2018-01-23 |
1376083204 | Sharon Harris | Case Manager/Care Coordinator | 138 Kaye Dr, Columbus, MS 39702-7880 | 2017-02-25 |
1982056651 | Barbara Cox | Case Manager/Care Coordinator | 341 E Main St Ste A-1, Tupelo, MS 38804-4025 | 2016-07-06 |
1659737286 | Life Changing Adult Daycare | Case Manager/Care Coordinator | 305 Birch Ave, Indianola, MS 38751-2107 | 2016-01-12 |
1073983433 | Lillie Christine Hauer | Case Manager/Care Coordinator | 9 Roux 61, Suite C, Natchez, MS 39120 | 2015-09-29 |
Find all providers with the same taxonomy |
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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.