MRS. BRENDA SUE MOODY (NPI# 1497073332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497073332 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA SUE MOODY |
| Practice Address |
5620 Northridge Run Cashion OK 73016-9426 |
| Practice Telephone | 4054713523 |
| Mailing Telephone | 4054713523 |
| Enumeration Date | 2010-05-16 |
| Last Update Date | 2010-05-16 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134255748 | Brenda K. Moody | Nurse Anesthetist, Certified Registered | 8110 County Road 44 Leg A, Leesburg, FL 34788-3704 | 2007-02-26 |
| Street Address |
5620 NORTHRIDGE RUN |
| City | CASHION |
| State | OK |
| Zip Code | 73016-9426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851619803 | Cynthia Caroline Bailey | Case Manager/Care Coordinator | 5620 Northridge Run, Cashion, OK 73016-9426 | 2010-05-13 |
| 1407175698 | Staci Channel | Case Manager/Care Coordinator | 5620 Northridge Run, Cashion, OK 73016-9426 | 2010-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619410974 | Anissa Manson | Peer Specialist | 6501 N Broadway Ext 180, Okahoma City, OK 73016 | 2016-11-18 |
| 1508198185 | Cassie Nicole Silvey House | Occupational Therapist | 4801 Prairie Dr, Cashion, OK 73016 | 2010-02-05 |
| 1053640508 | Randi Leigh Brandt | Physical Therapy Assistant | 206 W Comanche, Cashion, OK 73016 | 2009-12-11 |
| 1376546556 | Town of Cashion | Ambulance | 102 S. Main, Cashion, OK 73016 | 2005-05-23 |
| 1912233354 | Jamie Shackelford | Occupational Therapist | 19454 Pioneer Way, Cashion, OK 73016-5500 | 2009-10-20 |
| 1003338302 | Piece Out | Occupational Therapist | 19454 Pioneer Way, Cashion, OK 73016-5500 | 2017-07-09 |
| 1295932531 | Cashion Public Schools | Local Education Agency (LEA) | 101 N Euclid, Cashion, OK 73016-9406 | 2007-06-29 |
| 1952726259 | Megan Cathleen Gibson | Case Manager/Care Coordinator | 512 N 3rd St, Cashion, OK 73016-9441 | 2014-02-23 |
| 1154692309 | Jo Ann Rother | Case Manager/Care Coordinator | Rr 1 Box 202, Cashion, OK 73016-9750 | 2012-01-19 |
| 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 |
|---|---|---|---|---|
| 1952726259 | Megan Cathleen Gibson | Case Manager/Care Coordinator | 512 N 3rd St, Cashion, OK 73016-9441 | 2014-02-23 |
| 1154692309 | Jo Ann Rother | Case Manager/Care Coordinator | Rr 1 Box 202, Cashion, OK 73016-9750 | 2012-01-19 |
| 1851619803 | Cynthia Caroline Bailey | Case Manager/Care Coordinator | 5620 Northridge Run, Cashion, OK 73016-9426 | 2010-05-13 |
| 1407175698 | Staci Channel | Case Manager/Care Coordinator | 5620 Northridge Run, Cashion, OK 73016-9426 | 2010-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437134 | Anisah S Beasley | Case Manager/Care Coordinator | 24797 S Sh-66, Claremore, OK 74019 | 2020-11-06 |
| 1508467994 | Yenth Matilde Chaidez | Case Manager/Care Coordinator | 10409 Casa Linda, Oklahoma City, OK 73139-5510 | 2020-11-03 |
| 1093316655 | Shaylee Renee Freeman | Case Manager/Care Coordinator | 25285 S Hackamore Rd E, Claremore, OK 74019-2558 | 2020-11-02 |
| 1407456114 | Nicole Roberts | Case Manager/Care Coordinator | 2505 E Hartford Ave Apt 10, Ponca City, OK 74604-3009 | 2020-10-30 |
| 1598365553 | Sherman Julian Riddle | Case Manager/Care Coordinator | 100 W Main St # 4, Pawhuska, OK 74056-4149 | 2020-10-29 |
| 1760082523 | Alimot Shadia L Karim | Case Manager/Care Coordinator | 1330 N Classen Blvd Ste 314, Oklahoma City, OK 73106-6834 | 2020-10-29 |
| 1922608942 | Madison Brianne Boyd | Case Manager/Care Coordinator | 801 Park St, Chelsea, OK 74016-1426 | 2020-10-28 |
| 1376143669 | Taylor Austin Finch | Case Manager/Care Coordinator | 3500 S Peoria Ave, Tulsa, OK 74105-2529 | 2020-10-27 |
| 1336749852 | Reshanna Leshae Childs-russell | Case Manager/Care Coordinator | 10505 Windway Ave, Oklahoma City, OK 73162-8001 | 2020-10-26 |
| 1679172381 | Leah Rebecca Linton | Case Manager/Care Coordinator | 518 W Park St, Tecumseh, OK 74873-3027 | 2020-10-22 |
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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.