SISOUK RATTANACHANE


Address: 1501 83rd Ave N, St Petersburg, FL 33702-2851
Phone: 7275791641

SISOUK RATTANACHANE (NPI# 1568823284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568823284
Entity Type Individual
Full Name SISOUK RATTANACHANE
Practice Address 1501 83rd Ave N
St Petersburg
FL 33702-2851
Practice Telephone 7275791641
Mailing Telephone 7275791641
Enumeration Date 2016-03-08
Last Update Date 2016-03-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator FL Other Service Providers

Office Location

Street Address 1501 83RD AVE N
City ST PETERSBURG
State FL
Zip Code 33702-2851

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700419637 Lea Diana Stemplewski Occupational Therapist 8950 Dr. Mlk Jr. St. North, Ste 190, St. Petersburg, FL 33702 2020-02-19
1366919557 Svetlana Nagle Nurse Practitioner 10601 Gandy Blvd. N., 5305, St Petersburg, FL 33702 2018-10-25
1457835613 Joseph Kirchmer Physical Therapy Assistant 7101 9th St N, St Petersburg, FL 33702 2018-09-23
1386135176 Valencia Gibson Behavior Technician 8950 Doctor Martin Luther King Jr Street North, 190, Saint Petersburg, FL 33702 2018-05-29
1740778760 Nicole S Kapr Behavior Technician 8950 Doctor Mlk Street North, 190, St. Petersburg, FL 33702 2018-04-25
1003316050 Sonya Lesnefsky Behavior Technician 8950 Dr Mlk St N #190, Saint Petersburg, FL 33702 2018-02-16
1003315086 Erin Nicole Rogers Behavior Technician 8950 Dr Mlk Jr St N, #190, St Petersburg, FL 33702 2018-02-06
1881192482 Carrie Langbo Genetic Counselor, MS Informeddna, 877 Executive Center Drive W, Suite 206, St. Petersburg, FL 33702 2018-01-29
1891203485 Healthy Lifestyles Tampa Bay LLC Psychologist 8479 Dr Martin Luther King Jr St N, St Petersburg, FL 33702 2018-01-17
1649787235 Gurdeep Singh Behavior Technician 8950 Dr Mlk Street N, Suite 190, Saint Petersburg, FL 33702 2018-01-04
Find all providers in zip 33702

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740760669 Dotheria Elaine Bradley Case Manager/Care Coordinator 1918 45th St S, St Petersburg, FL 33711-3042 2018-08-20
1902257116 Anthony Costanzo Case Manager/Care Coordinator 5047 2nd Ave N, St Petersburg, FL 33710-8207 2016-06-29
1952719858 Elizabeth Lent Case Manager/Care Coordinator 350 79th Ave N Apt 302, St Petersburg, FL 33702-4459 2014-07-24
1346653458 Leslie Swain Case Manager/Care Coordinator 7316 33rd St N, St Petersburg, FL 33702-5540 2014-06-05
1215364575 Melissa Moody Case Manager/Care Coordinator 11401 Dr Martin L King St N, Apt.2404, St Petersburg, FL 33716-2345 2013-10-02
1558610436 Jennifer Potter Case Manager/Care Coordinator 785 100th Ave N # 108, St Petersburg, FL 33702 2012-09-06
1538418520 Nanci Nolan Case Manager/Care Coordinator 2401 3rd Ave N, St Petersburg, FL 33713-7909 2012-09-05
1932454212 Carol Rose Opitz Case Manager/Care Coordinator 205 Martin Luther King Dr, St Petersburg, FL 33701-3109 2012-07-23
1336438688 Bridget Denise Herring-daniels Case Manager/Care Coordinator 205 Mlk St N, St Petersburg, FL 33701-3109 2011-04-06
1720691595 Georgette Franklin Case Manager/Care Coordinator 4024 Central Ave, St Petersburg, FL 33711-1239 2020-08-31
Find all providers in ST PETERSBURG

Competitor

Search similar providers

City ST PETERSBURG
Zip Code 33702

Improve Information

Please comment or provide details below to improve the information on SISOUK RATTANACHANE.

Dataset Information

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.

Trending Searches