ANDRE ROMANE THOMPSON (NPI# 1609099191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609099191 |
| Entity Type | Individual |
| Full Name | ANDRE ROMANE THOMPSON |
| Credential | B.S. |
| Practice Address |
4645 Samuell Blvd Dallas TX 75228-6826 |
| Practice Telephone | 2142757373 |
| Practice Fax Number | 2142757448 |
| Mailing Telephone | 2142757373 |
| Mailing Fax Number | 2142757448 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538383765 | Andre C Thompson | Pathology | 80 Humphreys Center Dr Ste 200, Memphis, TN 38120-2352 | 2007-04-12 |
| 1538540083 | Andre Thompson | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2015-06-10 |
| 1821424060 | Andre Lee Thompson | Case Manager/Care Coordinator | 7107 W 12th St, Suite 201, Little Rock, AR 72204-2404 | 2013-09-19 |
| 1992138291 | Andre Thompson | Rehabilitation Practitioner | 2560 Business Pkwy, Suite B, Minden, NV 89423-8985 | 2013-08-10 |
| Street Address |
4645 SAMUELL BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75228-6826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720001118 | Kristen H Grable | Psychiatry & Neurology | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2006-07-26 |
| 1710587845 | Ijeoma Agolue | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2020-10-28 |
| 1144883414 | Trendolyn Desha Davis | Counselor | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2019-04-22 |
| 1659842987 | Caroline Moraa Tomlinson | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2018-12-16 |
| 1487122073 | Stanley Imoleayo Okeyemi | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2018-11-13 |
| 1720593981 | Kemi Fawehinmi | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2017-12-11 |
| 1689124125 | Latifat Adelekan-adeogun | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2016-10-07 |
| 1730554890 | Derica Perez | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2015-12-01 |
| 1396172631 | Raigina Lenette Preston | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2013-10-01 |
| 1811240013 | Metrocare | Clinic/Center | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2012-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437625092 | Le Reve Rehab & Mc LLC | Skilled Nursing Facility | 3309 Dilido Road, Dallas, TX 75228 | 2018-10-22 |
| 1083905053 | R2j Investments LLC | Pharmacy | 6300 Samual Blvd, Ste #118, Dallas, TX 75228 | 2011-04-26 |
| 1376709493 | Rupen Suresh Amin | Family Medicine | 2360 Gus Thomasson Rd, Dallas, TX 75228 | 2008-07-29 |
| 1356512453 | Affirm Healthcare, LLC | Home Health | 10950 Woodmeadow Pkwy, #223, Dallas, TN 75228 | 2008-03-17 |
| 1629280110 | Shining Star Home Health Care Inc | Home Health | 8344 East R L Thronton Fwy, Ste # 203, Dallas, TX 75228 | 2007-05-04 |
| 1922123728 | Federico Maese | Family Medicine | 12601 E. Northwest Hwy, Dallas, TX 75228 | 2007-03-20 |
| 1578602223 | Rob F Smith | Social Worker | 8035 East R L Thornton Freeway, Suite #503, Dallas, TX 75228 | 2007-02-06 |
| 1710037023 | Candace Freeman Mcdaniel | Family Medicine | 8021 East R. L. Thornton Frwy, Suite A, Dallas, TX 75228 | 2007-01-11 |
| 1841376175 | Dana Ray Scott | Dentist | 2335 Gus Thomasson, Dallas, TX 75228 | 2006-10-30 |
| 1255425625 | Optimal Home Health Inc | Home Health | 8344 E R L Thornton Fwy Ste 214, Dallas, TX 75228 | 2006-10-03 |
| Find all providers in zip 75228 | ||||
| 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 |
|---|---|---|---|---|
| 1174184485 | Rocio Ponce | Case Manager/Care Coordinator | 1314 Grigsby Ave, Dallas, TX 75204-6873 | 2019-06-26 |
| 1144885583 | Deangela Reese | Case Manager/Care Coordinator | 1414 Belleview St Apt 334, Dallas, TX 75215-2241 | 2019-05-01 |
| 1275007551 | Gina L Escamilla | Case Manager/Care Coordinator | 6128 Misty Wood Dr, Dallas, TX 75217-5605 | 2019-01-19 |
| 1447722442 | Demetra L Williams | Case Manager/Care Coordinator | 2026 Cedar Valley Ln, Dallas, TX 75232-2306 | 2019-01-02 |
| 1154809432 | Briona Patterson | Case Manager/Care Coordinator | 1111 W Mockingbird Ln Ste 1030, Dallas, TX 75247-5028 | 2018-07-30 |
| 1457845737 | Jennifer Jo Hamilton | Case Manager/Care Coordinator | 1140 Empire Central Dr Ste 260, Dallas, TX 75247-4322 | 2018-06-19 |
| 1265931695 | Phylisity M Slaughter | Case Manager/Care Coordinator | 2811 Bonnie View Rd, Dallas, TX 75216-3303 | 2018-02-12 |
| 1427563220 | Lisa Shardon | Case Manager/Care Coordinator | 8215 Westchester Dr Ste 213, Dallas, TX 75225-6116 | 2017-12-04 |
| 1700310224 | Shalonda Duncan | Case Manager/Care Coordinator | 1449 Brook Valley Pl, Dallas, TX 75232-1519 | 2017-04-12 |
| 1710418231 | Susan Hibbs | Case Manager/Care Coordinator | 9027 Guildhall Dr, Dallas, TX 75238-3533 | 2017-03-26 |
| Find all providers in DALLAS | ||||
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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.