LATASIA TEDNORIA BRUNSON (NPI# 1649777665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649777665 |
Entity Type | Individual |
Full Name | LATASIA TEDNORIA BRUNSON |
Credential | B.A. |
Practice Address |
2574 Frayser Blvd Memphis TN 38127-5829 |
Mailing Address |
6350 W Andrew Johnson Hwy Talbott TN 37877-8605 |
Practice Telephone | 9013014361 |
Practice Fax Number | 8653420121 |
Mailing Telephone | 8003553565 |
Mailing Fax Number | 4237142355 |
Enumeration Date | 2018-04-06 |
Last Update Date | 2018-04-06 |
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 |
Street Address |
2574 FRAYSER BLVD |
City | MEMPHIS |
State | TN |
Zip Code | 38127-5829 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205820123 | Tolan Vu | Family Medicine | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2005-09-07 |
1922605435 | Vonetta Kentia Williams | Nurse Practitioner | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2020-10-07 |
1932712692 | Darnesha Shundrika Mcgrew | Nurse's Aide | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2020-08-24 |
1861030926 | Chandria Rae Houston | Nurse's Aide | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2019-12-19 |
1972141067 | Teisha Lashae Pendleton | Licensed Practical Nurse | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2019-12-19 |
1386280964 | Wilkena Dickerson | Nurse's Aide | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2019-11-19 |
1427691682 | Angela Arnold | Licensed Practical Nurse | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2019-10-21 |
1275183246 | Moniqua Toquana Hudson | Licensed Practical Nurse | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2019-09-12 |
1134789506 | Nakia Danielle Stewart | Licensed Practical Nurse | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2019-06-18 |
1750940524 | Tyesh Ward | Nurse's Aide | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2019-06-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639660103 | Jennifer Green | Occupational Therapist | 4209 Mtn.terrace, Memphis, TN 38127 | 2018-05-21 |
1891060570 | Phylantyniese Lashunda Stone | Non-emergency Medical Transport (VAN) | 2790 N. Watkins, Memphis, TN 38127 | 2012-03-14 |
1982916326 | Linda Faye Johnson | Pharmacist | 2655 Frayser Blvd., Memphis, TN 38127 | 2010-07-13 |
1215171046 | M.g. Services, LLC | Home Health | 3065 Thomas St., Memphis, TN 38127 | 2009-04-23 |
1639325665 | Dishman House | Assisted Living Facility | 3958 Cornell St., Memphis, TN 38127 | 2008-08-11 |
1467621334 | Cet of Memphis, LLC | Community/Behavioral Health | 2470 Capewood Dr, Memphis, TN 38127 | 2008-02-26 |
1912074030 | Medic Transportation, LLC. | Ambulance | 3180 Millington Rd., Memphis, TN 38127 | 2006-11-30 |
1609974450 | Walgreen Co. | Pharmacy | 3100 Thomas St., Memphis, TN 38127 | 2006-09-20 |
1871541177 | Clarice Weathers Mullinax | Family Medicine | 3124 North Thomas Street, Christ Community Health Services Inc, Memphis, TN 38127 | 2006-05-05 |
1295251619 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2670 Frayser Blvd, Memphis, TN 38127 | 2017-08-17 |
Find all providers in zip 38127 |
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 |
---|---|---|---|---|
1447623202 | Cordra Denise Childs | Case Manager/Care Coordinator | 1615 Cane Meadow Cir Apt 117, Memphis, TN 38106-6127 | 2015-11-02 |
1861877375 | Jacqueline Webb | Case Manager/Care Coordinator | 685 Emerald View Way, Memphis, TN 38109-6385 | 2015-07-26 |
1063896686 | Eboni Takendria Smith | Case Manager/Care Coordinator | 3993 Shinault Ln, Memphis, TN 38125-2649 | 2015-07-14 |
1750429437 | Cheryl Ann Cole | Case Manager/Care Coordinator | 408 S Front St Apt 202, Memphis, TN 38103-4448 | 2007-02-02 |
1366002305 | E3 Community Health/ Engage. Educate. Empower. Community Health | Case Manager/Care Coordinator | 5587 Murray Ave Ste 205, Memphis, TN 38119-0896 | 2019-06-20 |
1326533878 | Kelcey Johnson | Case Manager/Care Coordinator | 82 N 2nd St, Memphis, TN 38103-2203 | 2018-06-27 |
1063916625 | Mary Summers | Case Manager/Care Coordinator | 2600 Poplar Ave Ste 112, Memphis, TN 38112-3835 | 2018-03-20 |
1376057299 | Jamaica Raffeal Ivery-glover | Case Manager/Care Coordinator | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2017-11-30 |
1023522752 | Darius William Moravian | Case Manager/Care Coordinator | 4095 American Way Ste 1, Memphis, TN 38118-8339 | 2017-11-16 |
1396268157 | Erika Marie Collins | Case Manager/Care Coordinator | 4095 American Way Ste 1, Memphis, TN 38118-8339 | 2017-07-24 |
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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.