REBECCA SHARON COLLINS (NPI# 1649829870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649829870 |
| Entity Type | Individual |
| Full Name | REBECCA SHARON COLLINS |
| Credential | AAS, QMHS |
| Practice Address |
3095 Kettering Blvd Moraine OH 45439-1983 |
| Practice Telephone | 9372938300 |
| Mailing Telephone | 9372938300 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| 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 |
|---|---|---|---|---|
| 1356982888 | Rebecca Rosetta Collins | Registered Nurse | 1133 Frontline Dr, Frederick, MD 21703-3906 | 2019-10-06 |
| 1548501505 | Rebecca Lynn Collins | Pharmacy Technician | 91 W Pine Lake Dr, Newaygo, MI 49337-9331 | 2013-03-14 |
| 1073546297 | Rebecca Lynne Collins | Occupational Therapist | 134 Thurbers Ave, C/o Family Service of Ri, Providence, RI 02905-4754 | 2006-07-09 |
| 1861028334 | Rebecca Lynn Collins | Assistant Behavior Analyst | 8885 Rio San Diego Dr Ste 340, San Diego, CA 92108-1669 | 2020-03-17 |
| 1730663881 | Rebecca Marie Collins | Technician, Other | 67 Hiker St, Santa Rosa Beach, FL 32459-8826 | 2018-09-24 |
| 1245780477 | Rebecca Collins | Nurse Practitioner | 47 High Street, Suite 101, North Andover, MA 01845 | 2016-10-12 |
| 1205381738 | Rebecca Collins | Social Worker | 100 Park St, Glens Falls, NY 12801-4413 | 2016-08-25 |
| 1417400144 | Rebecca Collins | Registered Nurse | 1301 N High St, Columbus, OH 43201-2460 | 2016-07-29 |
| 1477922953 | Rebecca Collins | Behavioral Analyst | 721 N Vulcan Ave, Suite 208, Encinitas, CA 92024-2190 | 2015-09-15 |
| 1215376173 | Rebecca Collins | Student in an Organized Health Care Education/Training Program | 1960 Ogden St, Suite 340, Denver, CO 80218-3666 | 2013-06-24 |
| Street Address |
3095 KETTERING BLVD |
| City | MORAINE |
| State | OH |
| Zip Code | 45439-1983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063490241 | Michelle L Schaffer | Counselor | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2006-01-06 |
| 1235730839 | Ruby Deanna Fortson | Counselor | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-11-02 |
| 1508466566 | Rebecca Khamis | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-29 |
| 1821698010 | Nikhaya Adams | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-28 |
| 1790385110 | Ashley Dawn Hyer | Counselor | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-26 |
| 1275131187 | Steven Thompson | Counselor | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-13 |
| 1205434230 | Kathleen E Robbins | Registered Nurse | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-12 |
| 1689271462 | Lindsey Marie Montano | Counselor | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-05 |
| 1801493044 | Ashley Nicole Koverman | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-01 |
| 1598370009 | Yolanda Williams | Licensed Practical Nurse | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-09-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104455260 | Joseph Michael Meacham | Counselor | 3059 Kettering Blvd., Moraine, OH 45439 | 2020-04-02 |
| 1932673597 | Sabrina M Nichols | Behavior Technician | 5290 Cobblegate Drive, Moraine, OH 45439 | 2019-01-17 |
| 1013406040 | Chevelle Antionette Bennett | Licensed Practical Nurse | 4964 Springboco Pk, Mocaine, OH 45439 | 2018-05-04 |
| 1205332418 | Vincent A Mcbride | Case Manager/Care Coordinator | 3350 South Kettering Blvd, Moraine, OH 45439 | 2018-04-05 |
| 1124532635 | Rodescu Macklin | Counselor | 200 Daruma Parkway, Moraine, OH 45439 | 2017-11-20 |
| 1194248872 | Blu Diamond Home Care LLC | Home Health | 3481 Office Park Drive, Suite 12d, Dayton, OH 45439 | 2017-07-25 |
| 1003342692 | Chadonn Cummings | Social Worker | 3905 Kettering Blvd, Moriane, OH 45439 | 2017-05-03 |
| 1962959098 | Jessica Woody | Counselor | 3011kettering Blvd, Suite 311, Moraine, OH 45439 | 2016-09-07 |
| 1427409309 | Aida E Scanlon | Physician Assistant | 3445 S Dixie Dr, Moraine, OH 45439 | 2016-06-22 |
| 1881048908 | Judith Crum | Counselor | 4983 Joyce Dr., Dayton, OH 45439 | 2016-04-14 |
| Find all providers in zip 45439 | ||||
| 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 |
|---|---|---|---|---|
| 1992201172 | Angela Jayne Broussard | Case Manager/Care Coordinator | 3095 Kettering Blvd Fl 4, Moraine, OH 45439-1983 | 2018-04-05 |
| 1205332418 | Vincent A Mcbride | Case Manager/Care Coordinator | 3350 South Kettering Blvd, Moraine, OH 45439 | 2018-04-05 |
| 1407354046 | Jaime Lee Thomas | Case Manager/Care Coordinator | 3055 Kettering Blvd Ste 311, Moraine, OH 45439-1900 | 2018-01-29 |
| 1508466566 | Rebecca Khamis | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-29 |
| 1821698010 | Nikhaya Adams | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-28 |
| 1801493044 | Ashley Nicole Koverman | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-01 |
| 1942819271 | Sachchida Subedi | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-07-22 |
| 1679191381 | Adrimia Williams | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-07-09 |
| 1699393280 | Stacey Jean Finch | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-07-09 |
| 1760006191 | Katrina Celeste Queen | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-06-01 |
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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.