KHADIJAH ABDUL-WAHID (NPI# 1659972552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659972552 |
| Entity Type | Individual |
| Full Name | KHADIJAH ABDUL-WAHID |
| Practice Address |
910 Princeton Ave Apt 201 Bluefield WV 24701-3100 |
| Practice Telephone | 3049523206 |
| Mailing Telephone | 3049523206 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| 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 |
| Street Address |
910 PRINCETON AVE APT 201 |
| City | BLUEFIELD |
| State | WV |
| Zip Code | 24701-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285083105 | Amber Mcclung | Pharmacist | South View Mall Us Route 52, Bluewell, WV 24701 | 2016-06-10 |
| 1083003909 | Kerri Francis | Specialist/Technologist | 219 Rock Street, Bluefield, WV 24701 | 2015-01-15 |
| 1740524222 | Stephanie Michelle Neely | Specialist | Rt 2 Old Princeton Road, Bluefield, WV 24701 | 2012-11-21 |
| 1649525676 | Charles Lohr | Pharmacist | 2924 E Cumberland Rd, Bluefield, WV 24701 | 2012-07-16 |
| 1508144239 | Chastity Leigh Walker | Nurse Practitioner | 510 Cherry St., Suite 301, Bluefield Primary Care, Bluefield, WV 24701 | 2011-07-29 |
| 1861795338 | Tracy Lynn Mathena | Pharmacist | Us Rt 52 N, Bluewell, WV 24701 | 2010-12-06 |
| 1972810125 | Bluefield Clinic Company LLC | Clinic/Center | 154 Majestic Place, Bluefield, WV 24701 | 2010-09-09 |
| 1477885804 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | Mercer Mall Rte460, Mercer Mall Ste #740, Bluefield, WV 24701 | 2010-02-10 |
| 1629257522 | Robert Martin Mustard II | Technician/Technologist | 210 1/2 North Street, Bluefield, WV 24701 | 2007-10-26 |
| 1952596603 | Bluefield Int & Cardio | Internal Medicine | 1331 Southview Drive, Suite 5, Bluefield, WV 24701 | 2007-09-06 |
| Find all providers in zip 24701 | ||||
| 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 |
|---|---|---|---|---|
| 1063011781 | Judy E Grose | Case Manager/Care Coordinator | 3873 Maple Acres Rd, Bluefield, WV 24701-5055 | 2020-10-23 |
| 1023615127 | Radene Hinkle | Case Manager/Care Coordinator | 1016 W Cumberland Rd, Bluefield, WV 24701-4561 | 2020-10-02 |
| 1114545845 | Tressea Leedy Frazier | Case Manager/Care Coordinator | 428 Robins Rest Rd, Bluefield, WV 24701-9646 | 2020-07-09 |
| 1629397724 | Shannon Lowe | Case Manager/Care Coordinator | 3609 E Cumberland Rd, Bluefield, WV 24701-5113 | 2010-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194647 | Carol Garten | Case Manager/Care Coordinator | 248 Red Oaks Shopping Ctr, Ronceverte, WV 24970-1349 | 2020-11-06 |
| 1942801014 | Ashley Bragg | Case Manager/Care Coordinator | 259 Maplewood Ln, Beaver, WV 25813-9341 | 2020-11-05 |
| 1538760566 | John David Barnes | Case Manager/Care Coordinator | 229 W Main St Ste 200, Clarksburg, WV 26301-2966 | 2020-11-05 |
| 1629679261 | Steven Thomas | Case Manager/Care Coordinator | 142 White Rose Dr, Daniels, WV 25832-9135 | 2020-11-02 |
| 1255931945 | Ami Moffo | Case Manager/Care Coordinator | 12 Carolina Ave, Beech Bottom, WV 26030-1006 | 2020-10-30 |
| 1023618576 | Julianna Christine Hayden | Case Manager/Care Coordinator | 3501 Winchester Avenue, Martinsburg, WV 25405-3187 | 2020-10-26 |
| 1326647207 | Carrie Stranko | Case Manager/Care Coordinator | 444 White Ave, Morgantown, WV 26501-6663 | 2020-10-21 |
| 1629677695 | Taylor Martin | Case Manager/Care Coordinator | 86 E Main St Ste B, Buckhannon, WV 26201-2864 | 2020-10-21 |
| 1154920270 | Valerie Jean Staunton | Case Manager/Care Coordinator | 765 Jefferson St S, Lewisburg, WV 24901-2084 | 2020-10-20 |
| 1770181240 | Cristy June Hamilton | Case Manager/Care Coordinator | 208 Cheshire Way Ste 1, Huntington, WV 25704-2064 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
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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.