MACKENZIE BLAKE HOUSE (NPI# 1659979722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659979722 |
| Entity Type | Individual |
| Full Name | MACKENZIE BLAKE HOUSE |
| Credential | BS |
| Practice Address |
1203 American Greeting Card Rd Corbin KY 40701-4811 |
| Mailing Address |
310 College St # 878 Barbourville KY 40906-1410 |
| Practice Telephone | 6065287010 |
| Mailing Telephone | 6064013640 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| 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 |
1203 AMERICAN GREETING CARD RD |
| City | CORBIN |
| State | KY |
| Zip Code | 40701-4811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384566 | Marletta Kay Lawson | Nurse Practitioner | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2005-05-24 |
| 1366043556 | Chelsey Cain | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2020-11-04 |
| 1891396271 | Chloe Beth Parks | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2020-11-03 |
| 1407456809 | Katherine Johnson | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2020-10-27 |
| 1477152254 | Tina Marie Futrell | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2020-10-22 |
| 1437758604 | Cassandra Strawser | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2020-10-20 |
| 1730788936 | Slade Moore | Case Manager/Care Coordinator | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2020-10-20 |
| 1942808993 | Alexis Sizemore | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2020-10-13 |
| 1417555327 | Cordie Wilson | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2020-10-13 |
| 1285232371 | Kasondra Glynn Lewis | Registered Nurse | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2020-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1376014183 | Ruth Ann Thornhill | Nurse Practitioner | 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 | 2018-12-06 |
| 1770066136 | Grace Community Health Center, Inc. | Psychologist | 50 Ed Mcneel Drive, Corbin, KY 40701 | 2018-09-12 |
| 1235610353 | Linda Bales | Occupational Therapist | 112 Commonwealth Avenue, Corbin, KY 40701 | 2018-08-27 |
| 1710465398 | Holly Davina Bingham | Counselor | 1203 Amercn Grtg Card Rd, Corbin, KY 40701 | 2018-08-05 |
| 1881134914 | Angie Mossie Ledford | Nurse Practitioner | 521 Cumberland Gap Parkway #1, Corbin, KY 40701 | 2017-03-08 |
| 1669915609 | Energized Therapy | Occupational Therapist | 702 Phillips Lane, Corbin, KY 40701 | 2016-11-23 |
| 1649635293 | Debra Ann Hipsher | Counselor | 967 South Hwy 25 West, Corbin, KY 40701 | 2015-12-28 |
| 1356729438 | Sean William James | Family Medicine | 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 | 2015-05-11 |
| 1962847285 | Angela Davidson Gabbard | Dentist | 129 S. Hwy 1223, Corbin, KY 40701 | 2013-04-30 |
| Find all providers in zip 40701 | ||||
| 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 |
|---|---|---|---|---|
| 1669070348 | Ryan Bailey Meade | Case Manager/Care Coordinator | 1203 Greeting Card Road, Corbin, KY 40701-4811 | 2020-10-14 |
| 1467701391 | Cindy L Boswell | Case Manager/Care Coordinator | 1203 American Greeting Card Road, Corbin, KY 40701-4811 | 2012-09-06 |
| 1730788936 | Slade Moore | Case Manager/Care Coordinator | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2020-10-20 |
| 1902403561 | Ashley Nicole Harris | Case Manager/Care Coordinator | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2020-10-07 |
| 1316585086 | Tamara Lynn Martin | Case Manager/Care Coordinator | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2019-12-12 |
| 1700422581 | Linda Pauline Baker | Case Manager/Care Coordinator | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2019-11-27 |
| 1427690304 | Michael Daniel Weigant | Case Manager/Care Coordinator | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2019-10-12 |
| 1952942534 | Donna Dunn | Case Manager/Care Coordinator | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2019-10-04 |
| 1225592629 | Rhagan R Davis | Case Manager/Care Coordinator | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2019-01-30 |
| 1679047500 | Marilyn Clara Chavez | Case Manager/Care Coordinator | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2019-01-14 |
| Find all providers in CORBIN | ||||
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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.