CARLA ARCHER (NPI# 1689199473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689199473 |
| Entity Type | Individual |
| Full Name | CARLA ARCHER |
| Practice Address |
418 Colegate Dr Marietta OH 45750 |
| Practice Telephone | 7403748730 |
| Practice Fax Number | 7403748767 |
| Mailing Telephone | 7403748730 |
| Mailing Fax Number | 7403748767 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2017-08-14 |
| 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 |
418 COLEGATE DR |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154398493 | Gary Jackson Tucker Jr. | Family Medicine | 418 Colegate Dr, Marietta, OH 45750-9549 | 2006-03-07 |
| 1487254231 | Spring Idale Henry | Prevention Professional | 418 Colegate Dr, Marietta, OH 45750-9549 | 2020-10-30 |
| 1235744038 | Emilee Ann Schwendeman | Technician, Other | 418 Colegate Dr, Marietta, OH 45750-9549 | 2020-09-09 |
| 1043836059 | Kelly Annelle Workman | Peer Specialist | 418 Colegate Dr, Marietta, OH 45750-9549 | 2020-06-25 |
| 1548829864 | Kristi Jo Kirk | Counselor | 418 Colegate Dr, Marietta, OH 45750-9549 | 2019-06-11 |
| 1063970903 | Julie Amber Bates | Licensed Practical Nurse | 418 Colegate Dr, Marietta, OH 45750-9549 | 2019-03-11 |
| 1922582469 | Michelle Renae Dennis | Peer Specialist | 418 Colegate Dr, Marietta, OH 45750-9549 | 2018-09-20 |
| 1710461488 | Krishna Danae Black | Case Manager/Care Coordinator | 418 Colegate Dr, Marietta, OH 45750-9549 | 2018-09-19 |
| 1154839884 | Nicholas Barton | Counselor | 418 Colegate Dr, Marietta, OH 45750-9549 | 2018-01-16 |
| 1578001855 | Lacey Wilson | Licensed Practical Nurse | 418 Colegate Dr, Marietta, OH 45750-9549 | 2017-02-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| 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 |
|---|---|---|---|---|
| 1477038040 | Krissi F Millinor | Case Manager/Care Coordinator | 4328 Highborne Dr Ne, Marietta, GA 30066-2429 | 2018-09-30 |
| 1780114199 | Sharon Laing | Case Manager/Care Coordinator | 310 Rosemont Park Ln, Marietta, GA 30064-6433 | 2017-06-18 |
| 1780051177 | Sean Norwood | Case Manager/Care Coordinator | 1640 Powers Ferry Rd Se Bldg 7, Marietta, GA 30067-5491 | 2015-09-01 |
| 1245663012 | Melissa Ray | Case Manager/Care Coordinator | 1579 Willow Dr, Marietta, GA 30066-1244 | 2013-08-15 |
| 1962843615 | Katherine Qualey | Case Manager/Care Coordinator | 1967 Fields Pond Dr, Marietta, GA 30068-1568 | 2013-07-10 |
| 1922444082 | Yvonne Delois Hollman | Case Manager/Care Coordinator | 3252 Shadowridge Dr Sw, Marietta, GA 30008-5947 | 2013-05-16 |
| 1427304989 | Jennifer Nowicki | Case Manager/Care Coordinator | 563 Faith St Nw, Marietta, GA 30064-2143 | 2012-08-01 |
| 1598035784 | Nicole Shenell Walker | Case Manager/Care Coordinator | 1738 County Services Pkwy Sw Bldg B, Marietta, GA 30008-4012 | 2012-01-05 |
| 1427334846 | John Williams | Case Manager/Care Coordinator | 296 Sandhurst Way Sw, Suite B, Marietta, GA 30060-6353 | 2011-10-31 |
| 1922284496 | Kandie L Huff | Case Manager/Care Coordinator | 837 Wilson Cir Sw, Marietta, GA 30064-3006 | 2008-01-15 |
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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.