MS. DOMINIQUE WISE (NPI# 1699267716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699267716 |
| Entity Type | Individual |
| Full Name | MS. DOMINIQUE WISE |
| Practice Address |
12561 Wardline Rd Hammond LA 70401-6212 |
| Practice Telephone | 9855515155 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | LA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548622897 | Dominique Wise | Counselor | 1887 Monterey Hwy Ste 205, San Jose, CA 95112 | 2016-03-25 |
| Street Address |
12561 WARDLINE RD |
| City | HAMMOND |
| State | LA |
| Zip Code | 70401-6212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629441118 | Crystal Yvette Cunningham | Counselor | 12561 Wardline Rd, Hammond, LA 70401 | 2015-11-05 |
| 1982198735 | Nathaniel Showers | Case Manager/Care Coordinator | 12561 Wardline Rd, Hammond, LA 70401-6212 | 2018-06-15 |
| 1003300955 | Carnette Jackson | Case Manager/Care Coordinator | 12561 Wardline Rd, Hammond, LA 70401-6212 | 2018-06-14 |
| 1407349723 | Antranetta Brown | Case Manager/Care Coordinator | 12561 Wardline Rd, Hammond, LA 70401-6212 | 2018-06-11 |
| 1184117830 | Bralyn Uba | Case Manager/Care Coordinator | 12561 Wardline Rd, Hammond, LA 70401-6212 | 2018-06-07 |
| 1477046126 | Constance Johnson | Case Manager/Care Coordinator | 12561 Wardline Rd, Hammond, LA 70401-6212 | 2018-06-07 |
| 1417449539 | Rasha' Malkina Showers | Case Manager/Care Coordinator | 12561 Wardline Rd, Hammond, LA 70401-6212 | 2018-06-04 |
| 1336631449 | Jamonica Nunnery | Case Manager/Care Coordinator | 12561 Wardline Rd, Hammond, LA 70401-6212 | 2018-06-04 |
| 1164914289 | Shakara Tyson | Case Manager/Care Coordinator | 12561 Wardline Rd, Hammond, LA 70401-6212 | 2018-06-04 |
| 1154813277 | Yolanda M Gray | Case Manager/Care Coordinator | 12561 Wardline Rd, Hammond, LA 70401-6212 | 2018-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855659 | Tabita Hooper | Dentist | 2807 W Thomas, Hammond, LA 70401 | 2020-06-11 |
| 1689200826 | Thomas Michael Nedow | Specialist/Technologist | 500 W University Avenue, Hammond, LA 70401 | 2020-03-19 |
| 1861025041 | Jonte Bernard | Specialist/Technologist | 1150 N General Pershing, Hammond, LA 70401 | 2020-02-17 |
| 1275196156 | Monica Rome Thompson | Case Manager/Care Coordinator | 1312 N Morrison Blvd, Hammond, LA 70401 | 2019-04-17 |
| 1740752864 | Katelyn D Ennis | Case Manager/Care Coordinator | 1312 N. Morrison Blvd., Hammond, LA 70401 | 2018-12-31 |
| 1396215257 | Breyanna Johnson | Case Manager/Care Coordinator | 1312 North Morrison Blvd, Hammond, LA 70401 | 2018-12-04 |
| 1134695331 | Shanquel Antonet Mckay | Case Manager/Care Coordinator | 1312 N. Morrison Blvd, Hammond, LA 70401 | 2018-10-16 |
| 1598243412 | Brooke Lynn Boggs | Preventive Medicine | 800 North Hazel St., Hammond, LA 70401 | 2018-08-02 |
| 1811499197 | Ashley Daytora Cohn | Counselor | 15043 Woodstone Dr Apt 226, Hammond, LA 70401 | 2018-03-02 |
| 1790207645 | Angela D Dillon | Counselor | 12261 Patrina Ln, Hammond, LA 70401 | 2017-07-12 |
| Find all providers in zip 70401 | ||||
| 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 |
|---|---|---|---|---|
| 1467094714 | Denetra Rayford | Case Manager/Care Coordinator | 1320 N Morrison Blvd # 105106, Hammond, LA 70401-2242 | 2019-10-08 |
| 1114575040 | Patricia West | Case Manager/Care Coordinator | 1320 N Morrison Blvd Ste 105106, Hammond, LA 70401-2242 | 2019-09-04 |
| 1275196156 | Monica Rome Thompson | Case Manager/Care Coordinator | 1312 N Morrison Blvd, Hammond, LA 70401 | 2019-04-17 |
| 1609335777 | Marjorie Nicole Baham | Case Manager/Care Coordinator | 1320 N Morrison Blvd Ste 105, Hammond, LA 70401-2242 | 2019-03-18 |
| 1740752864 | Katelyn D Ennis | Case Manager/Care Coordinator | 1312 N. Morrison Blvd., Hammond, LA 70401 | 2018-12-31 |
| 1396215257 | Breyanna Johnson | Case Manager/Care Coordinator | 1312 North Morrison Blvd, Hammond, LA 70401 | 2018-12-04 |
| 1134695331 | Shanquel Antonet Mckay | Case Manager/Care Coordinator | 1312 N. Morrison Blvd, Hammond, LA 70401 | 2018-10-16 |
| 1104311257 | Ivory Headspeth Mitchell | Case Manager/Care Coordinator | 906 C M Fagan Dr Bldg A, Hammond, LA 70403-6056 | 2018-06-29 |
| 1134628118 | Adrienne Nicole Chambers | Case Manager/Care Coordinator | 1417 W. Morris Ave, Ste. E, Hammond, LA 70403 | 2018-02-06 |
| 1871004788 | Lisa Marie Locascio | Case Manager/Care Coordinator | 45369 Pine Hill Rd, Hammond, LA 70401-4420 | 2017-10-18 |
| Find all providers in HAMMOND | ||||
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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.