GEORGETTA KINGREY (NPI# 1699964080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699964080 |
| Entity Type | Individual |
| Full Name | GEORGETTA KINGREY |
| Credential | CASE MANAGER |
| Practice Address |
112 Sartin Dr. Edmonton KY 42129 |
| Mailing Address |
15 Meshack Creek Rd Tompkinsville KY 42167-8564 |
| Practice Telephone | 2704324951 |
| Practice Fax Number | 2704325054 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 28004018 | 05 |
| Street Address |
112 SARTIN DR. |
| City | EDMONTON |
| State | KY |
| Zip Code | 42129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013058494 | Mikki S Page | Social Worker | 112 Sartin Dr., Edmonton, KY 42129 | 2007-02-09 |
| 1346422326 | Deloris Fay Garrett | Case Manager/Care Coordinator | 112 Sartin Dr., Edmonton, KY 42129 | 2007-11-30 |
| 1639350333 | Tina Froedge | Case Manager/Care Coordinator | 112 Sartin Dr., Edmonton, KY 42129 | 2007-11-21 |
| 1144419532 | Tony Rutherford | Case Manager/Care Coordinator | 112 Sartin Dr., Edmonton, KY 42129 | 2007-10-22 |
| 1780873174 | Christen Montgomery | Case Manager/Care Coordinator | 112 Sartin Dr., Edmonton, KY 42129 | 2007-10-22 |
| 1487781647 | Rita Milby | Counselor | 112 Sartin Dr., Edmonton, KY 42129 | 2007-02-27 |
| 1265567549 | Mark J Saderholm | Counselor | 112 Sartin Dr., Edmonton, KY 42129 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194162503 | Barren River District Health Department | Public Health or Welfare | 102 Ralph Edwards Rd, Edmonton, KY 42129 | 2013-05-24 |
| 1114257615 | Laura Dale Miller | Developmental Therapist | 111 Gail Dr, Edmonton, KY 42129 | 2010-01-05 |
| 1629240759 | Edmonton Primary Care Nursing Group | Nurse Practitioner | 903 West Stockton Street, Edmonton, KY 42129 | 2008-03-28 |
| 1861676421 | Metcalfe Health Services, Inc. | Clinic/Center | 770 Industrial Drive, Edmonton, KY 42129 | 2007-12-19 |
| 1639350200 | Barren River District Health Department | Public Health or Welfare | 615 West Stockton Street, Edmonton, KY 42129 | 2007-11-23 |
| 1336329044 | Metcalfe Co. Schools | Local Education Agency (LEA) | 1007 West Stockton Street, Edmonton, KY 42129 | 2007-11-09 |
| 1285771295 | Nancy Lee Barrett | Nurse Practitioner | 112 Sartin Dr, Edmonton, KY 42129 | 2007-01-31 |
| 1629148481 | John W Miller | Dentist | 108 Elmore Street, Edmonton, KY 42129 | 2006-11-09 |
| 1932298312 | James Michael Pasley | Counselor | Metcalfe County Service Center, 112 Sartin Dr, Edmonton, KY 42129 | 2006-10-12 |
| 1154433159 | Sharon Wise | Social Worker | 112 Sartin Drive, Edmonton, KY 42129 | 2006-08-31 |
| Find all providers in zip 42129 | ||||
| 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 |
|---|---|---|---|---|
| 1316453921 | Kayla Bennett | Case Manager/Care Coordinator | 112 Sartin Dr, Edmonton, KY 42129-8170 | 2017-12-19 |
| 1902228117 | Alysha Ervin | Case Manager/Care Coordinator | 112 Sartin Dr, Edmonton, KY 42129-8170 | 2014-01-08 |
| 1124305560 | Michelle Graves | Case Manager/Care Coordinator | 112 Sartin Dr, Edmonton, KY 42129-8170 | 2011-11-14 |
| 1346422326 | Deloris Fay Garrett | Case Manager/Care Coordinator | 112 Sartin Dr., Edmonton, KY 42129 | 2007-11-30 |
| 1639350333 | Tina Froedge | Case Manager/Care Coordinator | 112 Sartin Dr., Edmonton, KY 42129 | 2007-11-21 |
| 1144419532 | Tony Rutherford | Case Manager/Care Coordinator | 112 Sartin Dr., Edmonton, KY 42129 | 2007-10-22 |
| 1780873174 | Christen Montgomery | Case Manager/Care Coordinator | 112 Sartin Dr., Edmonton, KY 42129 | 2007-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607605 | Yasmeen Barnes | Case Manager/Care Coordinator | 10207 Allentree Pl, Louisville, KY 40229-2214 | 2020-10-22 |
| 1669070348 | Ryan Bailey Meade | Case Manager/Care Coordinator | 1203 Greeting Card Road, Corbin, KY 40701-4811 | 2020-10-14 |
| 1669087466 | Sherry L Young | Case Manager/Care Coordinator | 72 Southland Dr, Somerset, KY 42501-6120 | 2020-09-09 |
| 1447863493 | Stacie Elizabeth Centers | Case Manager/Care Coordinator | 3212 Meeting Creek Rd, Eastview, KY 42732-9751 | 2020-08-28 |
| 1457963779 | Rebecca Erin Miller | Case Manager/Care Coordinator | 100 Francis St, Irvine, KY 40336-1018 | 2020-08-18 |
| 1952911190 | Arianne Riley | Case Manager/Care Coordinator | 418 W 9th St, Covington, KY 41011-2145 | 2020-08-03 |
| 1851914048 | Ryon Piphus | Case Manager/Care Coordinator | 1169 Eastern Pkwy Ste 336, Louisville, KY 40217-1417 | 2020-05-21 |
| 1518591908 | Sabrina Lee Stapp | Case Manager/Care Coordinator | 1500 Parkside Dr, Bowling Green, KY 42101-2756 | 2020-02-25 |
| 1801435524 | Virginia Carroll Shea | Case Manager/Care Coordinator | 1044 Rose Cir, Park Hills, KY 41011-1925 | 2019-12-27 |
| 1154969129 | Michelle Rae Hicks | Case Manager/Care Coordinator | 1151 S 4th St Ste 208, Louisville, KY 40203-3101 | 2019-12-20 |
| 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.