MR. DAVID P BEATTY (NPI# 1700164191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700164191 |
| Entity Type | Individual |
| Full Name | MR. DAVID P BEATTY |
| Credential | CADC-M |
| Practice Address |
1151 Michigan Ave 118 East Lansing MI 48823-4069 |
| Practice Telephone | 5172422120 |
| Mailing Telephone | 5172422120 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 330324 | MI | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699183772 | David Beatty | Optometrist | 315 Crossgates Blvd Ste G, Brandon, MS 39042-2615 | 2014-08-01 |
| 1558569798 | David E. Beatty | Social Worker | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2007-07-10 |
| 1083781579 | David M Beatty | Dentist | 201 W Chisholm St, Alpena, MI 49707-2418 | 2006-11-29 |
| 1871685842 | David Ayers Beatty | Chiropractor | 2738 Clairmont Rd Ne, Atlanta, GA 30329-2713 | 2006-09-28 |
| 1093727877 | David Beatty | Clinical Nurse Specialist | 1001 W 10th St, Indianapolis, IN 46202-2859 | 2006-08-12 |
| 1174534895 | David A Beatty | Anesthesiology | 2310 California Road, Elkhart, IN 46514-1228 | 2006-08-10 |
| 1568471274 | David M Beatty | Family Medicine | 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 | 2006-08-05 |
| 1568434710 | David R Beatty | Neuromusculoskeletal Medicine & OMM | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2006-02-02 |
| 1912901554 | David Leroy Beatty | Podiatrist | 125 N Water St, Paulding, OH 45879-1245 | 2005-06-10 |
| Street Address |
1151 MICHIGAN AVE 118 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-4069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881777472 | Mary Jill Messer | Social Worker | 1151 Michigan Ave, Ste 106, East Lansing, MI 48823-4069 | 2006-10-24 |
| 1134576911 | Bove Counseling LLC | Social Worker | 1151 Michigan Ave, Suite 109, East Lansing, MI 48823-4069 | 2016-05-20 |
| 1619317021 | Karen Lynn Giles-smith | Dietitian, Registered | 1151 Michigan Ave, Suite 106, East Lansing, MI 48823-4069 | 2013-06-29 |
| 1558607325 | Kmkimmerly Counseling LLC | Social Worker | 1151 Michigan Ave, Suite 109, East Lansing, MI 48823-4069 | 2012-12-21 |
| 1568759181 | Addiction Relief & Supported Recovery, Inc | Case Management | 1151 Michigan Ave, East Lansing, MI 48823-4069 | 2011-07-03 |
| 1205167111 | Kersten Mary Kimmerly Kiebler | Social Worker | 1151 Michigan Ave, Suite 109, East Lansing, MI 48823-4069 | 2010-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| 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 |
|---|---|---|---|---|
| 1265826622 | Sara Grigsby | Case Manager/Care Coordinator | 424 Rosewood Ave, East Lansing, MI 48823-3245 | 2015-03-24 |
| 1871873828 | Debra Sue Sackett | Case Manager/Care Coordinator | 523 Bainbridge Dr Apt 31, East Lansing, MI 48823-1979 | 2011-08-23 |
| 1366838922 | Chelsi Humes | Case Manager/Care Coordinator | 2775 E Lansing Dr, East Lansing, MI 48823-7755 | 2015-04-10 |
| 1790924561 | Kathleen Marie Bonhaus | Case Manager/Care Coordinator | 2775 E Lansing Dr, East Lansing, East Lansing, MI 48823-7755 | 2009-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851670 | Kendall Brocavich | Case Manager/Care Coordinator | 397 Blunk St, Plymouth, MI 48170-3752 | 2020-11-04 |
| 1932700242 | Best Choice Health Services, LLC | Case Manager/Care Coordinator | 19300 Greenfield Rd Ste C, Detroit, MI 48235-2003 | 2020-11-03 |
| 1871193557 | Pierce Reynolds | Case Manager/Care Coordinator | 160 E Cambourne St, Ferndale, MI 48220-1310 | 2020-10-30 |
| 1588262331 | Emmarose Malone Dwyer | Case Manager/Care Coordinator | 3843 Thomas Rd, Oxford, MI 48371-1556 | 2020-10-14 |
| 1861090953 | Jordan Johnson | Case Manager/Care Coordinator | 19710 Cherry Hill St, Southfield, MI 48076-1061 | 2020-10-12 |
| 1871191957 | Katrina M Dicesare | Case Manager/Care Coordinator | 39340 Medallion Ct Apt 7103, Farmington Hills, MI 48331-4913 | 2020-10-12 |
| 1144837618 | Lisa Glover | Case Manager/Care Coordinator | 1977 Radcliff Ave Se, Grand Rapids, MI 49506-5140 | 2020-09-28 |
| 1891301347 | Cierra C Coward | Case Manager/Care Coordinator | 20752 Camden Sq Apt 205, Southfield, MI 48076-3824 | 2020-09-21 |
| 1245845791 | Amanda Evanoff | Case Manager/Care Coordinator | 4619 Jerome Rd, Clarkston, MI 48346-3735 | 2020-09-11 |
| 1326653122 | Malika Triplett | Case Manager/Care Coordinator | 3002 Meisner Ave, Flint, MI 48506-2434 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
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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.