SHANTA RENA WILSON (NPI# 1700370764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700370764 |
| Entity Type | Individual |
| Full Name | SHANTA RENA WILSON |
| Practice Address |
128 Louisiana Ave Ferriday LA 71334-2826 |
| Practice Telephone | 3184377157 |
| Practice Fax Number | 3184377158 |
| Mailing Telephone | 3184377157 |
| Mailing Fax Number | 3184377158 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |
| 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 |
|---|---|---|---|---|
| 1467989806 | Shanta Nicole Wilson | Counselor | 868 N Manassas St, Memphis, TN 38107-2516 | 2017-05-16 |
| Street Address |
128 LOUISIANA AVE |
| City | FERRIDAY |
| State | LA |
| Zip Code | 71334-2826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045635 | Samantha Davis | Case Manager/Care Coordinator | 128 Louisiana Ave, Ferriday, LA 71334-2826 | 2019-04-01 |
| 1417421918 | Venessia King | Case Manager/Care Coordinator | 128 Louisiana Ave, Ferriday, LA 71334-2826 | 2019-01-17 |
| 1366915548 | Latajaha Grinnell | Case Manager/Care Coordinator | 128 Louisiana Ave, Ferriday, LA 71334-2826 | 2019-01-09 |
| 1215424791 | Alicia Shavelle Blanton | Case Manager/Care Coordinator | 128 Louisiana Ave, Ferriday, LA 71334-2826 | 2018-04-19 |
| 1164926341 | Shelia Minor Dye | Counselor | 128 Louisiana Ave, Ferriday, LA 71334-2826 | 2018-03-21 |
| 1962900845 | Velma Dena Singleton | Counselor | 128 Louisiana Ave, Ferriday, LA 71334-2826 | 2018-01-25 |
| 1134627250 | Pinkey Skipper Henderson | Case Manager/Care Coordinator | 128 Louisiana Ave, Ferriday, LA 71334-2826 | 2018-01-23 |
| 1750898052 | Pamela Atkins | Counselor | 128 Louisiana Ave, Ferriday, LA 71334-2826 | 2018-01-08 |
| 1427565324 | Janet Marie Greene | Counselor | 128 Louisiana Ave, Ferriday, LA 71334-2826 | 2018-01-02 |
| 1093220170 | Nelda J Mason | Counselor | 128 Louisiana Ave, Ferriday, LA 71334-2826 | 2017-12-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164900759 | Komonicca Cook Collins | Counselor | 2222 Hwy 65, Ferriday, LA 71334 | 2018-08-06 |
| 1245716331 | Melissa Lehman | Registered Nurse | 1421 Hwy 568, Ferriday, LA 71334 | 2018-07-12 |
| 1912400995 | All About You Healthcare Sitter Service, Inc | Community/Behavioral Health | 110 Louisiana Ave, Ferriday, LA 71334 | 2018-03-15 |
| 1598272288 | Adarsha Gautam | Physical Therapist | 1700 Ee Wallace Bloulevard, Ferriday, LA 71334 | 2018-01-04 |
| 1336669878 | Detrick Lashae Winding | Physical Therapy Assistant | 110 Serio Blvd., Ferriday, LA 71334 | 2017-06-26 |
| 1821518812 | Lyndsey Renea Smith | Occupational Therapy Assistant | 1700 E E Wallace Blvd, Ferriday, LA 71334 | 2017-06-21 |
| 1275989386 | Nearther Marie Ceasor | Case Manager/Care Coordinator | 123 Canal St, Ferriday, LA 71334 | 2016-05-06 |
| 1689046559 | Fredrica Williams | Counselor | 615 Ee Wallace Blvd S, Ferriday, LA 71334 | 2015-10-30 |
| 1841676129 | Stacey Lacombe Armand | Nurse Practitioner | Concordia Parish Health Unit/office of Public Health, 905 Mickey Gilley Ave., Ferriday, LA 71334 | 2015-08-10 |
| 1720349392 | Exodus Behavioral Health Center-ferriday, LLC | Community/Behavioral Health | 201 Ee Wallace Blvd Suite 3, Ferriday, LA 71334 | 2012-05-31 |
| Find all providers in zip 71334 | ||||
| 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 |
|---|---|---|---|---|
| 1275989386 | Nearther Marie Ceasor | Case Manager/Care Coordinator | 123 Canal St, Ferriday, LA 71334 | 2016-05-06 |
| 1386278323 | Catasha Brown | Case Manager/Care Coordinator | 615 Ee Wallace Blvd S, Ferriday, LA 71334-3224 | 2020-02-28 |
| 1770045635 | Samantha Davis | Case Manager/Care Coordinator | 128 Louisiana Ave, Ferriday, LA 71334-2826 | 2019-04-01 |
| 1417421918 | Venessia King | Case Manager/Care Coordinator | 128 Louisiana Ave, Ferriday, LA 71334-2826 | 2019-01-17 |
| 1366915548 | Latajaha Grinnell | Case Manager/Care Coordinator | 128 Louisiana Ave, Ferriday, LA 71334-2826 | 2019-01-09 |
| 1215424791 | Alicia Shavelle Blanton | Case Manager/Care Coordinator | 128 Louisiana Ave, Ferriday, LA 71334-2826 | 2018-04-19 |
| 1134627250 | Pinkey Skipper Henderson | Case Manager/Care Coordinator | 128 Louisiana Ave, Ferriday, LA 71334-2826 | 2018-01-23 |
| 1083126577 | Kathy Martin | Case Manager/Care Coordinator | 128 Louisiana Ave, Ferriday, LA 71334-2826 | 2017-10-24 |
| 1518477223 | Janie Hollins Broadnax | Case Manager/Care Coordinator | 128 Louisiana Ave, Ferriday, LA 71334-2826 | 2017-10-07 |
| 1851813463 | Ashley N Lewis | Case Manager/Care Coordinator | 128 Louisiana Ave, Ferriday, LA 71334-2826 | 2017-07-14 |
| Find all providers in FERRIDAY | ||||
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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.