LAURA BECKLEY (NPI# 1710518857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710518857 |
| Entity Type | Individual |
| Full Name | LAURA BECKLEY |
| Practice Address |
5800 Fairfield Ave Fort Wayne IN 46807-3400 |
| Mailing Address |
2423 Fairfield Ave Fort Wayne IN 46807-1210 |
| Practice Telephone | 2607459431 |
| Mailing Telephone | 2607459431 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811127020 | Laura Ann Beckley | Dietitian, Registered | 120 N Oak St, Hinsdale, IL 60521-3829 | 2009-07-22 |
| Street Address |
5800 FAIRFIELD AVE |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46807-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485395 | Stress Operations Group, Inc | Counselor | 5800 Fairfield Ave, Ste 210, Fort Wayne, IN 46807-3417 | 2005-05-27 |
| 1528582178 | Jamie Daling | Social Worker | 5800 Fairfield Ave, Fort Wayne, IN 46807-3400 | 2017-07-26 |
| 1821464603 | Emily Nicole Ackerman | Physical Therapist | 5800 Fairfield Ave, Ste 150, Fort Wayne, IN 46807 | 2015-08-17 |
| 1104157379 | Ashley Smith | Physical Therapist | 5800 Fairfield Ave, Suite 150, Fort Wayne, IN 46807-3400 | 2010-01-27 |
| 1124153325 | Craig Matthew Bolinger | Dentist | 5800 Fairfield Ave, Suite 220, Fort Wayne, IN 46807-3400 | 2007-02-21 |
| 1619044047 | Robert L Arnold Dds Inc | General Practice | 5800 Fairfield Ave, Suite 220, Fort Wayne, IN 46807-3437 | 2006-11-29 |
| 1083726848 | Robert L Arnold | General Practice | 5800 Fairfield Ave, Suite 220, Fort Wayne, IN 46807-3437 | 2006-08-31 |
| 1437113594 | Gary Lee Hopkins | Chiropractor | 5800 Fairfield Ave, Suite 112, Fort Wayne, IN 46807-3400 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234191 | Erin Hall | Case Manager/Care Coordinator | 5800 Faifield, Fort Wayne, IN 46807 | 2020-01-16 |
| 1912208745 | Lezly A Scott | Counselor | 2417 Fairfield Ave., Attn: Lezly Scott, Fort Wayne, IN 46807 | 2010-11-10 |
| 1851749147 | Eric Shoemaker | Family Medicine | 1007 W Rudisill Blvd, Fort Wayne, IN 46807 | 2016-05-27 |
| 1477639698 | John P Crowley | Social Worker | 2805 Fairfield Ave, Fort Wayne, IN 46807 | 2006-10-31 |
| 1770131948 | Donzhae Lee | Student in an Organized Health Care Education/Training Program | 2510 Thompson Ave, Fort Wayne, IN 46807-1051 | 2019-08-30 |
| 1407919236 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 2522 Thompson Ave, Fort Wayne, IN 46807-1051 | 2006-12-19 |
| 1770725244 | Clinical Services, LLC | Clinic/Center | 2315 Broadway, Fort Wayne, IN 46807-1103 | 2009-03-30 |
| 1831252592 | Rosie T Milner | Nurse Practitioner | 2315 Broadway, Fort Wayne, IN 46807-1103 | 2006-12-17 |
| 1558379453 | James Curtis Potts | Dentist | 2703 Broadway, James C Potts Dds, Fort Wayne, IN 46807-1111 | 2006-08-04 |
| 1417019241 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 2524 Beechwood Cir, Fort Wayne, IN 46807-1201 | 2006-12-15 |
| Find all providers in zip 46807 | ||||
| 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 |
|---|---|---|---|---|
| 1437766086 | Jaron Mathews Ford | Case Manager/Care Coordinator | 2710 Northaven Ct, Fort Wayne, IN 46825-7108 | 2020-09-28 |
| 1982234191 | Erin Hall | Case Manager/Care Coordinator | 5800 Faifield, Fort Wayne, IN 46807 | 2020-01-16 |
| 1194208348 | Ametria Russell | Case Manager/Care Coordinator | 7209 Engle Rd, Fort Wayne, IN 46804-2238 | 2018-09-13 |
| 1376031674 | Deanna S Lockett | Case Manager/Care Coordinator | 12625 Page Hill Ct, Fort Wayne, IN 46818-0012 | 2018-04-23 |
| 1104247337 | Paytons Place, LLC | Case Manager/Care Coordinator | 409 East Cook Rd, Suite 100, Fort Wayne, IN 46825 | 2013-12-13 |
| 1427324219 | Tonyetta Eley | Case Manager/Care Coordinator | 2419 Shadyoak Dr, Fort Wayne, IN 46806-5329 | 2012-03-27 |
| 1174657480 | Robert Anthony Ford | Case Manager/Care Coordinator | 525 Oxford St., Fort Wayne, IN 46806 | 2007-03-16 |
| 1477635852 | Aids Task Force, Inc. | Case Manager/Care Coordinator | 525 Oxford St, Fort Wayne, IN 46806-4177 | 2006-10-19 |
| 1528665700 | Bryan Patrick Espinosa | Case Manager/Care Coordinator | 1825 Beacon St, Fort Wayne, IN 46805-4750 | 2020-10-01 |
| 1427655604 | Mark Robert Adang | Case Manager/Care Coordinator | 1825 Beacon St, Fort Wayne, IN 46805-4750 | 2020-10-01 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46807 |
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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.