MS. BRENDA RUNYON DEERE (NPI# 1720034440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720034440 |
| Entity Type | Individual |
| Full Name | MS. BRENDA RUNYON DEERE |
| Other Name | MS. BRENDA ELISE DEERE |
| Credential | MA, LPA, CPLC, CPWLC |
| Practice Address |
14466 Reflection Lakes Dr Fort Myers FL 33907-1806 |
| Practice Telephone | 2397918679 |
| Mailing Telephone | 2397918679 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2012-08-21 |
| 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 |
|---|---|---|---|
| NC | 6107167 | 05 | |
| NC | PSYCHOLOGY LICENSE NUMBER | 2251 | 01 |
| Street Address |
14466 REFLECTION LAKES DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-1806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| 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 |
|---|---|---|---|---|
| 1013417542 | Charity Williams | Case Manager/Care Coordinator | 13821 River Forest Dr, Fort Myers, FL 33905-1822 | 2018-02-21 |
| 1992111439 | Sonya Paige | Case Manager/Care Coordinator | 414 Buena Vista Blvd, Fort Myers, FL 33905-3654 | 2014-07-04 |
| 1235494881 | Jahaida Zavala | Case Manager/Care Coordinator | 2231 Mcgregor Blvd, Fort Myers, FL 33901-3311 | 2012-07-10 |
| 1497045785 | Heidi M Eisele | Case Manager/Care Coordinator | 2506 2nd St, Suite 105, Fort Myers, FL 33901-2500 | 2011-04-08 |
| 1245419423 | Lyzza Archipov | Case Manager/Care Coordinator | 3487 Broadway Avenue, Fort Myers, FL 33901-7213 | 2007-10-24 |
| 1104452465 | Marcela Checa | Case Manager/Care Coordinator | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-03-19 |
| 1528604287 | Jean Patton | Case Manager/Care Coordinator | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2019-11-18 |
| 1750936357 | Ameena Brown | Case Manager/Care Coordinator | 3763 Evans Ave, Fort Myers, FL 33901-9302 | 2019-08-09 |
| 1144887498 | Joseph Raymond Bauer | Case Manager/Care Coordinator | 6360 Techster Blvd, Fort Myers, FL 33966-4805 | 2019-05-22 |
| 1831650464 | Mariah Williams | Case Manager/Care Coordinator | 3763 Evans Ave, Fort Myers, FL 33901-9302 | 2019-03-27 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
Please comment or provide details below to improve the information on MS. BRENDA RUNYON DEERE.
| 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.