KIMBERLY BROWN (NPI# 1730621889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730621889 |
| Entity Type | Individual |
| Full Name | KIMBERLY BROWN |
| Practice Address |
7330 Fern Ave Ste 1102 Shreveport LA 71105-4989 |
| Practice Telephone | (318) 524-9954 |
| Practice Fax Number | 3185249953 |
| Mailing Telephone | 3185249954 |
| Mailing Fax Number | 3185249953 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2019-06-12 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4217 Texas Blvd, Texarkana, TX 755033012 | 9032557233 | 9032557466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406499 | Kimberly Brown | Nurse Practitioner | 4315 N Adams St, Kingman, AZ 86409-2610 | 2020-10-26 |
| 1124652839 | Kimberly Nicole Brown | Licensed Practical Nurse | 6208 Raleigh Dr, Indianapolis, IN 46219-1623 | 2020-03-03 |
| 1033764980 | Kimberly Kaye Brown | Registered Nurse | 18222 Widcombe Dr, Houston, TX 77084-3249 | 2019-08-07 |
| 1861952756 | Kimberly Ranee Brown | Nurse Practitioner | 622 Collins Dr Ste 200, Festus, MO 63028-2077 | 2019-03-25 |
| 1760951024 | Kimberly Brown | Counselor | 5610 Southpoint Centre Blvd, Fredericksburg, VA 22407-2611 | 2018-11-16 |
| 1326538463 | Kimberly Jean Brown | Speech-Language Pathologist | 6405 Deerview Dr, Raleigh, NC 27606-8801 | 2018-05-15 |
| 1851890438 | Kimberly Sue Brown | Counselor | 480 Galletti Way Bldg 2a, Sparks, NV 89431-5564 | 2018-02-08 |
| 1447759337 | Kimberly Brown | Specialist/Technologist, Other | 13755 River Road, Luling, LA 70070 | 2018-02-06 |
| 1861910606 | Kimberly Anne Brown | Physical Therapist | 7211 Bank Ct Ste 120, Frederick, MD 21703-8479 | 2017-08-31 |
| 1003279043 | Kimberly Brown | Technician, Other | 609 N 2nd Aveunue, 200, Phoenix, AZ 85003 | 2016-03-29 |
| Street Address |
7330 FERN AVE STE 1102 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-4989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558848838 | William Jackson | Counselor | 7330 Fern Ave Ste 1102, Shreveport, LA 71105-4989 | 2018-07-19 |
| 1942796065 | Monte' Demars | Counselor | 7330 Fern Ave Ste 1102, Shreveport, LA 71105-4989 | 2018-07-02 |
| 1578056446 | Ronnessia Myles | Counselor | 7330 Fern Ave Ste 1102, Shreveport, LA 71105-4989 | 2018-06-14 |
| 1982197851 | Elisia Minton | Counselor | 7330 Fern Ave Ste 1102, Shreveport, LA 71105-4989 | 2018-06-14 |
| 1396235081 | Monica Holmes | Counselor | 7330 Fern Ave Ste 1102, Shreveport, LA 71105-4989 | 2018-05-17 |
| 1538666391 | Ashley Henderson | Counselor | 7330 Fern Ave Ste 1102, Shreveport, LA 71105-4989 | 2018-04-09 |
| 1568966117 | Melandy Brown | Counselor | 7330 Fern Ave Ste 1102, Shreveport, LA 71105-4989 | 2018-03-20 |
| 1760999015 | Allison Youngblood | Counselor | 7330 Fern Ave Ste 1102, Shreveport, LA 71105-4989 | 2018-01-09 |
| 1578070819 | Kimberly Brooks | Counselor | 7330 Fern Ave Ste 1102, Shreveport, LA 71105-4989 | 2018-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| 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 |
|---|---|---|---|---|
| 1497360887 | Halena Jones | Case Manager/Care Coordinator | 9409 Chaparral Ln, Shreveport, LA 71118-4337 | 2020-09-11 |
| 1598376196 | Michaela Nicole Bradley | Case Manager/Care Coordinator | 10021 Stratmore Cir, Shreveport, LA 71115-3416 | 2020-08-17 |
| 1619585791 | Kimberly Bissell | Case Manager/Care Coordinator | 7505 Pines Rd Ste 1115, Shreveport, LA 71129-3900 | 2020-07-15 |
| 1902414170 | Unique Lashae Lister | Case Manager/Care Coordinator | 2611 Corbitt St, Shreveport, LA 71108-2805 | 2020-07-14 |
| 1407474828 | Angela Harris | Case Manager/Care Coordinator | 1111 W 70th St Apt 93, Shreveport, LA 71106-3558 | 2020-07-13 |
| 1669096921 | Ryan Barham | Case Manager/Care Coordinator | 824 Oneonta St, Shreveport, LA 71106-1130 | 2020-06-02 |
| 1922621085 | Julian White | Case Manager/Care Coordinator | 8529 Grover Pl, Shreveport, LA 71115-2707 | 2020-05-24 |
| 1396368817 | Shannon Marie Cannon | Case Manager/Care Coordinator | 1543 Summers St, Shreveport, LA 71108-3131 | 2020-05-19 |
| 1730701954 | Brianna Mason | Case Manager/Care Coordinator | 1533 Marshall St, Shreveport, LA 71101-3941 | 2020-05-11 |
| 1295355238 | Angela Rice | Case Manager/Care Coordinator | 2704 Frostwood Dr, Shreveport, LA 71108-5524 | 2020-04-20 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on KIMBERLY BROWN.
| 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.