BEVERLY WOODY (NPI# 1770064263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770064263 |
| Entity Type | Individual |
| Full Name | BEVERLY WOODY |
| Practice Address |
3165 Mckelvey Rd Bridgeton MO 63044-2563 |
| Mailing Address |
1430 Olive St Ste 400 Saint Louis MO 63103-2303 |
| Practice Telephone | 3144529065 |
| Mailing Telephone | 3142063700 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |
| 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 |
| Street Address |
3165 MCKELVEY RD |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044-2563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679595623 | Cynthia L Horvath | Social Worker | 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044-2550 | 2006-07-25 |
| 1942765656 | Meghan Weicht | Social Worker | 3165 Mckelvey Rd, Bridgeton, MO 63044-2563 | 2019-02-06 |
| 1124597018 | Abigail Katherine Gutmann | Case Manager/Care Coordinator | 3165 Mckelvey Rd, Bridgeton, MO 63044-2563 | 2018-11-20 |
| 1841767407 | Mariah Summers | Social Worker | 3165 Mckelvey Rd, Bridgeton, MO 63044-2563 | 2018-10-31 |
| 1659848216 | Julia Ann Vollmer | Social Worker | 3165 Mckelvey Rd, Bridgeton, MO 63044-2563 | 2018-10-31 |
| 1710453188 | Destany Danielle Mcdaniel | Case Manager/Care Coordinator | 3165 Mckelvey Rd, Bridgeton, MO 63044-2563 | 2018-10-23 |
| 1588130033 | Remiko Cerrie Stallings | Behavior Technician | 3165 Mckelvey Rd, Bridgeton, MO 63044-2563 | 2018-10-22 |
| 1497221477 | Christine Elise Kampmann | Case Manager/Care Coordinator | 3165 Mckelvey Rd, Bridgeton, MO 63044 | 2018-10-17 |
| 1609357326 | Tonya Rena Rives | Case Manager/Care Coordinator | 3165 Mckelvey Rd, Bridgeton, MO 63044-2563 | 2018-08-22 |
| 1801375357 | Mishla Latice Holman | Case Manager/Care Coordinator | 3165 Mckelvey Rd, Bridgeton, MO 63044-2563 | 2018-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
| 1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
| 1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
| 1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
| 1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
| Find all providers in zip 63044 | ||||
| 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 |
|---|---|---|---|---|
| 1508188541 | Purvis's Retreat | Case Manager/Care Coordinator | 20 Thoroughbred Ct, Bridgeton, NJ 08302-3553 | 2010-02-18 |
| 1124597018 | Abigail Katherine Gutmann | Case Manager/Care Coordinator | 3165 Mckelvey Rd, Bridgeton, MO 63044-2563 | 2018-11-20 |
| 1316415649 | Karl Potzmann | Case Manager/Care Coordinator | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-11-05 |
| 1710453188 | Destany Danielle Mcdaniel | Case Manager/Care Coordinator | 3165 Mckelvey Rd, Bridgeton, MO 63044-2563 | 2018-10-23 |
| 1447726815 | Garfield Duckett | Case Manager/Care Coordinator | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-10-23 |
| 1891261269 | Holly Shiels | Case Manager/Care Coordinator | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-10-23 |
| 1497221477 | Christine Elise Kampmann | Case Manager/Care Coordinator | 3165 Mckelvey Rd, Bridgeton, MO 63044 | 2018-10-17 |
| 1295201275 | Darion Alexander Baker | Case Manager/Care Coordinator | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-10-17 |
| 1780169995 | Destiny Mccain | Case Manager/Care Coordinator | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-10-03 |
| 1356826630 | Amy Nicole Studer | Case Manager/Care Coordinator | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-10-02 |
| Find all providers in BRIDGETON | ||||
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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.