VENEECIEA BROADUS (NPI# 1821524539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821524539 |
| Entity Type | Individual |
| Full Name | VENEECIEA BROADUS |
| Practice Address |
2114 N Lansing Ave Tulsa OK 74106-3904 |
| Practice Telephone | 9188141639 |
| Mailing Telephone | 9188141639 |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
2114 N LANSING AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74106-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538895 | Desma Johnson | Technician | 784 East 43rd Street North, Tulsa, OK 74106 | 2019-10-01 |
| 1912462094 | Breyan Lashawn Jackson | Case Manager/Care Coordinator | 3606 N Mlk Jr. Blvd, Tulsa, OK 74106 | 2019-02-04 |
| 1740751445 | Ernest Kaara Maina | Family Medicine | 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 | 2018-12-07 |
| 1568969632 | A&m Healthcare Clinic | Nurse Practitioner | 3606 North Mlk Blvd, Tulsa, OK 74106 | 2018-04-06 |
| 1265880819 | Paula Patricia Tullis | Psychologist | 1232 N Boston, Tulsa, OK 74106 | 2016-05-24 |
| 1326413030 | Eartha Mcalester | Counselor | 628 E. Virgin St., Tulsa, OK 74106 | 2015-12-07 |
| 1114334182 | James O Brannon Jr. | Behavioral Analyst | 2745 North Main, Tulsa, OK 74106 | 2014-07-22 |
| 1952718512 | Teresa Marie Williams | Counselor | 3601 N. Martin Luther King Blvd, Tulsa, OK 74106 | 2014-07-16 |
| 1639580764 | Lynnette Dixon | Case Management | 708 East 38th Street North, Tulsa, OK 74106 | 2014-05-12 |
| 1184975898 | Tiara Delonia | Social Worker | 1 W 36th St N Suite 1, Tulsa, OK 74106 | 2012-09-21 |
| Find all providers in zip 74106 | ||||
| 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 |
|---|---|---|---|---|
| 1376143669 | Taylor Austin Finch | Case Manager/Care Coordinator | 3500 S Peoria Ave, Tulsa, OK 74105-2529 | 2020-10-27 |
| 1427657212 | Lakin Kennedy Monroe | Case Manager/Care Coordinator | 7781 S Mingo Rd Apt 512, Tulsa, OK 74133-3318 | 2020-10-22 |
| 1497369573 | Charles Ivy | Case Manager/Care Coordinator | 4620 S Vandalia Ave, Tulsa, OK 74135-4715 | 2020-09-04 |
| 1255945952 | Erin Martin | Case Manager/Care Coordinator | 5520 S Yorktown Pl, Tulsa, OK 74105-6116 | 2020-09-01 |
| 1700490372 | Vanessa Charnell Bledsoe | Case Manager/Care Coordinator | 4966 N Frankfort Pl, Tulsa, OK 74126-3221 | 2020-09-01 |
| 1760092670 | Kateri Smith | Case Manager/Care Coordinator | 1023 E 41st St Apt 6, Tulsa, OK 74105-7620 | 2020-08-05 |
| 1760091938 | Lucy E Rutland | Case Manager/Care Coordinator | 4948 S Quincy Ave, Tulsa, OK 74105-4731 | 2020-07-23 |
| 1043837230 | Dylan Tedvon Anderson | Case Manager/Care Coordinator | 515 S Denver Ave Apt 309, Tulsa, OK 74103-3873 | 2020-07-03 |
| 1134746100 | Markeisha Lashae Mays | Case Manager/Care Coordinator | 9636 E 26th St, Tulsa, OK 74129-7010 | 2020-06-25 |
| 1649894767 | Thomas Scott Godkins | Case Manager/Care Coordinator | 909 E 36th Pl, Tulsa, OK 74105-3001 | 2020-06-04 |
| Find all providers in TULSA | ||||
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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.