STEPHANIE M BRODWATER


Address: 1300 E Bradford Pkwy, Springfield, MO 65804-4264
Phone: 4177615000

STEPHANIE M BRODWATER (NPI# 1831702448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831702448
Entity Type Individual
Full Name STEPHANIE M BRODWATER
Practice Address 1300 E Bradford Pkwy
Springfield
MO 65804-4264
Practice Telephone 4177615000
Practice Fax Number 4177615111
Mailing Telephone 4177615000
Mailing Fax Number 4177615111
Enumeration Date 2020-08-25
Last Update Date 2020-08-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 1300 E BRADFORD PKWY
City SPRINGFIELD
State MO
Zip Code 65804-4264

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639175912 Pascha J Boyd Nurse Practitioner 1300 E Bradford Pkwy, Springfield, MO 65804-4264 2005-06-22
1356942338 Derek Lee Hennigh Registered Nurse 1300 E Bradford Pkwy, Springfield, MO 65804-4264 2020-11-05
1093316515 Susan B Nutter Pharmacist 1300 E Bradford Pkwy, Springfield, MO 65804-4264 2020-11-02
1285234336 Logan L Comegys Social Worker 1300 E Bradford Pkwy, Springfield, MO 65804-4264 2020-10-28
1568060192 Christine M Reinheimer Case Manager/Care Coordinator 1300 E Bradford Pkwy, Springfield, MO 65804-4264 2020-10-15
1760089288 Michele Litchy Counselor 1300 E Bradford Pkwy, Springfield, MO 65804-4264 2020-10-07
1770190092 Rebecca D Mcgarry Social Worker 1300 E Bradford Pkwy, Springfield, MO 65804-4264 2020-09-30
1467066159 Jamie Audsley Case Manager/Care Coordinator 1300 E Bradford Pkwy, Springfield, MO 65804-4264 2020-09-01
1720692429 Shamon Williams Case Manager/Care Coordinator 1300 E Bradford Pkwy, Springfield, MO 65804-4264 2020-09-01
1891308599 Kacee D Cagle Social Worker 1300 E Bradford Pkwy, Springfield, MO 65804-4264 2020-08-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790393049 Kathy Forson Nurse Practitioner 1235 E. Cherokee St., Springfield, MO 65804 2020-07-22
1306498779 Anne B Summers, LLC Social Worker 1310 E. Kingsley St., Ste C, Springfield, MO 65804 2019-07-15
1790241800 Margaret Mary Hart Social Worker 1845 S Rogers Ave, Springfield, MO 65804 2019-02-13
1598254666 Casey Carr Optometrist 1229 E Seminole St Ste 110, Springfield, MO 65804 2018-05-04
1124520697 Shelby D White Behavioral Analyst 1300 E. Bradford Parkway, Springfield, MO 65804 2018-03-01
1316448343 Karl Lynham Massage Therapist 1200 E Woodhurst Dr R300, Springfield, MO 65804 2018-02-25
1699273763 Leah Wilson Counselor 1322 E Woodgate, Springfield, MO 65804 2018-01-24
1295242626 Matthew Crisp Physical Therapist 3252 E Independence St, Springfield, MO 65804 2018-01-08
1518491042 Crystal Spangler Dietitian, Registered 1965 S Fremont Ave Ste 220, Springfield, MO 65804 2017-04-11
1588012033 Jeffrey Williams Pharmacist 1235 E. Cherokee, Springfield, MO 65804 2016-05-25
Find all providers in zip 65804

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831745728 Affinity Patient Coordination LLC Case Manager/Care Coordinator 217 E Monroe St Ste 204, Springfield, IL 62701-1746 2019-08-15
1578075107 Christopher Worthen Case Manager/Care Coordinator 223 N Western Ave, Springfield, OH 45504-2719 2017-11-06
1497204622 Inesha Simmons Case Manager/Care Coordinator 1331 Denison Dr, Apt C, Springfield, IL 62704-4454 2016-09-29
1235687138 Yvonne Persley Case Manager/Care Coordinator 8 Allison Ct, Springfield, IL 62703-1130 2016-09-20
1902255516 Dionna Marino Case Manager/Care Coordinator 731 Cheatham Street, Springfield, TN 37172 2016-06-06
1972918423 Loree Lynn Howard Case Manager/Care Coordinator 4145 Jasper Road, Springfield, OR 97478 2014-06-24
1871907824 Latisha Robinson Case Manager/Care Coordinator 3050 S National Ave Ste 104, Springfield, MO 65804-4242 2014-06-18
1548601792 Richard S Buford Case Manager/Care Coordinator 1086 Mound St, Springfield, OH 45505-1191 2013-07-16
1164765228 Colleen K Webb Case Manager/Care Coordinator 285 Third St. Extension, Springfield, GA 31329-1612 2013-03-27
1447503636 Lifetime Support Incorporated Case Manager/Care Coordinator 52 Fadem Rd, Springfield, NJ 07081-3116 2012-10-25
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Competitor

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City SPRINGFIELD
Zip Code 65804

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Dataset Information

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.

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