MICHAEL BRENNON (NPI# 1841617156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841617156 |
| Entity Type | Individual |
| Full Name | MICHAEL BRENNON |
| Practice Address |
411 E Madison St Pittsburg KS 66762-5924 |
| Mailing Address |
911 E Centennial Dr Pittsburg KS 66762-6601 |
| Practice Telephone | 6202323228 |
| Practice Fax Number | 6202357122 |
| Mailing Telephone | 6202315130 |
| Mailing Fax Number | 6202357101 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |
| Gender Code | M |
| 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 |
411 E MADISON ST |
| City | PITTSBURG |
| State | KS |
| Zip Code | 66762-5924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285725374 | Michael Ehling | Psychologist | 411 E Madison St, Pittsburg, KS 66762-5924 | 2006-09-27 |
| 1639596943 | David Alvidrez | Community Health Worker | 411 E Madison St, Pittsburg, KS 66762-5924 | 2014-03-25 |
| 1831516145 | Shawn Harrigan | Case Manager/Care Coordinator | 411 E Madison St, Pittsburg, KS 66762-5924 | 2014-03-25 |
| 1003233313 | Michael Noble | Community Health Worker | 411 E Madison St, Pittsburg, KS 66762-5924 | 2014-03-25 |
| 1588951347 | Nikki Bea Hitchcock | Social Worker | 411 E Madison St, Pittsburg, KS 66762-5924 | 2011-06-30 |
| 1881785988 | Elizabeth Grace Christensen | Marriage & Family Therapist | 411 E Madison St, Pittsburg, KS 66762-5924 | 2006-09-27 |
| 1093806846 | Sharon Shepherd | Marriage & Family Therapist | 411 E Madison St, Pittsburg, KS 66762-5924 | 2006-09-27 |
| 1093806101 | Greg Peak | Psychologist | 411 E Madison St, Pittsburg, KS 66762-5924 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172250 | Mallory Kate Revell | Student in an Organized Health Care Education/Training Program | 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 | 2020-07-28 |
| 1245849967 | Shelbie Cosby | Student in an Organized Health Care Education/Training Program | 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 | 2020-07-28 |
| 1679103642 | Jessica Crager | Nurse Practitioner | 2401 S Tucker Terr, Ste 1, Pittsburg, KS 66762 | 2020-01-18 |
| 1376198226 | Apollo Services Inc | Durable Medical Equipment & Medical Supplies | 2505 S Springdale, Pittsburg, KS 66762 | 2019-08-07 |
| 1851885719 | Chelsea Duncan | Social Worker | 911 E Centennial, Pittsburg, KS 66762 | 2018-06-14 |
| 1902395858 | Alexandria Winter | Specialist/Technologist | 1701 S Homer Street, Pittsburg, KS 66762 | 2018-05-07 |
| 1811419633 | Troy Richard Quenzer | Specialist/Technologist | 1701 S Homer St, 213 Weede Phys Ed Bldg, Pittsburg, KS 66762 | 2017-07-13 |
| 1356727002 | John Klodt | Social Worker | 902 E Centennial Dr Apt 13a, Pittsburg, KS 66762 | 2015-08-05 |
| 1295120533 | Christine E. Conner | Nurse Practitioner | 1 Mt. Carmel Way, 2nd Floor, East, Pittsburg, KS 66762 | 2015-04-03 |
| 1700278983 | Performance Spine & Sport LLC | Chiropractor | 2597 S. Broadway Suite A, Pittsburg, KS 66762 | 2015-02-25 |
| Find all providers in zip 66762 | ||||
| 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 |
|---|---|---|---|---|
| 1083043723 | Stephanie Camp | Case Manager/Care Coordinator | 311 E 16th St, Pittsburg, KS 66762-3116 | 2013-11-04 |
| 1881750057 | Vicki Rae White | Case Manager/Care Coordinator | 84 W 6th St, Pittsburg, CA 94565-2142 | 2006-12-29 |
| 1831516145 | Shawn Harrigan | Case Manager/Care Coordinator | 411 E Madison St, Pittsburg, KS 66762-5924 | 2014-03-25 |
| 1497172795 | Loretta Jones | Case Manager/Care Coordinator | 3101 N Michigan St, Pittsburg, KS 66762-2543 | 2014-03-25 |
| 1124453923 | Noell L White | Case Manager/Care Coordinator | 2 Davi Ave, Pittsburg, CA 94565-3701 | 2013-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396380135 | Amanda Lee Sachen | Case Manager/Care Coordinator | 423 N Thompson St, Kansas City, KS 66101-2935 | 2019-11-15 |
| 1437709318 | Kathleen Megan Sylvester | Case Manager/Care Coordinator | 5402 Skyline Dr, Roeland Park, KS 66205-1168 | 2019-09-12 |
| 1558917245 | Zachary James Newman | Case Manager/Care Coordinator | 1601 West 4th Street, Coffeyville, KS 67337 | 2019-08-18 |
| 1669945176 | Gemini Life Enrichment Services | Case Manager/Care Coordinator | 224 S 1st St, Lindsborg, KS 67456-2604 | 2019-01-07 |
| 1336612290 | Above The Spectrum LLC | Case Manager/Care Coordinator | 510 Country Club Dr, Beloit, KS 67420-2667 | 2019-01-03 |
| 1326519935 | Philip Aaron Plume | Case Manager/Care Coordinator | 5500 E Kellogg Dr Bldg 5, Wichita, KS 67218-1607 | 2018-12-07 |
| 1235634528 | Christopher Lee Roberts | Case Manager/Care Coordinator | 160 W Shawnee St, Gardner, KS 66030-1174 | 2018-03-28 |
| 1467954479 | Tonya E Harge | Case Manager/Care Coordinator | 3540 N Inwood St Apt 11201, Wichita, KS 67226-7814 | 2018-03-06 |
| 1285142380 | Shelley Rene Harper | Case Manager/Care Coordinator | 2205 Cr 4300, Coffeyville, KS 67337-5700 | 2018-01-11 |
| 1518476316 | Amanda Jo Wilson | Case Manager/Care Coordinator | 1106 W 2nd St, Coffeyville, KS 67337-3816 | 2017-09-25 |
| Find all providers with the same taxonomy | ||||
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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.