ANDREA M. WALLS (NPI# 1841633260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841633260 |
| Entity Type | Individual |
| Full Name | ANDREA M. WALLS |
| Other Name | MISS ANDREA MICHELLE WALLS |
| Credential | CCSS |
| Practice Address |
3550 Highway, 468 West Fiscal Services Whitfield MS 39193-0157 |
| Mailing Address |
P.o. Box 1 - Fiscal Services 3550 Highway, 468 West Whitfield MS 39193-0157 |
| Practice Telephone | 6013518000 |
| Mailing Telephone | 6013518000 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2014-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 1015 | MS | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447733035 | Andrea Lane Walls | Specialist/Technologist, Other | 1141 N Loop 1604 E Ste 105-446, San Antonio, TX 78232-1339 | 2018-09-11 |
| Street Address |
3550 HIGHWAY, 468 WEST FISCAL SERVICES |
| City | WHITFIELD |
| State | MS |
| Zip Code | 39193-0157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427486398 | Roger A Scott | Licensed Practical Nurse | 3550 Highway, 468 West, Whitfield, MS 39193-0157 | 2013-10-31 |
| 1740620913 | Jennifer E Giambrone | Counselor | 3550 Highway, 468 West, Fiscal Services, Whitfield, MS 39193-0157 | 2013-07-02 |
| 1609215466 | Brenda L. Perry | Community Health Worker | 3550 Highway, 468 West, Fiscal Services, Whitfield, MS 39193-0157 | 2013-06-14 |
| 1063851848 | Latesha W Thomas | Social Worker | 3550 Highway, 468 West, Fiscal Services, Whitfield, MS 39193-0157 | 2013-06-14 |
| 1841639697 | Charles L. Williams | Rehabilitation Practitioner | 3550 Highway, 468 West, Fiscal Services, Whitfield, MS 39193-0157 | 2013-06-14 |
| 1215376074 | Lawanda S. Jackson | Community Health Worker | 3550 Highway, 468 West, Fiscal Services, Whitfield, MS 39193-0157 | 2013-06-14 |
| 1922447788 | Esther W Jiles | Rehabilitation Practitioner | 3550 Highway, 468 West, Whitfield, MS 39193-0157 | 2013-06-14 |
| 1417396284 | David J Hubbard | Rehabilitation Practitioner | 3550 Highway, 468 West, Fiscal Services, Whitfield, MS 39193-0157 | 2013-06-14 |
| 1154760924 | Wendell J Crawford | Rehabilitation Practitioner | 3550 Highway, 468 West, Whitfield, MS 39193-0157 | 2013-06-14 |
| 1881038198 | Cassandra T. Butler | Social Worker | 3550 Highway, 468 West, Whitfield, MS 39193-0157 | 2013-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487150116 | Juletta Chisholm | Nurse Practitioner | 100 Hudspeth Center Dr, Whitfield, MS 39193 | 2018-04-02 |
| 1295014744 | Shazia Mulkana Frothingham | Psychologist | Building 51/psychological Services, Mississippi State Hospital, Whitfield, MS 39193 | 2011-08-15 |
| 1699803395 | Walter Robert Jones Jr. | Psychiatric Unit | Hwy 468, Hudspeth Regional Center, Whitfield, MS 39193 | 2007-03-02 |
| 1750448718 | Hudspeth Regional Center | Intermediate Care Facility, Mentally Retarded | Highway 475 South, Whitfield, MS 39193 | 2007-01-02 |
| 1447315411 | Hudspeth Center Pharmacy | Pharmacy | 100 Hudspeth Center Drive, Whitfield, MS 39193 | 2006-12-27 |
| 1598750135 | Mississippi State Hospital | Pharmacy | 3550 Highway 468 W, Whitfield, MS 39193 | 2005-09-20 |
| 1346234184 | Hudspeth Center Pharmacy | Intermediate Care Facility, Mentally Retarded | Highway 475, Whitfield, MS 39193 | 2005-09-08 |
| 1598256018 | Katherine Willoughby Carter | Occupational Therapist | 157 Building #27, Whitfield, MS 39193 | 2018-05-21 |
| 1316377633 | Hudspeth Regional Center | Intermediate Care Facility, Mentally Retarded | 100 Hudspeth Center Drive, Whitfield, MS 39193 | 2013-11-22 |
| 1114210630 | Hudspeth Regional Center | Dentist | Highway 475 South, Whitfield, MS 39193 | 2011-05-17 |
| Find all providers in zip 39193 | ||||
| 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 |
|---|---|---|---|---|
| 1598917353 | Latasha Myles-mcnutt | Case Manager/Care Coordinator | 3550 Highway 468 W, Whitfield, MS 39193-5529 | 2008-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048650 | Eppsinstituteforhealthyfamilyandcommunityliving,llc | Case Manager/Care Coordinator | 501 W County Line Rd, Tougaloo, MS 39174-9606 | 2020-03-16 |
| 1053945717 | Shannon Gautier | Case Manager/Care Coordinator | 209 Huntington Hill Dr, Clinton, MS 39056-6322 | 2020-03-02 |
| 1982262101 | Timothy Cook | Case Manager/Care Coordinator | 604 Highway 80 W Ste Roffice2, Clinton, MS 39056-4108 | 2019-06-03 |
| 1013478643 | Makeshia Warden | Case Manager/Care Coordinator | 655 Pine Ln, Jackson, MS 39212-3563 | 2019-03-27 |
| 1053809053 | Natasha W Tyler | Case Manager/Care Coordinator | 5615 Brentwood Dr, Jackson, MS 39211-4233 | 2018-04-25 |
| 1124526322 | Khalihah Ellis | Case Manager/Care Coordinator | 980 Fairwood Dr, Grenada, MS 38901-3609 | 2018-01-23 |
| 1376083204 | Sharon Harris | Case Manager/Care Coordinator | 138 Kaye Dr, Columbus, MS 39702-7880 | 2017-02-25 |
| 1982056651 | Barbara Cox | Case Manager/Care Coordinator | 341 E Main St Ste A-1, Tupelo, MS 38804-4025 | 2016-07-06 |
| 1659737286 | Life Changing Adult Daycare | Case Manager/Care Coordinator | 305 Birch Ave, Indianola, MS 38751-2107 | 2016-01-12 |
| 1073983433 | Lillie Christine Hauer | Case Manager/Care Coordinator | 9 Roux 61, Suite C, Natchez, MS 39120 | 2015-09-29 |
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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.