DERA NASSRI (NPI# 1851861827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851861827 |
| Entity Type | Individual |
| Full Name | DERA NASSRI |
| Practice Address |
16804 Falcon Sound Dr Montgomery TX 77356-8386 |
| Practice Telephone | 2253351284 |
| Mailing Telephone | 2253351284 |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2018-12-03 |
| 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 |
16804 FALCON SOUND DR |
| City | MONTGOMERY |
| State | TX |
| Zip Code | 77356-8386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919490 | Age Well Concierge Medicine | Family Medicine | 18441 Tx-105, Suite B, Montgomery, TX 77356 | 2020-07-21 |
| 1912549908 | Kindra Siewood | Speech-Language Pathologist | 15320 Tx-105 W, Suite 116, Montgomery, TX 77356 | 2019-10-11 |
| 1710545595 | Vaughn Motley Bryant IIi | Counselor | 14740 Liberty Street, Montgomery, TX 77356 | 2019-06-05 |
| 1871157420 | Belinda Kay Warren Delapena | Counselor | 3507 Whittier, Montgomery, TX 77356 | 2019-04-30 |
| 1841760071 | Cvs Pharmacy Inc | Pharmacy | 20125 Eva Street, Montgomery, TX 77356 | 2018-11-30 |
| 1750863429 | Kristina Lynn Knighten | Specialist/Technologist | 3602 Woodland Lane, Montgomery, TX 77356 | 2018-08-30 |
| 1770072415 | Crosby Pharmacy & Wellness, LLC | Pharmacy | 18446 Tx - 105 Ste D, Montgomery, TX 77356 | 2018-05-08 |
| 1760999726 | Everbright Dental Pllc | Dentist | 20212 Eva St., #160, Montgomery, TX 77356 | 2017-12-29 |
| 1821535261 | Ramon Campbell | Nurse Practitioner | 108 Harbour Town Drive, Montgomery, TX 77356 | 2017-01-24 |
| 1447628995 | Erica Everett | Nurse Practitioner | 110 April Wind Ct, Montgomery, TX 77356 | 2015-09-14 |
| Find all providers in zip 77356 | ||||
| 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 |
|---|---|---|---|---|
| 1467001057 | Victoria Alvarez | Case Manager/Care Coordinator | 2088 Sand Hill Ct, Montgomery, IL 60538-6000 | 2019-09-06 |
| 1396390175 | Pamela Kay Patterson | Case Manager/Care Coordinator | 18853 Harbor Side Blvd, Montgomery, TX 77356-3223 | 2019-08-07 |
| 1902257306 | Tara Sapp | Case Manager/Care Coordinator | 169 Duffy Ln, Montgomery, LA 71454 | 2016-06-27 |
| 1639383714 | Bethanie Vancamp | Case Manager/Care Coordinator | 10555 Crescendo Ct., Montgomery, OH 45242 | 2007-05-09 |
| 1295854438 | Shamira Hurst | Case Manager/Care Coordinator | 4250 Executive Park Drive, Suite B-100, Montgomery, AL 36116-1619 | 2007-03-28 |
| 1841339561 | Karen Kay Crews | Case Manager/Care Coordinator | 89 April Wind Dr S, Montgomery, TX 77356-5966 | 2007-02-06 |
| 1831707793 | Latanya Morgan-bell | Case Manager/Care Coordinator | 3060 Mobile Hwy, Montgomery, AL 36108-4027 | 2020-07-16 |
| 1750924106 | Renita L Jackson | Case Manager/Care Coordinator | 9532 Wynlakes Pl, Montgomery, AL 36117-8515 | 2019-10-17 |
| 1912245077 | Melinda Drake | Case Manager/Care Coordinator | 423 S Hull St, Montgomery, AL 36104-4275 | 2013-01-24 |
| 1679695290 | Daniel Mose IIi | Case Manager/Care Coordinator | 4520 Executive Park Dr, Suite B-100, Montgomery, AL 36116-1619 | 2007-04-04 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 77356 |
Please comment or provide details below to improve the information on DERA NASSRI.
| 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.