MR. KHOURTNI ROSE FEARS (NPI# 1851882302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851882302 |
| Entity Type | Individual |
| Full Name | MR. KHOURTNI ROSE FEARS |
| Practice Address |
1134 W Lee Dr Apt B Baton Rouge LA 70820 |
| Mailing Address |
1134 W Lee Dr Apt B Baton Rouge LA 70820-4976 |
| Practice Telephone | 7134306889 |
| Mailing Telephone | 7134306889 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LA | Behavioral Health & Social Service Providers | |
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1548657562 | 05 |
| Street Address |
1134 W LEE DR APT B |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285942 | Lucas Patin | Specialist/Technologist | 449 Ben Hur Rd., Apt. 4311, Baton Rouge, LA 70820 | 2018-12-03 |
| 1013405646 | St Gabriel Health Clinic, Inc | Clinic/Center | 7800 Innovation Dr, Baton Rouge, LA 70820 | 2018-04-30 |
| 1972965325 | Reginald Knox | Non-emergency Medical Transport (VAN) | 1481 Lila Street, Baton Rouge, LA 70820 | 2016-03-24 |
| 1124480058 | Asha Marie Vyas | Counselor | 4000 Lake Beau Pre Blvd Apt 66, Baton Rouge, LA 70820 | 2016-03-21 |
| 1316317449 | Connor Alleman | Student in an Organized Health Care Education/Training Program | 1984 Brightside Dr. Apt#215, Baton Rouge, LA 70820 | 2015-10-01 |
| 1699151456 | Lynn Dirks | Physical Therapist | 6307 Hope Estate Dr, Baton Rouge, LA 70820 | 2015-08-04 |
| 1609258839 | Emily Heitman | Student in an Organized Health Care Education/Training Program | 2819 Three Oaks Avenue, Baton Rouge, LA 70820 | 2015-06-24 |
| 1811397854 | Maria E Garcia-giese | Speech-Language Pathologist | 6040 Belle Grove Dr, Baton Rouge, LA 70820 | 2014-08-27 |
| 1740606763 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9326 Burbank Dr, Baton Rouge, LA 70820 | 2014-03-14 |
| 1427316314 | Amber Cherie' Morell | Counselor | 757 Hadley Dr, Baton Rouge, LA 70820 | 2012-04-27 |
| Find all providers in zip 70820 | ||||
| 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 |
|---|---|---|---|---|
| 1992305023 | Deonna Hawkins Jackson | Case Manager/Care Coordinator | 17616 Heritage Estates Dr, Baton Rouge, LA 70810-6579 | 2020-10-28 |
| 1306445713 | Beverly Jean Holmes | Case Manager/Care Coordinator | 9331 Foster Rd Apt C, Baton Rouge, LA 70811-2736 | 2020-10-19 |
| 1922606326 | Christie Hitchens | Case Manager/Care Coordinator | 1041 Chariot Dr, Baton Rouge, LA 70816-1842 | 2020-10-16 |
| 1750989190 | Bridgette Lynette Azoanee | Case Manager/Care Coordinator | 4119 Lake Sherwood Ave E, Baton Rouge, LA 70816-7322 | 2020-10-16 |
| 1629676465 | Jessica Dennis | Case Manager/Care Coordinator | 2950 Chippewa St, Baton Rouge, LA 70805-8126 | 2020-10-14 |
| 1720686769 | Wyona Jordan | Case Manager/Care Coordinator | 6980 Saint Francis Ave, Baton Rouge, LA 70811-1419 | 2020-10-13 |
| 1659984748 | Lasondra Finley | Case Manager/Care Coordinator | 6024 N Howell Dr, Baton Rouge, LA 70805-7231 | 2020-08-28 |
| 1134730476 | Melissa Urch | Case Manager/Care Coordinator | 14635 S Harrells Ferry Rd Ste 3a, Baton Rouge, LA 70816-2960 | 2020-08-11 |
| 1780294058 | Yolande Eileen Thomas | Case Manager/Care Coordinator | Array of Hope, 11940 Bricksome Ave, Baton Rouge, LA 70816 | 2020-08-03 |
| 1285243691 | Adriana Arshell Vessell | Case Manager/Care Coordinator | 2211 Weymouth Dr, Baton Rouge, LA 70809-2017 | 2020-07-31 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70820 |
Please comment or provide details below to improve the information on MR. KHOURTNI ROSE FEARS.
| 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.