CARLA BETH PETTIT (NPI# 1861890071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861890071 |
| Entity Type | Individual |
| Full Name | CARLA BETH PETTIT |
| Practice Address |
212 West Evergreen Street Durant OK 74701 |
| Mailing Address |
156 Michael Avenue Calera OK 74730 |
| Practice Telephone | 5809319901 |
| Mailing Telephone | 5805793336 |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |
| 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 |
212 WEST EVERGREEN STREET |
| City | DURANT |
| State | OK |
| Zip Code | 74701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
| 1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
| 1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
| 1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
| 1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
| 1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
| Find all providers in zip 74701 | ||||
| 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 |
|---|---|---|---|---|
| 1740803626 | Jason Don Shoemaker | Case Manager/Care Coordinator | 5202 Pheasant Run, Durant, OK 74701-2443 | 2020-05-26 |
| 1457907602 | Tera M Lester | Case Manager/Care Coordinator | 1313 N 16th Ave, Durant, OK 74701-2134 | 2019-08-14 |
| 1891350260 | Maryann Almaguer | Case Manager/Care Coordinator | 1105 W Elm St, Durant, OK 74701-4135 | 2019-05-01 |
| 1346719606 | Tayler Denise Marcy | Case Manager/Care Coordinator | 2008 Four Seasons Dr, Durant, OK 74701-2434 | 2018-11-15 |
| 1639658867 | Dillon Cook | Case Manager/Care Coordinator | 5174 Silo Rd, Durant, OK 74701-7577 | 2018-08-08 |
| 1538653365 | James Christie Jr. | Case Manager/Care Coordinator | 4323 Osage St, Durant, OK 74701-1612 | 2018-06-15 |
| 1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
| 1427505510 | Ryan Shane Cook | Case Manager/Care Coordinator | 1101 Baltimore St, Durant, OK 74701-3241 | 2016-09-06 |
| 1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
| 1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
| Find all providers in DURANT | ||||
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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.