WILMA R TYUS


Address: 32 Conrad Dr, Jackson, TN 38305-2801
Phone: 7315418344

WILMA R TYUS (NPI# 1881950277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881950277
Entity Type Individual
Full Name WILMA R TYUS
Credential CM
Practice Address 32 Conrad Dr
Jackson
TN 38305-2801
Practice Telephone 7315418344
Practice Fax Number 7319358327
Mailing Telephone 7315418344
Mailing Fax Number 7319358327
Enumeration Date 2012-04-10
Last Update Date 2012-04-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 32 CONRAD DR
City JACKSON
State TN
Zip Code 38305-2801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043460355 Ulonda Renay Bailey Case Manager/Care Coordinator 32 Conrad Dr, Jackson, TN 38305-2801 2008-09-23
1477856722 Felicia Sherrell Lacy Case Manager/Care Coordinator 32 Conrad Dr, Jackson, TN 38305-2801 2010-12-08
1659699809 Sharon Haley Haynes Counselor 32 Conrad Dr, Jackson, TN 38305-2801 2010-05-12
1568692952 Kara Deanne Moss Case Manager/Care Coordinator 32 Conrad Dr, Jackson, TN 38305-2801 2009-07-20
1154571461 Kelly Lindsay Adams Case Manager/Care Coordinator 32 Conrad Dr, Jackson, TN 38305-2801 2008-09-23
1053561365 Edward J Anderson Case Manager/Care Coordinator 32 Conrad Dr, Jackson, TN 38305-2801 2008-09-23

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1821600578 Maame Obeng Pharmacist 3144 North Highland Avenue, Jackson, TN 38305 2020-08-22
1700361904 James Cowie Psychologist 156c West University Pkwy, Jackson, TN 38305 2018-10-03
1700372109 Chad Zawacki Physician Assistant 147 North Star Drive, Jackson, TN 38305 2018-07-09
1104323070 Golden Years Adult Day Care Clinic/Center 155 Carriage Dr Suite A, Jackson, TN 38305 2018-04-09
1245754563 Tanika Annette Gillard Massage Therapist 4 Hampton Ln, Jackson, TN 38305 2017-07-28
1316488117 Lakisha T Ingram Counselor 168 Greencastle Dr, Jackson, TN 38305 2017-03-13
1619421567 D & L Wellness Inc Community/Behavioral Health 154 Carriage House Dr., Jackson, TN 38305 2016-08-09
1649637638 Advance Choice Home Care LLC In Home Supportive Care 1028 Ashport Rd., Jackson, TN 38305 2016-01-21
1942666151 Neurohealth Solutions Inc. Clinic/Center 174 Murray Guard Dr. Suite E, Jackson, TN 38305 2016-01-05
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023644135 Leslie Sue Krantz Case Manager/Care Coordinator 8431 Oakpoint Dr, Jackson, MI 49201-9229 2020-03-20
1669008405 Alt Best Practices Bhom2, LLC Case Manager/Care Coordinator 81 Crooked Stick Rd, Jackson, NJ 08527-4032 2020-03-12
1568009637 Katherine Pringle Ford Case Manager/Care Coordinator 2065 E. Limber Pine Road, Jackson, WY 83001 2019-12-07
1336601459 Richard Daniel Bryant Case Manager/Care Coordinator 950 W Monroe St Ste 600a, Jackson, MI 49202-2079 2019-04-05
1013478643 Makeshia Warden Case Manager/Care Coordinator 655 Pine Ln, Jackson, MS 39212-3563 2019-03-27
1053893792 Allison Brynne Liljestrom Case Manager/Care Coordinator 355 Arapahoe Ln, Jackson, WY 83001-8607 2018-08-29
1033691845 Debra Ann Hathcock Case Manager/Care Coordinator 724 W Snow King Ave # 7825, Jackson, WY 83001-8498 2018-08-29
1053809053 Natasha W Tyler Case Manager/Care Coordinator 5615 Brentwood Dr, Jackson, MS 39211-4233 2018-04-25
1245690924 Darlene Bell Case Manager/Care Coordinator 546 Clydes Way, Jackson, GA 30233-1891 2016-02-24
1598134256 Theodore Weber Shoaf Case Manager/Care Coordinator 3405 S Winding Trail Dr, Jackson, WY 83001-9257 2015-09-23
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Competitor

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City JACKSON
Zip Code 38305

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Dataset Information

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.

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