SHELLY JANAE BROWN (NPI# 1891210142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891210142 |
| Entity Type | Individual |
| Full Name | SHELLY JANAE BROWN |
| Other Name | MISS SHELLY JANAE FRANCISCO |
| Practice Address |
405 E Excelsior Ave Vinita OK 74301 |
| Mailing Address |
405 E Excelsior Ave Vinita OK 74301-4226 |
| Practice Telephone | 9182566476 |
| Practice Fax Number | 9182563628 |
| Mailing Telephone | 9182563628 |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2019-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
2018034379 | MO | Behavioral Health & Social Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 405 E Excelsior Ave, Vinita, OK 74301 | 9182566476 | 9182563628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561681 | Shelly Ann Brown | Counselor | 908a W Chandler Blvd, Chandler, AZ 85225-4903 | 2020-06-03 |
| 1457877193 | Shelly Brown | Licensed Practical Nurse | 333 E Center St, Marion, OH 43302-4101 | 2017-08-15 |
| 1609305408 | Shelly Elaine Brown | Occupational Therapist | 91 Aries Ln, La Grande, OR 97850-3309 | 2017-06-06 |
| 1053865402 | Shelly Brown | Clinical Nurse Specialist | 460 W 10th Ave, Columbus, OH 43210-1240 | 2016-08-14 |
| 1386198158 | Shelly Brown | Physical Therapy Assistant | 3027 S New Haven Ave, Tulsa, OK 74114-6131 | 2016-08-10 |
| 1649555947 | Shelly Lee Brown | Nurse Practitioner | 90 Hospital Dr, Athens, OH 45701-2301 | 2011-10-18 |
| 1346522620 | Shelly Ann Brown | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2011-09-13 |
| 1407140981 | Shelly Brown | Case Manager/Care Coordinator | 205 S Jt Stites Blvd, Sallisaw, OK 74955 | 2011-06-02 |
| 1912106493 | Shelly Marie Brown | Nurse Practitioner | 3101 Se 14th Street, Bentonville, AR 72712-4900 | 2007-07-13 |
| 1427103142 | Shelly Dawn Brown | Speech-Language Pathologist | 2808 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2007-01-24 |
| Street Address |
405 E EXCELSIOR AVE |
| City | VINITA |
| State | OK |
| Zip Code | 74301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710994835 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2006-08-02 |
| 1023625563 | Steven Ray Coatney | Peer Specialist | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2020-09-29 |
| 1932712775 | Karen Tiscareno | Peer Specialist | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2020-08-30 |
| 1669085528 | Felicia Johnson | Peer Specialist | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2020-08-28 |
| 1508474982 | Kari West | Case Manager/Care Coordinator | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2020-07-21 |
| 1770108920 | India Leigh Uhlemeyer | Peer Specialist | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2020-06-13 |
| 1356964399 | Allison L Andrasko | Registered Nurse | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2020-05-26 |
| 1861013070 | Chad H Wiens | Registered Nurse | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2020-04-28 |
| 1154940005 | Lisa R Farbro | Case Manager/Care Coordinator | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2020-04-10 |
| 1215569413 | Laytin Allen Parker | Peer Specialist | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2020-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740786 | Jennifer Lynn Black | Registered Nurse | 24919 S 4420 Road, Vinita, OK 74301 | 2020-11-03 |
| 1720686272 | Chancie Marie Cooper | Case Manager/Care Coordinator | 444 737 Hwy 28, Vinita, OK 74301 | 2020-10-15 |
| 1265082515 | Ruth Irving | Technician | 843 North Miller, Vinita, OK 74301 | 2019-09-18 |
| 1952897449 | Sarah Renee Gilmore | Behavior Technician | 526 N. Brewer, Vinita, OK 74301 | 2018-07-08 |
| 1134664683 | Sheila Mason | Nurse Practitioner | Department of Veterans Affairs Clinic, 269 South 7th Street, Vinita, OK 74301 | 2016-12-19 |
| 1881145274 | Saint Francis Hospital Vinita, Inc | Clinic/Center | 711 North Brewer Street, Vinita, OK 74301 | 2016-10-20 |
| 1699147249 | Beth Powell | Peer Specialist | 405 East Excelsior Ave, Vinita, OK 74301 | 2015-10-22 |
| 1790196202 | Peter Rausch | Psychologist | 735 N. Foreman St., Vinita, OK 74301 | 2014-05-19 |
| 1548605041 | Anita Joy Cantrell | Counselor | 1520 North Industrial Ave, Vinita, OK 74301 | 2013-05-10 |
| 1033469606 | Matt Lance Oldacre | Pharmacist | 525 S. Wilson, Vinita, OK 74301 | 2012-09-11 |
| Find all providers in zip 74301 | ||||
| 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 |
|---|---|---|---|---|
| 1720686272 | Chancie Marie Cooper | Case Manager/Care Coordinator | 444 737 Hwy 28, Vinita, OK 74301 | 2020-10-15 |
| 1639714702 | Teresa Lynn Mccoin | Case Manager/Care Coordinator | 37098 S 4449 Rd, Vinita, OK 74301-7148 | 2019-11-13 |
| 1023598521 | Denise R Barnes | Case Manager/Care Coordinator | 612 S Foreman St, Vinita, OK 74301-4402 | 2018-08-15 |
| 1568961332 | Briana Alyssa Mendoza | Case Manager/Care Coordinator | 23980 S 4400 Rd, Vinita, OK 74301-5235 | 2018-02-07 |
| 1952772659 | Elaine Lynnell Hale | Case Manager/Care Coordinator | 28998 S 4342 Dr, Vinita, OK 74301-5013 | 2015-10-07 |
| 1154760635 | Sona Marie Stockham | Case Manager/Care Coordinator | 327 N Adair St, Vinita, OK 74301-2803 | 2013-06-18 |
| 1558672766 | Hodalee Sewell | Case Manager/Care Coordinator | 120 E Illinois Ave, Vinita, OK 74301-3202 | 2010-06-23 |
| 1851992010 | Loni Crane | Case Manager/Care Coordinator | 37098 S 4449 Rd, Vinita, OK 74301-7148 | 2020-11-04 |
| 1942817705 | Coy Crane | Case Manager/Care Coordinator | 37098 S 4449 Rd, Vinita, OK 74301-7148 | 2020-09-25 |
| 1508474008 | Jessica Kelley | Case Manager/Care Coordinator | 405 E. Excelsior, Vinita, OK 74301-4226 | 2020-07-21 |
| Find all providers in VINITA | ||||
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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.