SHARISMA BUCKLEY (NPI# 1912415571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912415571 |
| Entity Type | Individual |
| Full Name | SHARISMA BUCKLEY |
| Practice Address |
6907 Highway 165 Columbia LA 71418 |
| Mailing Address |
6907 Highway 165 Columbia LA 71418-3500 |
| Practice Telephone | 3186496399 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | LA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 171M00000X | 05 |
| Street Address |
6907 HIGHWAY 165 |
| City | COLUMBIA |
| State | LA |
| Zip Code | 71418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114397601 | Constance Ash | Counselor | 6907 Highway 165, Columbia, LA 71418-3500 | 2015-09-28 |
| 1316452790 | Erica Demetris Knox | Case Manager/Care Coordinator | 6907 Highway 165, Columbia, LA 71418 | 2017-12-07 |
| 1821533340 | Monica Ben | Social Worker | 6907 Highway 165, Columbia, LA 71418 | 2016-12-20 |
| 1386094845 | Samuel Farmer | Case Manager/Care Coordinator | 6907 Highway 165, Columbia, LA 71418 | 2016-06-15 |
| 1235586280 | Christopher J Thomas | Counselor | 6907 Highway 165, Columbia, LA 71418 | 2016-05-19 |
| 1679920607 | Desmond Jones | Counselor | 6907 Highway 165, Columbia, LA 71418 | 2016-05-19 |
| 1174989610 | Destinee Matthews | Case Manager/Care Coordinator | 6907 Highway 165, Columbia, LA 71418 | 2016-01-13 |
| 1245602861 | Andreika Talbert | Case Manager/Care Coordinator | 6907 Highway 165, Columbia, LA 71418 | 2015-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561527 | Caldwell Drug | Pharmacy | 8141 Us Hwy. 165, Columbia, LA 71418 | 2020-02-25 |
| 1841701224 | Danielle Nicole O'donnell | Pharmacist | 7623 Highway 165, Columbia, LA 71418 | 2017-10-12 |
| 1457874521 | Compassion Medical Staffing | Registered Nurse | 404 Wall St., Suite 8, Columbia, LA 71418 | 2017-07-20 |
| 1780126714 | Advanced Sitting Solutions | Chore Provider | 405 Wall St, Columbia, LA 71418 | 2016-11-08 |
| 1205290657 | Rachel Steward | Case Manager/Care Coordinator | 6907 Old Hwy 165 South, Columbia, LA 71418 | 2016-04-12 |
| 1225402308 | Victoria Cooks | Counselor | 6907 Old Highway 165 South, Columbia, LA 71418 | 2015-11-30 |
| 1609139013 | Debora F Volentine | Registered Nurse | 501 Collins Rd, Columbia, LA 71418 | 2012-06-20 |
| 1780982843 | Jennifer L. Frazier | Social Worker | 572 Judge Road, Columbia, LA 71418 | 2011-03-14 |
| 1124324785 | William Thomas O'connor | Social Worker | 5159 Hwy 4 E, Columbia, LA 71418 | 2011-01-31 |
| 1326190695 | Advanced Sitting Solutions | Adult Companion | 405 Wall Street, Columbia, LA 71418 | 2007-01-17 |
| Find all providers in zip 71418 | ||||
| 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 |
|---|---|---|---|---|
| 1861045122 | Laquile West | Case Manager/Care Coordinator | 312 Angus Dr, Columbia, SC 29223-7758 | 2019-07-16 |
| 1073014247 | Workers Comp Consulting Services LLC | Case Manager/Care Coordinator | 4611 Hard Scrabble Rd Ste 109-101, Columbia, SC 29229-8584 | 2018-02-23 |
| 1972013324 | Labreeshya Critton | Case Manager/Care Coordinator | 6907 Hwy 165 South, Columbia, LA 71415 | 2017-10-11 |
| 1467970558 | Leticia Nichole Branham | Case Manager/Care Coordinator | 352 Davis Ln, Columbia, KY 42728-8884 | 2017-09-08 |
| 1053835645 | Latonya Jones | Case Manager/Care Coordinator | 1313 May Oak Cir, Columbia, SC 29229-9291 | 2017-07-26 |
| 1982126785 | Amber Smith | Case Manager/Care Coordinator | 1615 Hergett Dr, Columbia, SC 29203-5967 | 2017-07-13 |
| 1316499700 | Soncharre Hodges | Case Manager/Care Coordinator | 1222 Medical Center Dr # Dt, Columbia, TN 38401-6402 | 2016-11-01 |
| 1801245923 | Stephanie Dawn Dykes | Case Manager/Care Coordinator | 271 R Gowen Rd, Columbia, KY 42728-8136 | 2016-06-09 |
| 1326494915 | Kiara Harris | Case Manager/Care Coordinator | 1735 Saint Julian Pl, Columbia, SC 29204-2402 | 2016-05-12 |
| 1205290657 | Rachel Steward | Case Manager/Care Coordinator | 6907 Old Hwy 165 South, Columbia, LA 71418 | 2016-04-12 |
| Find all providers in COLUMBIA | ||||
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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.