KERRIN OMER (NPI# 1922266113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922266113 |
| Entity Type | Individual |
| Full Name | KERRIN OMER |
| Practice Address |
151 Old Stone Dr Simpsonville KY 40067-5658 |
| Practice Telephone | 5027221174 |
| Enumeration Date | 2008-05-25 |
| Last Update Date | 2008-05-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
151 OLD STONE DR |
| City | SIMPSONVILLE |
| State | KY |
| Zip Code | 40067-5658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396112546 | Bethany Shively | Nurse Practitioner | 2156 Todds Point Road, Simpsonville, KY 40067 | 2015-08-24 |
| 1780943423 | Shelli Dry Pediatric Therapy, Pllc | Specialist | 40 Liza's Cir., Simpsonville, KY 40067 | 2012-05-15 |
| 1588808281 | Diane M Banic | Psychologist | 1219 Taylorwood Rd, Simpsonville, KY 40067 | 2009-04-24 |
| 1235261538 | Shelli Dry | Specialist | 40 Liza's Circle, Simpsonville, KY 40067 | 2007-03-12 |
| 1639579451 | Angels Behavior Services | Community/Behavioral Health | 25 Timberwood Dr, Simpsonville, KY 40067-5404 | 2014-08-28 |
| 1609051655 | Kara Baughman | Social Worker | 532 Reserves Ct, Simpsonville, KY 40067-5465 | 2008-01-08 |
| 1801434071 | Morgan Utterback | Counselor | 3180 Countryside Dr, Simpsonville, KY 40067-5615 | 2019-12-18 |
| 1417409681 | Servant Hearts LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 626 Crum Ct, Simpsonville, KY 40067-5662 | 2016-11-03 |
| 1821110909 | Amber D Durr | Counselor | 521 Todds Point Rd, Simpsonville, KY 40067-6418 | 2007-04-06 |
| 1447390687 | Kristin Huber | Registered Nurse | 4481 Aiken Rd, Simpsonville, KY 40067-6432 | 2007-02-07 |
| Find all providers in zip 40067 | ||||
| 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 |
|---|---|---|---|---|
| 1205489960 | Ajah Ashanti Thacker | Case Manager/Care Coordinator | 309 Se Main St Ste 207, Simpsonville, SC 29681-2696 | 2019-07-22 |
| 1477824563 | Catherine Soto | Case Manager/Care Coordinator | 20 Powderhorn Rd, Simpsonville, SC 29681-3399 | 2012-01-20 |
| 1538450085 | Vyron Mikel Kinson | Case Manager/Care Coordinator | 20 Powderhorn Rd, Simpsonville, SC 29681-3399 | 2011-05-02 |
| 1760784144 | Terester Mcallister | Case Manager/Care Coordinator | 20 Powderhorn Rd, Simpsonville, SC 29681-3399 | 2010-11-17 |
| 1124275912 | Crystal Michele Wilson | Case Manager/Care Coordinator | 20 Powderhorn Rd, Simpsonville, SC 29681-3399 | 2008-08-22 |
| 1114189586 | Ashley Caroline Mccuen | Case Manager/Care Coordinator | 20 Powderhorn Rd, Simpsonville, SC 29681-3399 | 2008-06-27 |
| 1164697512 | Teresa Small | Case Manager/Care Coordinator | 20 Powderhorn Rd, Simpsonville, SC 29681-3399 | 2008-04-28 |
| 1538330543 | Nina J Rogers | Case Manager/Care Coordinator | 20 Powderhorn Rd, Simpsonville, SC 29681-3399 | 2008-03-18 |
| 1063681542 | Bradyn Edward Roddy | Case Manager/Care Coordinator | 20 Powderhorn Rd, Simpsonville, SC 29681-3399 | 2008-02-28 |
| 1659540581 | Cecilia Hovanski | Case Manager/Care Coordinator | 20 Powderhorn Rd, Simpsonville, SC 29681-3399 | 2008-02-25 |
| Find all providers in SIMPSONVILLE | ||||
| City | SIMPSONVILLE |
| Zip Code | 40067 |
Please comment or provide details below to improve the information on KERRIN OMER.
| 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.