LATISHA STOVER (NPI# 1922476183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922476183 |
| Entity Type | Individual |
| Full Name | LATISHA STOVER |
| Practice Address |
4709 Papermill Dr Knoxville TN 37909-1921 |
| Mailing Address |
301 S Perimeter Park Dr Suite 210 Nashville TN 37211-4143 |
| Practice Telephone | 8655250391 |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |
| 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 |
4709 PAPERMILL DR |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37909-1921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912968033 | Peter G Emanuel | Radiology | 4709 Papermill Dr, Suite 201, Knoxville, TN 37909-1921 | 2006-03-29 |
| 1619530896 | Victoria L Oxendine | Social Worker | 4709 Papermill Dr, Knoxville, TN 37909-1921 | 2019-04-15 |
| 1780127977 | Marwa Shourbaji | Counselor | 4709 Papermill Dr, 113 Crowfield Road, Knoxville, TN 37909-1921 | 2016-11-21 |
| 1043753239 | Joseph Horton | Case Manager/Care Coordinator | 4709 Papermill Dr, Knoxville, TN 37909-1921 | 2016-11-21 |
| 1518410679 | Jason Abrahamzon | Counselor | 4709 Papermill Dr, Suite 101b, Knoxville, TN 37909-1921 | 2016-07-25 |
| 1669822565 | Emily Grace Keef | Licensed Practical Nurse | 4709 Papermill Dr, Suite 101, Knoxville, TN 37909-1921 | 2016-06-21 |
| 1881040814 | Paola Veronica Boling | Case Manager/Care Coordinator | 4709 Papermill Dr, Suite 202, Knoxville, TN 37909-1921 | 2016-05-09 |
| 1609236678 | Cassie Mccarty | Counselor | 4709 Papermill Dr, Knoxville, TN 37909-1921 | 2016-03-03 |
| 1457718405 | Destiny Nichole White | Counselor | 4709 Papermill Dr, Suite 202, Knoxville, TN 37909-1921 | 2016-01-21 |
| 1306202015 | Samantha Alsup | Social Worker | 4709 Papermill Dr, Knoxville, TN 37909-1921 | 2016-01-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326687534 | Rosalie Ting Mcglashen | Behavioral Analyst | 1508 Coleman Rd., Suites 105 and 110, Knoxville, TN 37909 | 2020-01-06 |
| 1770133597 | Renewal Healthcare | Family Medicine | 7035 Middlebrook Pike, Knoxville, TN 37909 | 2019-09-13 |
| 1417461211 | Lean Knox, LLC | Family Medicine | 1415 Old Weisgarber Rd. Ste 350, Knoxville, TN 37909 | 2017-12-01 |
| 1750757514 | Victor Brown | Counselor | 1451 Dowell Springs Blvd., Knoxville, TN 37909 | 2015-08-17 |
| 1083012488 | Melissa Wells Woodby | Marriage & Family Therapist | 6305 Lonas Dr, Knoxville, TN 37909 | 2014-12-17 |
| 1417375700 | David Francis Fair | Chiropractor | 1720 Tonalea Rd, Knoxville, TN 37909 | 2014-04-03 |
| 1295157519 | Danny Adkins, D.d.s. | Dentist | 1301 Old Weisgarber Road, Knoxville, TN 37909 | 2014-01-07 |
| 1376971085 | Quality Health Clinic LLC | Clinic/Center | 7348 Middlebrook Pike Suite D, Knoxville, TN 37909 | 2013-10-16 |
| 1952737942 | Martirea Fostine Jenkins Pratt | Nurse Practitioner | 930 Adell Ree Park Lane, Knoxville, TN 37909 | 2013-09-23 |
| 1104259324 | Dana Michelle Sweitzer | Nurse Practitioner | 1320 Old Weisgarber Road, Knoxville, TN 37909 | 2013-08-12 |
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| 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 |
|---|---|---|---|---|
| 1255945283 | Vanessa Elaine Davis | Case Manager/Care Coordinator | 2215 Amherst Rd, Knoxville, TN 37921-4902 | 2020-09-08 |
| 1427699537 | Tytiauna Ruffin | Case Manager/Care Coordinator | 3006 Lake Brook Blvd # 1, Knoxville, TN 37909-1137 | 2019-10-01 |
| 1053967356 | Lindsi Blair | Case Manager/Care Coordinator | 601 Arthur St, Knoxville, TN 37921-6406 | 2019-08-13 |
| 1891253225 | Jessica L White | Case Manager/Care Coordinator | 600 Arthur St # A, Knoxville, TN 37921-6405 | 2019-03-05 |
| 1952892150 | Howard Dean Jennings | Case Manager/Care Coordinator | 1010 Cox St, Knoxville, TN 37919-2221 | 2018-05-23 |
| 1700375326 | Jimmy Wayne Parks | Case Manager/Care Coordinator | 424 Clark St, Knoxville, TN 37921-6426 | 2018-05-09 |
| 1336644608 | Thomas Everett Cordell | Case Manager/Care Coordinator | 2455 Sutherland Ave Unit C, Knoxville, TN 37919-2355 | 2018-03-28 |
| 1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
| 1205354255 | Kylee Blair Dick | Case Manager/Care Coordinator | 600 Arthur Street, Knoxville, TN 37921 | 2017-08-30 |
| 1902352768 | Destiney Carter | Case Manager/Care Coordinator | 2130 Adair Dr Apt 3, Knoxville, TN 37918-1649 | 2016-08-31 |
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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.