CHERQUANTAS NASURA PETTY (NPI# 1942505342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942505342 |
| Entity Type | Individual |
| Full Name | CHERQUANTAS NASURA PETTY |
| Credential | BS |
| Practice Address |
152 Highway 7 S Oxford MS 38655-5392 |
| Practice Telephone | 6622347521 |
| Practice Fax Number | 6622363071 |
| Mailing Telephone | 6622347521 |
| Mailing Fax Number | 6622363071 |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-01-14 |
| 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 |
152 HIGHWAY 7 S |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-5392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649374265 | Mary Sue Speck | Counselor | 152 Highway 7 S, Oxford, MS 38655-5392 | 2006-09-12 |
| 1396346565 | Macy Lillian Newcomb | Social Worker | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-11-04 |
| 1760082580 | Kimberly Eve Spence | Peer Specialist | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-10-30 |
| 1932707999 | Tanya Evans | Registered Nurse | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-10-13 |
| 1578179545 | Tiffany Nail | Registered Nurse | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-09-16 |
| 1255947248 | Macarah Morris | Counselor | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-09-16 |
| 1073128641 | Adole Natasha Muruako | Counselor | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-09-10 |
| 1174137673 | Kristen Lindsey Cauley | Social Worker | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-09-02 |
| 1447863741 | Elizabeth Danielle Cornelius | Counselor | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-08-26 |
| 1316550759 | Angel Simmons | Counselor | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| 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 |
|---|---|---|---|---|
| 1588262331 | Emmarose Malone Dwyer | Case Manager/Care Coordinator | 3843 Thomas Rd, Oxford, MI 48371-1556 | 2020-10-14 |
| 1366066763 | Deandra Christiansen | Case Manager/Care Coordinator | 384 Franklin Lake Cir, Oxford, MI 48371-6704 | 2020-06-01 |
| 1417420035 | Matthew Matteson | Case Manager/Care Coordinator | 105 Highway 9 N, Oxford, AR 72565-7256 | 2019-01-07 |
| 1174069983 | Christina Williams | Case Manager/Care Coordinator | 1985 Lakesview Dr, Oxford, MI 48371-4553 | 2017-01-17 |
| 1679818397 | Daniel Lee Miller | Case Manager/Care Coordinator | 105 Hwy 9 North, Oxford, AR 72565 | 2012-12-06 |
| 1295983120 | Miranda Kim Worthey | Case Manager/Care Coordinator | 108 N 1st St, Oxford, AR 72565-9038 | 2008-09-04 |
| 1083890446 | Alicia A Kelley | Case Manager/Care Coordinator | 108 N First St, Oxford, AR 72565-9038 | 2008-01-16 |
| 1174731020 | Renee Brown | Case Manager/Care Coordinator | 105 Hwy 9, Oxford, AR 72565-9749 | 2007-05-21 |
| 1770181489 | Matthew Brewer | Case Manager/Care Coordinator | 105 Highway 9, Oxford, AR 72565 | 2020-10-14 |
| 1265042634 | Sullivan Reach | Case Manager/Care Coordinator | 105 Highway 9, Oxford, AR 72565-7201 | 2020-07-31 |
| Find all providers in OXFORD | ||||
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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.