KENYETTRA TASKER (NPI# 1942650296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942650296 |
| Entity Type | Individual |
| Full Name | KENYETTRA TASKER |
| Credential | BA |
| Practice Address |
751 Bayou Pines East Dr Ste C Lake Charles LA 70601 |
| Mailing Address |
1106 Tulane St Lake Charles LA 70607-3142 |
| Practice Telephone | 3374333292 |
| Mailing Telephone | 3372924252 |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2018-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | LA | Other Service Providers |
| Street Address |
751 BAYOU PINES EAST DR STE C |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982076220 | Karen Webb | Counselor | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2015-10-27 |
| 1396344529 | Jaycee Claire Red | Peer Specialist | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-10-19 |
| 1235741653 | Katlyn Lavergne | Peer Specialist | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-08-18 |
| 1437760154 | Germaine Marie Clark | Case Manager/Care Coordinator | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-08-14 |
| 1043821820 | Britney Ann Corbin | Case Manager/Care Coordinator | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-08-13 |
| 1104448612 | Brandon Lee Goodly | Peer Specialist | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-05-07 |
| 1215559794 | Courtney Michelle Short-prudhomme | Peer Specialist | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-05-07 |
| 1639798358 | Destiny Dashae Guillory | Peer Specialist | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-04-13 |
| 1477188852 | Jenny Ardoin | Peer Specialist | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-03-06 |
| 1558995498 | Erica Toussaint | Peer Specialist | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2020-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| 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 |
|---|---|---|---|---|
| 1235768235 | Joi Reed | Case Manager/Care Coordinator | 1511 Kirkman St, Lake Charles, LA 70601-5346 | 2020-04-02 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| 1932682580 | Leigha Marie Robinson | Case Manager/Care Coordinator | 1202 W Kirkman St., Lake Charles, LA 70601 | 2018-09-10 |
| 1831680461 | Esther Lee Augustine | Case Manager/Care Coordinator | 2508 Oak Park Blvd, Lake Charles, LA 70601-8158 | 2018-05-18 |
| 1407366339 | Helena Thomas | Case Manager/Care Coordinator | 1202 Kirman Street, Suite C, Lake Charles, LA 70601 | 2017-10-05 |
| 1154794253 | Shemica Moss | Case Manager/Care Coordinator | 1639 Ryan St, Lake Charles, LA 70601-5948 | 2015-11-11 |
| 1942673256 | Belinda Williams | Case Manager/Care Coordinator | 312 Heather St, Lake Charles, LA 70605-6508 | 2015-11-09 |
| 1851764757 | Teneisha Frank Wright | Case Manager/Care Coordinator | 1313 Common St, Lake Charles, LA 70601 | 2015-11-02 |
| 1356711626 | Adrianna White | Case Manager/Care Coordinator | 3501 5th Ave Ste A, Lake Charles, LA 70607-2155 | 2015-09-30 |
| 1366871477 | Andrew Jordan | Case Manager/Care Coordinator | 1011 Lake Shore Dr Ste 618, Lake Charles, LA 70601-9419 | 2013-11-08 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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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.