JORDAN LEE KENNARD (NPI# 1962997932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962997932 |
| Entity Type | Individual |
| Full Name | JORDAN LEE KENNARD |
| Practice Address |
303 Offnere St Portsmouth OH 45662-4655 |
| Practice Telephone | 7408769369 |
| Practice Fax Number | 7408769213 |
| Mailing Telephone | 7408769369 |
| Mailing Fax Number | 7408769213 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |
| 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 |
303 OFFNERE ST |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-4655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336654854 | Phoenix Group Home | Community/Behavioral Health | 303 Offnere St, Portsmouth, OH 45662-4655 | 2017-12-06 |
| 1588144414 | Carrie Burchett | Case Manager/Care Coordinator | 303 Offnere St, Portsmouth, OH 45662-4655 | 2018-08-20 |
| 1457839375 | Tristin Fay Jenkins | Registered Nurse | 303 Offnere St, Portsmouth, OH 45662-4655 | 2018-08-02 |
| 1750868121 | Sue Carol Lehman | Social Worker | 303 Offnere St, Portsmouth, OH 45662-4655 | 2018-07-27 |
| 1841777463 | Carlena Smith | Case Manager/Care Coordinator | 303 Offnere St, Portsmouth, OH 45662-4655 | 2018-07-26 |
| 1891271052 | Devin Allen Spurgeon | Case Management | 303 Offnere St, Portsmouth, OH 45662-4655 | 2018-07-11 |
| 1427542901 | Bryant Christopher Jamison | Case Manager/Care Coordinator | 303 Offnere St, Portsmouth, OH 45662-4655 | 2018-06-19 |
| 1063906543 | Michael Green | Case Manager/Care Coordinator | 303 Offnere St, Portsmouth, OH 45662-4655 | 2018-06-19 |
| 1336632223 | Danette S Dyke | Registered Nurse | 303 Offnere St, Portsmouth, OH 45662-4655 | 2018-06-14 |
| 1265921563 | Anthony J.l Galyon | Counselor | 303 Offnere St, Portsmouth, OH 45662 | 2018-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
| 1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
| 1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
| 1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
| 1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
| 1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
| Find all providers in zip 45662 | ||||
| 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 |
|---|---|---|---|---|
| 1639776974 | Ayana Capri Esau | Case Manager/Care Coordinator | 414 Taft Dr, Portsmouth, VA 23701-4160 | 2020-10-08 |
| 1831716471 | Stephanie Seevers | Case Manager/Care Coordinator | 1018 21st St Apt C, Portsmouth, OH 45662-2859 | 2020-06-30 |
| 1841837200 | Grant Underwood | Case Manager/Care Coordinator | 1025 20th St, Portsmouth, OH 45662-2801 | 2019-12-04 |
| 1043857402 | Rebecca Childers | Case Manager/Care Coordinator | 1793 Jackson St, Portsmouth, OH 45662-4477 | 2019-12-04 |
| 1417594870 | Monique Y Harmon | Case Manager/Care Coordinator | 3207 Old Post Rd, Portsmouth, OH 45662-2426 | 2019-12-04 |
| 1265998397 | Alex Jarome Harris | Case Manager/Care Coordinator | 205 South Preston St, Portsmouth, OH 45662-4566 | 2019-02-13 |
| 1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
| 1598287823 | Kim Machon Williams | Case Manager/Care Coordinator | 2011 Queen St Ste N-210, Portsmouth, VA 23704-3027 | 2017-07-07 |
| 1275665093 | Wendy Segit | Case Manager/Care Coordinator | 114 5 Sagamore Ave, Portsmouth, NH 03801-5585 | 2007-03-09 |
| 1194871020 | Franziska Maria Bennett | Case Manager/Care Coordinator | 15 Edendale Rd, Portsmouth, OH 45662 | 2007-01-25 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
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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.