MS. STACY BLAZIO (NPI# 1003338617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003338617 |
| Entity Type | Individual |
| Full Name | MS. STACY BLAZIO |
| Practice Address |
401 W Morris Ave Hammond LA 70403 |
| Mailing Address |
401 W Morris Ave Hammond LA 70403-4121 |
| Practice Telephone | 5670000000 |
| Mailing Telephone | 5043043737 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2018-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LA | Behavioral Health & Social Service Providers | |
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
401 W MORRIS AVE |
| City | HAMMOND |
| State | LA |
| Zip Code | 70403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
| 1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
| 1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
| 1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
| 1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
| 1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
| 1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
| Find all providers in zip 70403 | ||||
| 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 |
|---|---|---|---|---|
| 1467094714 | Denetra Rayford | Case Manager/Care Coordinator | 1320 N Morrison Blvd # 105106, Hammond, LA 70401-2242 | 2019-10-08 |
| 1114575040 | Patricia West | Case Manager/Care Coordinator | 1320 N Morrison Blvd Ste 105106, Hammond, LA 70401-2242 | 2019-09-04 |
| 1275196156 | Monica Rome Thompson | Case Manager/Care Coordinator | 1312 N Morrison Blvd, Hammond, LA 70401 | 2019-04-17 |
| 1609335777 | Marjorie Nicole Baham | Case Manager/Care Coordinator | 1320 N Morrison Blvd Ste 105, Hammond, LA 70401-2242 | 2019-03-18 |
| 1740752864 | Katelyn D Ennis | Case Manager/Care Coordinator | 1312 N. Morrison Blvd., Hammond, LA 70401 | 2018-12-31 |
| 1396215257 | Breyanna Johnson | Case Manager/Care Coordinator | 1312 North Morrison Blvd, Hammond, LA 70401 | 2018-12-04 |
| 1134695331 | Shanquel Antonet Mckay | Case Manager/Care Coordinator | 1312 N. Morrison Blvd, Hammond, LA 70401 | 2018-10-16 |
| 1104311257 | Ivory Headspeth Mitchell | Case Manager/Care Coordinator | 906 C M Fagan Dr Bldg A, Hammond, LA 70403-6056 | 2018-06-29 |
| 1134628118 | Adrienne Nicole Chambers | Case Manager/Care Coordinator | 1417 W. Morris Ave, Ste. E, Hammond, LA 70403 | 2018-02-06 |
| 1871004788 | Lisa Marie Locascio | Case Manager/Care Coordinator | 45369 Pine Hill Rd, Hammond, LA 70401-4420 | 2017-10-18 |
| Find all providers in HAMMOND | ||||
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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.