TANESHA LACIE CARTER (NPI# 1013406669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013406669 |
| Entity Type | Individual |
| Full Name | TANESHA LACIE CARTER |
| Practice Address |
27753 S Welling Rd Welling OK 74471-2202 |
| Mailing Address |
22038 Cheryl Dr Siloam Springs AR 72761-9188 |
| Practice Telephone | 9184224888 |
| Mailing Telephone | 4792280309 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558857268 | Tanesha Carter | Counselor | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2018-07-05 |
| Street Address |
27753 S WELLING RD |
| City | WELLING |
| State | OK |
| Zip Code | 74471-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942215561 | Lake Country Healthcare LLC | Pharmacy | 27753 S Welling Rd, Welling, OK 74471-2202 | 2006-07-30 |
| 1477117620 | Heather Michelle Taylor | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2019-04-23 |
| 1942652771 | Samantha Nicole Young | Social Worker | 27753 S Welling Rd, Welling, OK 74471-2202 | 2016-07-05 |
| 1376953497 | Karen Ford | Counselor | 27753 S Welling Rd, Welling, OK 74471-2202 | 2014-04-28 |
| 1902225808 | Kristy Young | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2014-04-08 |
| 1215350293 | Amanda Jo Long | Counselor | 27753 S Welling Rd, Welling, OK 74471-2202 | 2014-01-28 |
| 1053734079 | Becky Gonelli | Counselor | 27753 S Welling Rd, Welling, OK 74471-2202 | 2014-01-27 |
| 1134559297 | Sandra Girdner | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2013-11-26 |
| 1184976235 | Rachael Michelle Curtis | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2012-10-12 |
| 1043561590 | Autumn Ketcher | Specialist | 27753 S Welling Rd, Welling, OK 74471-2202 | 2012-09-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922206382 | Sue Ella Dalrymple | Homemaker | 23315 E 830 Rd, Welling, OK 74471 | 2007-07-06 |
| 1407031214 | Hope Dupre Owen | Advanced Practice Midwife | 20432 S 560 Rd, Welling, OK 74471-2006 | 2007-12-31 |
| 1366713794 | Janus Farar | Counselor | 23463 E 774 Rd, Welling, OK 74471-2013 | 2012-01-17 |
| 1396757217 | Onward and Upward Incorporated | Speech-Language Pathologist | 23047 E 830 Rd, Welling, OK 74471-2144 | 2006-08-12 |
| 1811149933 | Linda Lavelle White | Speech-Language Pathologist | 23047 E 830 Rd, Welling, OK 74471-2144 | 2008-10-21 |
| 1396917027 | Mary Elaine Rainwater | Speech-Language Pathologist | 23047 E 830 Rd, Welling, OK 74471-2144 | 2008-04-02 |
| 1881894301 | Christy Dawn Steele | Occupational Therapist | 23047 E 830 Rd, Welling, OK 74471-2144 | 2007-07-23 |
| 1699977066 | Patricia Ann Daniel | Occupational Therapist | 23047 E 830 Rd, Welling, OK 74471-2144 | 2007-06-05 |
| 1538299417 | Sugar Mountain Retreat, Inc. | Assisted Living Facility | 26403 S 581 Rd, Welling, OK 74471-2303 | 2007-03-07 |
| 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 |
|---|---|---|---|---|
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1477117620 | Heather Michelle Taylor | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2019-04-23 |
| 1902225808 | Kristy Young | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2014-04-08 |
| 1134559297 | Sandra Girdner | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2013-11-26 |
| 1184976235 | Rachael Michelle Curtis | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2012-10-12 |
| 1437404506 | Tabitha Sue Bluebird | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2012-07-16 |
| 1851677488 | Rose Murphy | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2011-10-27 |
| 1164706305 | Tammie Brady | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2011-10-06 |
| 1679857817 | Monica Raines | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2011-10-06 |
| 1922395573 | Anita Sue Kilgore | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2011-07-05 |
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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.