LYTEASA SHAWNEA WEEKS (NPI# 1013445790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013445790 |
| Entity Type | Individual |
| Full Name | LYTEASA SHAWNEA WEEKS |
| Practice Address |
4024 Central Ave St Petersburg FL 33711-1239 |
| Mailing Address |
Po Box 10970 St Petersburg FL 33733-0970 |
| Practice Telephone | 7273277656 |
| Practice Fax Number | 7273222110 |
| Mailing Telephone | 7273277656 |
| Mailing Fax Number | 7273222110 |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2017-05-25 |
| 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 |
4024 CENTRAL AVE |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33711-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659371763 | Suncoast Center, Inc. | Clinic/Center | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2005-07-29 |
| 1790384709 | Tracy Reenae Hardaway | Counselor | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-10-21 |
| 1154928877 | Tyler Ray-baker | Counselor | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-10-06 |
| 1720694565 | Meghan Reese | Counselor | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-09-17 |
| 1720691595 | Georgette Franklin | Case Manager/Care Coordinator | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-08-31 |
| 1518570381 | Stephanie Ganoe | Counselor | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-08-31 |
| 1679181655 | April Irwin | Counselor | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-07-16 |
| 1497373757 | Mishania Jenkins | Case Manager/Care Coordinator | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-07-13 |
| 1154945632 | Kenneth Westerfield | Behavioral Analyst | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-06-01 |
| 1235753674 | Kathryn Ann Pinkston | Registered Nurse | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639665110 | Armando Alvarez Gonzalez | Nurse Practitioner | 3404 26th Ave S, St Petersburg, FL 33711 | 2018-07-08 |
| 1508398843 | S&r Cares LLC | Preferred Provider Organization | 4201 4th Avenue South Street, St Petersburg, FL 33711 | 2017-03-28 |
| 1245691062 | Brian Paulson | Counselor | 4024 Central Ave # 1239, Saint Petersburg, FL 33711 | 2016-03-08 |
| 1871966069 | Kelly Jean Plant | Home Health Aide | 3611 3rd Ave South, St Petersburg, FL 33711 | 2015-11-10 |
| 1750784815 | Honor Investments LLC | Community/Behavioral Health | 4750 Dophin Cay Ln S, #508, St Petersburg, FL 33711 | 2014-10-03 |
| 1063771947 | Vincent Ford | Physical Therapy Assistant | 3479 22nd Avenue, St.petersburg, FL 33711 | 2012-05-11 |
| 1568758571 | Ashley Lauren Taliaferro | Physical Therapist | 5042 42nd St S, Saint Petersburg, FL 33711 | 2011-06-28 |
| 1801180187 | Karen Lynn Wilcox | Massage Therapist | 2026 44th Street S, Saint Petersburg, FL 33711 | 2011-06-04 |
| 1881998722 | Martha L Allen | Assisted Living Facility | 1860 46 Street South, St. Petersburg, FL 33711 | 2011-01-07 |
| 1760519052 | Scg Palazzo Operator, LLC | Assisted Living Facility | 3600 34th St South, St Augustine, FL 33711 | 2007-02-27 |
| Find all providers in zip 33711 | ||||
| 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 |
|---|---|---|---|---|
| 1740760669 | Dotheria Elaine Bradley | Case Manager/Care Coordinator | 1918 45th St S, St Petersburg, FL 33711-3042 | 2018-08-20 |
| 1902257116 | Anthony Costanzo | Case Manager/Care Coordinator | 5047 2nd Ave N, St Petersburg, FL 33710-8207 | 2016-06-29 |
| 1568823284 | Sisouk Rattanachane | Case Manager/Care Coordinator | 1501 83rd Ave N, St Petersburg, FL 33702-2851 | 2016-03-08 |
| 1952719858 | Elizabeth Lent | Case Manager/Care Coordinator | 350 79th Ave N Apt 302, St Petersburg, FL 33702-4459 | 2014-07-24 |
| 1346653458 | Leslie Swain | Case Manager/Care Coordinator | 7316 33rd St N, St Petersburg, FL 33702-5540 | 2014-06-05 |
| 1215364575 | Melissa Moody | Case Manager/Care Coordinator | 11401 Dr Martin L King St N, Apt.2404, St Petersburg, FL 33716-2345 | 2013-10-02 |
| 1558610436 | Jennifer Potter | Case Manager/Care Coordinator | 785 100th Ave N # 108, St Petersburg, FL 33702 | 2012-09-06 |
| 1538418520 | Nanci Nolan | Case Manager/Care Coordinator | 2401 3rd Ave N, St Petersburg, FL 33713-7909 | 2012-09-05 |
| 1932454212 | Carol Rose Opitz | Case Manager/Care Coordinator | 205 Martin Luther King Dr, St Petersburg, FL 33701-3109 | 2012-07-23 |
| 1336438688 | Bridget Denise Herring-daniels | Case Manager/Care Coordinator | 205 Mlk St N, St Petersburg, FL 33701-3109 | 2011-04-06 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33711 |
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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.