MRS. TAWANA GLENICE MIDDLETON-TRIMM (NPI# 1043858491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043858491 |
Entity Type | Individual |
Full Name | MRS. TAWANA GLENICE MIDDLETON-TRIMM |
Practice Address |
7901 Ne 10th St Midwest City OK 73110-3600 |
Mailing Address |
912 N Meadowview Way Mustang OK 73064-2740 |
Practice Telephone | 8434377172 |
Mailing Telephone | 8434377172 |
Enumeration Date | 2019-12-17 |
Last Update Date | 2019-12-17 |
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 |
7901 NE 10TH ST |
City | MIDWEST CITY |
State | OK |
Zip Code | 73110-3600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235124850 | C. Brant Worthington | Dentist | 7901 Ne 10th St, Suite 103, Midwest City, OK 73110-3600 | 2005-09-20 |
1891293759 | Port Lawrence Behavioral Health Services LLC | Substance Abuse Rehabilitation Facility | 7901 Ne 10th St, Midwest City, OK 73110-3600 | 2018-01-25 |
1477099224 | Brandy Christina Dismuke | Case Manager/Care Coordinator | 7901 Ne 10th St, Ste B106, Midwest City, OK 73110-3600 | 2017-01-17 |
1538566369 | Donald Richardson | Case Management | 7901 Ne 10th St, Midwest City, OK 73110-3600 | 2014-11-21 |
1265851315 | Portia Finley | Counselor | 7901 Ne 10th St, Midwest City, OK 73110-3600 | 2014-04-15 |
1346668431 | Evans Brown Jr. | Counselor | 7901 Ne 10th St, Midwest City, OK 73110-3600 | 2014-04-04 |
1134546682 | Guiding Right LLC | Public Health or Welfare | 7901 Ne 10th St, Suite A-111, Midwest City, OK 73110-3600 | 2014-03-22 |
1972924512 | Melvin Gaines | Behavioral Analyst | 7901 Ne 10th St, Midwest City, OK 73110-3600 | 2013-12-28 |
1518394238 | Torayia Clark | Counselor | 7901 Ne 10th St, Suite 8209, Midwest City, OK 73110-3600 | 2013-09-27 |
1992130462 | Marcus Nealy | Counselor | 7901 Ne 10th St, A209, Midwest City, OK 73110-3600 | 2013-09-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255939377 | Torry E Elston | Technician/Technologist | 5908 Se 15th St, Midwest City, OK 73110 | 2020-10-12 |
1083225783 | Daniel B Nguyen | Pharmacist | 1601 S Air Depot, Midwest City, OK 73110 | 2020-08-14 |
1114494903 | Tiandrea Jeanae Neal | Behavioral Analyst | 1212 S. Air Depot, Ste 17, Midwest City, OK 73110 | 2018-10-30 |
1467902593 | Brian Christopher Lewis | Case Manager/Care Coordinator | 8616 Cedar Ridge Drive, Midwest City, OK 73110 | 2016-10-13 |
1669839312 | National Iom, Pllc | Electrodiagnostic Medicine | 1205 S. Air Depot # 102, Midwest City, OK 73110 | 2016-01-26 |
1003292210 | Alexandrea Funston | Speech-Language Pathologist | 224 E Blossom Drive, Midwest City, OK 73110 | 2015-08-11 |
1184053399 | Ronya Caraway | Community/Behavioral Health | 7901 Ne 10th, B106, Midwest City, OK 73110 | 2013-11-07 |
1245678374 | Layfette Lamar Fletcher | Counselor | 405 Delia Street, Midwest City, OK 73110 | 2013-06-11 |
1114364163 | Kathryn Ann Gray | Social Worker | 1391 North Midwest Blvd., Midwest City, OK 73110 | 2013-05-31 |
1841542545 | Steven Atkins Akinnfest | Counselor | 417 Reed Place, Midwest City, OK 73110 | 2012-10-05 |
Find all providers in zip 73110 |
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 |
---|---|---|---|---|
1447876990 | Desiree Jacobs | Case Manager/Care Coordinator | 2319 Shell Dr, Midwest City, OK 73130-8276 | 2020-06-21 |
1275157869 | Kaubriana S Walter | Case Manager/Care Coordinator | 1108 Tall Oaks Dr, Midwest City, OK 73110-7627 | 2020-05-30 |
1700407202 | Whitney Lee Heinrich | Case Manager/Care Coordinator | 11015 Mindy Ln, Midwest City, OK 73130-3812 | 2020-05-06 |
1003449083 | Jearldine E Maxwell | Case Manager/Care Coordinator | 4023 S Locust Dr, Midwest City, OK 73110-7447 | 2020-02-18 |
1487200366 | Robert Davis II | Case Manager/Care Coordinator | 9721 Southern Oaks Dr, Midwest City, OK 73130-5410 | 2019-08-15 |
1740754258 | Courtney Harris | Case Manager/Care Coordinator | 9129 Orchard Blvd, Midwest City, OK 73130-7142 | 2019-01-17 |
1477030328 | Tana Carter | Case Manager/Care Coordinator | 603 Peppertree Ln, Midwest City, OK 73110-2952 | 2018-07-24 |
1104317148 | Shannon Williams | Case Manager/Care Coordinator | 218 Kathleen Dr, Midwest City, OK 73110-7765 | 2018-05-25 |
1801391685 | Lavette Aniquea Harris | Case Manager/Care Coordinator | 704 Royal Ave, Midwest City, OK 73130-2713 | 2018-03-26 |
1538664313 | Monica Chanelle Fray | Case Manager/Care Coordinator | 10834 Garrett Cole Dr, Midwest City, OK 73130-3047 | 2018-03-26 |
Find all providers in MIDWEST CITY |
City | MIDWEST CITY |
Zip Code | 73110 |
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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.