MIA M DAUGHERTY (NPI# 1063012151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063012151 |
| Entity Type | Individual |
| Full Name | MIA M DAUGHERTY |
| Practice Address |
1000 N Vandeventer Ave Saint Louis MO 63113-3459 |
| Practice Telephone | 3145346015 |
| Mailing Telephone | 3145346015 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| 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 |
1000 N VANDEVENTER AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63113-3459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667441 | Ronald York Sr. | Case Manager/Care Coordinator | 1000 N Vandeventer Ave, Saint Louis, MO 63113-3459 | 2020-10-21 |
| 1063012276 | Jawana Rena Hammonds | Case Manager/Care Coordinator | 1000 N Vandeventer Ave, Saint Louis, MO 63113-3459 | 2020-10-27 |
| 1982203824 | Connie Rigas | Case Manager/Care Coordinator | 1000 N Vandeventer Ave, Saint Louis, MO 63113-3459 | 2020-10-21 |
| 1073112991 | Lashawn Colquitt | Case Manager/Care Coordinator | 1000 N Vandeventer Ave, Saint Louis, MO 63113-3459 | 2020-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487139937 | Kaniya Kashell Smotherman | In Home Supportive Care | 3834a Cotebrilliante Ave., St Louis, Mo, MO 63113 | 2018-10-01 |
| 1124530977 | Unique Diamonds, LLC | Counselor | 4068 Maffitt, St. Louis, MO 63113 | 2017-11-02 |
| 1821507831 | Another Day At Life LLC | Home Health | 1515 N Warson Rd Suite 103, St. Louis, MO 63113 | 2017-09-21 |
| 1124570999 | Carestl Health | Clinic/Center | 4248 Cottage Ave, Saint Louis, MO 63113 | 2016-10-27 |
| 1164801528 | Brittany Ashcraft | Social Worker | 1220 N Linbergh Blvd, Apt A, Saint Louis, MO 63113 | 2015-05-19 |
| 1538596465 | Enduring Heart In Home Care Services | Home Health | 1012 Sarah, Saint Louis, MO 63113 | 2013-10-10 |
| 1386989127 | Friends of African Amer. Family Service Center | Community/Behavioral Health | 1033 Whittier Avenue, Room 118, Saint Louis, MO 63113 | 2012-12-05 |
| 1598018202 | Shelia Latrese Bradford | Home Health | 3637 North Market St, St. Louis, MO 63113 | 2012-10-18 |
| 1043587736 | Angels Adult Day Care | Custodial Care Facility | 5021 Northland Avenue, Saint Louis, MO 63113 | 2011-11-23 |
| 1154575033 | Debra Lynn Miller | Occupational Therapist | 3645 Cook Ave., St. Louis, MO 63113 | 2008-11-05 |
| Find all providers in zip 63113 | ||||
| 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 |
|---|---|---|---|---|
| 1528667441 | Ronald York Sr. | Case Manager/Care Coordinator | 1000 N Vandeventer Ave, Saint Louis, MO 63113-3459 | 2020-10-21 |
| 1205487139 | Stacey C Smith | Case Manager/Care Coordinator | 4166 Lindell Blvd Ste 1b, Saint Louis, MO 63108-2923 | 2019-09-23 |
| 1235781055 | Melony Crayton | Case Manager/Care Coordinator | 800 N Tucker Blvd # Stm, Saint Louis, MO 63101-1008 | 2019-07-11 |
| 1265901144 | Maggie Mcgrath | Case Manager/Care Coordinator | 1430 Olive St Ste 4000, Saint Louis, MO 63103-2360 | 2018-11-20 |
| 1518442623 | Laura Lynn Walker | Case Manager/Care Coordinator | 1430 Olive St Ste 44, Saint Louis, MO 63103-2360 | 2018-09-25 |
| 1225517766 | Cecilia Bodet | Case Manager/Care Coordinator | 5605 Lansdowne Ave, Saint Louis, MO 63109-1527 | 2018-08-07 |
| 1114414679 | Jocelyn Acoff | Case Manager/Care Coordinator | 1430 Olive St Ste 600, Saint Louis, MO 63103-2323 | 2018-04-19 |
| 1093248593 | Ryan Dubois | Case Manager/Care Coordinator | 12909 Autumn View Dr, Saint Louis, MO 63146-4331 | 2017-04-11 |
| 1669911780 | Brittaney Booker | Case Manager/Care Coordinator | 4718 Oakridge Blvd, Saint Louis, MO 63121-3011 | 2017-02-22 |
| 1861869349 | Ana Baldeon | Case Manager/Care Coordinator | 9920 Watson Rd Ste 205, Saint Louis, MO 63126-1857 | 2015-08-31 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63113 |
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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.