MIRANDA JOHNSON (NPI# 1063024123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063024123 |
| Entity Type | Individual |
| Full Name | MIRANDA JOHNSON |
| Practice Address |
1418 Tiger Dr Thibodaux LA 70301-4337 |
| Practice Telephone | 9854494055 |
| Mailing Telephone | 9854494055 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770129876 | Miranda Johnson | Behavior Technician | 4117 Alveston Dr, Atlanta, GA 30349-2737 | 2019-11-23 |
| 1932663416 | Miranda Johnson | Dentist | 615 W Clairemont Ave Ste 120, Eau Claire, WI 54701-6223 | 2019-01-29 |
| 1013433846 | Miranda L Johnson | Assistant Behavior Analyst | 9280 S Midway Rd, Brimley, MI 49715-9223 | 2017-08-14 |
| 1982014460 | Miranda Jean Johnson | Speech-Language Pathologist | 15265 Minnetonka Blvd., Minnetonka, MN 55345 | 2014-05-06 |
| 1134789050 | Miranda Johnson | Social Worker | 2700 Westhall Ln, Maitland, FL 32751-7203 | 2019-06-13 |
| 1063984177 | Miranda Paige Johnson | Licensed Practical Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2018-12-31 |
| 1366965204 | Miranda Louise Johnson | Speech-Language Pathologist | 2846 S Spectrum Way, Gilbert, AZ 85295-6176 | 2017-07-23 |
| 1710400759 | Miranda Lee Johnson | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-07-21 |
| 1811424286 | Miranda Johnson | Counselor | 9487 Brookline Ave, Baton Rouge, LA 70809-1429 | 2017-05-17 |
| 1760747505 | Miranda Johnson | Case Manager/Care Coordinator | 6701 Highway 67 Bldg 4, Benton, AR 72015-8909 | 2012-07-09 |
| Street Address |
1418 TIGER DR |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301-4337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417090598 | Genevia Margaret Arsene | Counselor | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2007-02-15 |
| 1376141119 | Leah Woerner | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2020-10-14 |
| 1770181448 | Ragain Gray | Social Worker | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2020-10-14 |
| 1669070330 | Brenda Sue Naquin | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2020-10-14 |
| 1750989430 | Deszi Hill | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2020-10-14 |
| 1306453337 | Kaitlyn Ordoyne | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2020-09-24 |
| 1750998787 | Alexis Voisin | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2020-09-24 |
| 1306458468 | Dominique Cole | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2020-08-20 |
| 1043828015 | Shamorya Johnson | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2020-07-16 |
| 1992313969 | Sydnei Mabile | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 1982112348 | Katie Leblanc | Massage Therapist | 1115 St. Mary Street, Thibodaux, LA 70301 | 2018-01-18 |
| 1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
| 1235648239 | Speech and Feeding Therapy, LLC | Speech-Language Pathologist | 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 | 2017-09-22 |
| 1285150466 | Tara Payne | Counselor | 303 Hickory Street, Thibodaux, LA 70301 | 2017-08-18 |
| 1427583475 | Tyler Pettigrew | Counselor | 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 | 2017-04-27 |
| 1750825758 | Jessica Barquet | Counselor | 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 | 2016-12-09 |
| 1013468230 | Shenee Haas Gros | Counselor | 504 Cherry St., Thibodaux, LA 70301 | 2016-10-24 |
| 1982155388 | Southern Ent Associates Inc | Audiologist | 604 North Acadia Road Suite 101, Thibodaux, LA 70301 | 2016-10-20 |
| 1215483888 | Lesheeca Norman, Lpc | Counselor | 306 Victoria Court, Thibodaux, LA 70301 | 2016-09-01 |
| Find all providers in zip 70301 | ||||
| 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 |
|---|---|---|---|---|
| 1952911232 | Eriyanne Breshon Mollere | Case Manager/Care Coordinator | 106 Drew Ct Apt A, Thibodaux, LA 70301-8416 | 2020-08-03 |
| 1598267510 | Jennifer Schafer | Case Manager/Care Coordinator | 746 Goode St, Thibodaux, LA 70301-4712 | 2018-03-06 |
| 1528560703 | Kentrell Boyd | Case Manager/Care Coordinator | 1408 Tiger Dr, Thibodaux, LA 70301-4337 | 2018-03-05 |
| 1699204933 | Jazsmin Roundtree | Case Manager/Care Coordinator | 1400 Mlk Dr Apt 39, Thibodaux, LA 70301-4889 | 2017-06-09 |
| 1376141119 | Leah Woerner | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2020-10-14 |
| 1669070330 | Brenda Sue Naquin | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2020-10-14 |
| 1750989430 | Deszi Hill | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2020-10-14 |
| 1306453337 | Kaitlyn Ordoyne | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2020-09-24 |
| 1750998787 | Alexis Voisin | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2020-09-24 |
| 1306458468 | Dominique Cole | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2020-08-20 |
| Find all providers in THIBODAUX | ||||
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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.