JAQUITTA LA'SHON MCFADDEN (NPI# 1073149415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073149415 |
| Entity Type | Individual |
| Full Name | JAQUITTA LA'SHON MCFADDEN |
| Practice Address |
1420 University Ave Flint MI 48504-6208 |
| Mailing Address |
7100 Branch St Mount Morris MI 48458-9473 |
| Practice Telephone | 8102380475 |
| Mailing Telephone | 8102883969 |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |
| 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 |
| Street Address |
1420 UNIVERSITY AVE |
| City | FLINT |
| State | MI |
| Zip Code | 48504-6208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508056714 | Linda Mountz | Psychologist | 1420 University Ave, Flint, MI 48504-6208 | 2007-07-25 |
| 1215544770 | Teresa Evalyn Knox-gibbs | Case Manager/Care Coordinator | 1420 University Ave, Flint, MI 48504-6208 | 2020-09-29 |
| 1386288967 | Eric Warren-james Thompson | Behavior Technician | 1420 University Ave, Flint, MI 48504-6208 | 2019-11-06 |
| 1669013397 | Asprea S Griffin | Behavior Technician | 1420 University Ave, Flint, MI 48504-6208 | 2019-10-03 |
| 1093376352 | Monica Lariviere | Behavior Technician | 1420 University Ave, Flint, MI 48504-6208 | 2019-06-26 |
| 1851867857 | Peggy Brotzke | Behavior Technician | 1420 University Ave, Flint, MI 48504-6208 | 2018-10-17 |
| 1992212336 | Tyler Denee Brewer | Counselor | 1420 University Ave, Flint, MI 48504-6208 | 2018-01-08 |
| 1891147195 | Megan Metcalf | Counselor | 1420 University Ave, Flint, MI 48504-6208 | 2016-07-11 |
| 1003299363 | Jessica Knopp | Social Worker | 1420 University Ave, Flint, MI 48504 | 2015-07-06 |
| 1053709626 | Julie Doyle | Social Worker | 1420 University Ave, Flint, MI 48504-6208 | 2015-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935326 | St. Luke N.e.w. Life Center, Inc. | Optometrist | 3115 Lawndale Ave., Flint, MI 48504 | 2019-07-31 |
| 1235797259 | Saarah Amuthan | Dentist | 2051 West Pierson Road, Dental Dreams, Units B-d, Flint, MI 48504 | 2019-06-04 |
| 1639653413 | Chad Warren Montague | Social Worker | 1420 West University Ave, Flint, MI 48504 | 2018-09-18 |
| 1235628744 | Houda Ghassani | Dentist | 2501 W Pierson Rd # Unitsb-d, Flint, MI 48504 | 2018-05-09 |
| 1982108551 | Dawn Michelle Conklin | Physical Therapist | 1069 N Ballenger Hwy, Flint, MI 48504 | 2018-03-20 |
| 1699295204 | Stephen Thomas Holt | Dentist | 2501 West Pierson Road, Units B-d, Flint, MI 48504 | 2017-06-23 |
| 1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
| 1609151109 | All American Pharmacy LLC | Pharmacy | 3104-3106 Flushing Rd, Flint, MI 48504 | 2011-10-15 |
| 1972814143 | Ballenger Pharmacy Center | Pharmacy | 1073 N Ballenger Hwy, Flint Twp, MI 48504 | 2010-06-23 |
| 1932357837 | Katherine Ann Kogelmann | Social Worker | 1420 W. University, Flint, MI 48504 | 2008-09-04 |
| Find all providers in zip 48504 | ||||
| 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 |
|---|---|---|---|---|
| 1326653122 | Malika Triplett | Case Manager/Care Coordinator | 3002 Meisner Ave, Flint, MI 48506-2434 | 2020-09-09 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1568018281 | Lanasia Hood | Case Manager/Care Coordinator | G3169 Beecher Rd Ste 201, Flint, MI 48532-3645 | 2019-08-19 |
| 1548733512 | Respite Care Services Eemc | Case Manager/Care Coordinator | 1701 Laurel Oak Dr, Flint, MI 48507-2210 | 2019-01-02 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1356714398 | Kimberly Ann Ashburn | Case Manager/Care Coordinator | 3714 Comanche Ave, Flint, MI 48507-4305 | 2015-11-12 |
| 1629453725 | Sydney Wilson | Case Manager/Care Coordinator | 1526 Utah Ave, Flint, MI 48506 | 2015-07-30 |
| 1710368329 | Samantha Denison | Case Manager/Care Coordinator | 1413 Begole St, Flint, MI 48503-1233 | 2015-06-10 |
| 1891108106 | Kelly Pierron | Case Manager/Care Coordinator | 440 Saginaw St, Flint, MI 48507 | 2014-06-04 |
| Find all providers in FLINT | ||||
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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.