JORDAN TULLIS (NPI# 1073915161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073915161 |
| Entity Type | Individual |
| Full Name | JORDAN TULLIS |
| Practice Address |
340 N Oil Hill Rd El Dorado KS 67042-3352 |
| Mailing Address |
520 E Augusta Ave Augusta KS 67010 |
| Practice Telephone | 3164525660 |
| Mailing Telephone | 3167755491 |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | KS | Other Service Providers |
| Street Address |
340 N OIL HILL RD |
| City | EL DORADO |
| State | KS |
| Zip Code | 67042-3352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821526104 | Nolan Ryan Andrews | Dentist | 535 S. Main Street, El Dorado, KS 67042 | 2017-05-31 |
| 1902262355 | Lisbeth Leiber | Nurse Practitioner | 1737 Se Hwy 54, El Dorado, KS 67042 | 2016-01-14 |
| 1992180202 | Jennifer Clausing | Pharmacist | 205 N. Vine, El Dorado, KS 67042 | 2015-07-28 |
| 1053706655 | Aubrey Shea Ralston | General Practice | 700 W Central Ave Ste 205, El Dorado, KS 67042 | 2015-03-31 |
| 1316341027 | William L Wade | Nurse Practitioner | 1737 Se Highway 54, Eldorado, KS 67042 | 2014-10-09 |
| 1205070612 | Gabriel Omar De La Garza | Otolaryngology | 700 W Central Ave Suite 200, Eldorado, KS 67042 | 2009-04-29 |
| 1962608893 | South Central Mental Health Counseling Center Inc | Social Worker | 120 S Gordy, 3, El Dorado, KS 67042 | 2007-06-26 |
| 1699987958 | Grene Vision Group LLC | Ophthalmology | 1400 W Central, El Dorado, KS 67042 | 2007-05-07 |
| 1548388598 | Richard Alan Burton | Dentist | 310 Oil Hill Road, El Dorado, KS 67042 | 2007-03-27 |
| 1710002472 | Tender Care Pediatrics Pa | Pediatrics | 700 W. Central Ave, Ste 210, El Dorado, KS 67042 | 2007-03-20 |
| Find all providers in zip 67042 | ||||
| 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 |
|---|---|---|---|---|
| 1245632801 | Samantha Crelly | Case Manager/Care Coordinator | 2365 W Central, El Dorado, KS 67042-3208 | 2014-09-25 |
| 1649672049 | Allison Leigh Schulte | Case Manager/Care Coordinator | 340 Oil Hill Rd, El Dorado, KS 67042-3352 | 2014-09-17 |
| 1396974838 | Jeremy C Funderburg | Case Manager/Care Coordinator | 217 S Jefferson Ave Ste 100, El Dorado, AR 71730-5900 | 2009-07-06 |
| 1558507301 | Georgia Barnette Hay | Case Manager/Care Coordinator | 217 S Jefferson Ave, Suite 230, El Dorado, AR 71730-5948 | 2008-12-29 |
| 1922615442 | Lara Katheryn Dollar | Case Manager/Care Coordinator | 715 N College Ave, El Dorado, AR 71730-4403 | 2020-09-29 |
| 1902424336 | Kelsey Tom | Case Manager/Care Coordinator | 715 N College Ave, El Dorado, AR 71730-4403 | 2020-07-13 |
| 1831663020 | Wanda Sturges | Case Manager/Care Coordinator | 715 N College Ave, El Dorado, AR 71730-4403 | 2019-01-22 |
| 1588132997 | Bianca Stephens | Case Manager/Care Coordinator | 715 N College Ave, El Dorado, AR 71730 | 2018-11-05 |
| 1881170181 | Nikisha Monique Woods | Case Manager/Care Coordinator | 715 N College Ave, El Dorado, AR 71730-4403 | 2018-07-19 |
| 1851846463 | Miesha Boone | Case Manager/Care Coordinator | 715 N College Ave, El Dorado, AR 71730-4403 | 2016-08-24 |
| Find all providers in EL DORADO | ||||
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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.