LATAVIA WYNEE CONNER (NPI# 1073960985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073960985 |
| Entity Type | Individual |
| Full Name | LATAVIA WYNEE CONNER |
| Credential | M.A. |
| Practice Address |
6740 Foxbend Ct Florissant MO 63033-4807 |
| Practice Telephone | 3142236944 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
6740 FOXBEND CT |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63033-4807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376191841 | Victoria Crews | Technician | 13114 Tree's Edge Ct, Black Jack, MO 63033 | 2019-08-28 |
| 1275195976 | Herbal Envy Spa LLC | Home Health Aide | 12630 Shoreside Drive, Florissant, MO 63033 | 2019-07-02 |
| 1689231169 | Patrice Edora Hall | Clinic/Center | 500 Greenway Manor, Florissant, MO 63033 | 2019-05-21 |
| 1689153082 | Sew St. Louis LLC | Specialist | 2172 N Waterford Dr, Florissant, MO 63033 | 2018-08-07 |
| 1508344706 | Rekendra Farmer | Home Health | 3070 Kingsley Dr, Florissant, MO 63033 | 2018-07-31 |
| 1033616594 | B & J Consumer Directed Services | Home Health | 5 Farm Country Ct, Florissant, MO 63033 | 2018-04-11 |
| 1245740265 | Trusting Hands Home Health Services LLC | Home Health | 2430 Dresden Dr, Florissant, MO 63033 | 2017-10-04 |
| 1194243477 | Betty Moore | Registered Nurse | 2875 Devonshire Dr, Florissant, MO 63033 | 2017-09-06 |
| 1467976118 | Imperial Home Care, LLC | Home Health | 11674 Arroyo Dr, Florissant, MO 63033 | 2017-08-02 |
| 1194248492 | Apex Home Health Care Services LLC | Home Health | 3145 Kingsley Dr, Florissant, MO 63033 | 2017-07-19 |
| Find all providers in zip 63033 | ||||
| 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 |
|---|---|---|---|---|
| 1134740004 | Kertonnia Petty-miliken | Case Manager/Care Coordinator | 2570 Mockingbird Ln, Florissant, MO 63031-3611 | 2020-05-02 |
| 1861013732 | Shontay Simpson | Case Manager/Care Coordinator | 37 Saint Anthony Ln, Florissant, MO 63031-6720 | 2020-05-02 |
| 1932596251 | Michelle Crate-clower | Case Manager/Care Coordinator | 4534 Richmond Forest Dr, Florissant, MO 63034-2849 | 2015-04-24 |
| 1568798213 | Professional In-home Care Provider, LLC. | Case Manager/Care Coordinator | 11740 Carolview Dr, Florissant, MO 63033 | 2009-10-29 |
| 1396359204 | Guardian of Love Home Healthcare, LLC | Case Manager/Care Coordinator | 2570 Mockingbird Ln, Florissant, MO 63031-3611 | 2020-09-08 |
| 1205473048 | Michael Richardson | Case Manager/Care Coordinator | 1150 Graham Rd Ste 102, Florissant, MO 63031-8077 | 2019-11-27 |
| 1316582471 | Carla Marie Scott | Case Manager/Care Coordinator | 1150 Graham Rd, Florissant, MO 63031-8077 | 2019-11-13 |
| 1033760798 | Dameia Harrold | Case Manager/Care Coordinator | 1150 Graham Rd Ste 101, Florissant, MO 63031-8077 | 2019-09-24 |
| 1245880749 | Brycsyn Shaughn Hampton | Case Manager/Care Coordinator | 1150 Graham Rd Ste 102, Florissant, MO 63031-8077 | 2019-09-17 |
| 1831747906 | Amber Marie Mccurry | Case Manager/Care Coordinator | 1150 Graham Rd Ste 101, Florissant, MO 63031-8077 | 2019-08-30 |
| Find all providers in FLORISSANT | ||||
| City | FLORISSANT |
| Zip Code | 63033 |
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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.