DEBRA ANN BACCHUS (NPI# 1083086912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083086912 |
| Entity Type | Individual |
| Full Name | DEBRA ANN BACCHUS |
| Practice Address |
13010 144th St Jamaica NY 11436-2214 |
| Practice Telephone | 7187815417 |
| Practice Fax Number | 7183227480 |
| Mailing Telephone | 7187815417 |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
13010 144TH ST |
| City | JAMAICA |
| State | NY |
| Zip Code | 11436-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457725905 | Aavjn&aija Corner | Specialist/Technologist | 13010 144th St, Jamaica, NY 11436-2214 | 2015-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007361 | Precious Bunkley | Registered Nurse | 148-04 133rd Ave, Jamaica, NY 11436 | 2020-09-11 |
| 1245864362 | Olga J Mondesir | Counselor | 133-16 143rd Street, Jamaica, NY 11436 | 2020-02-27 |
| 1225661499 | Pharmex Pharmacy Inc | Pharmacy | 140-18 Rockaway Blvd, Jamaica, NY 11436 | 2020-02-17 |
| 1073156436 | Star Dme Inc | Durable Medical Equipment & Medical Supplies | 141-04 Rockaway Blvd, Ste 1f, Jamaica, NY 11436 | 2019-10-17 |
| 1154977924 | Victoria Jo-el Pearson | Counselor | 130-38 146 Street, Jamaica, NY 11436 | 2019-08-16 |
| 1972068104 | Noella Young | Social Worker | 142-29 Rockaway Blvd, Jamiaca, NY 11436 | 2019-02-01 |
| 1629562780 | Jaishree Mekhuri | Student in an Organized Health Care Education/Training Program | 14243 123 Ave, Jamiaca, NY 11436 | 2018-06-21 |
| 1689113268 | Ashlie Darrel Butler | Specialist | 116-48 Inwood Street, Jamaica, NY 11436 | 2017-02-16 |
| 1649714718 | Marina Tarn | Speech-Language Pathologist | 114-43 142nd Street, Jamaica, NY 11436 | 2016-12-08 |
| 1487011862 | Cherie Grizzell | Counselor | 140-15 Bascom Ave, South Ozone Park, NY 11436 | 2016-01-15 |
| Find all providers in zip 11436 | ||||
| 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 |
|---|---|---|---|---|
| 1457965048 | Felicia Aldiana Celeste Williams | Case Manager/Care Coordinator | 11548 158th St, Jamaica, NY 11434-1116 | 2020-09-01 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1508426388 | Ashley Joelle Sanon | Case Manager/Care Coordinator | 17323 Vaswani Ave, Jamaica, NY 11434-3305 | 2019-06-14 |
| 1275099277 | Vladimir Diaz | Case Manager/Care Coordinator | 9010 150th St, Jamaica, NY 11435-4024 | 2019-02-14 |
| 1902382427 | Maria Lucila Rodriguez | Case Manager/Care Coordinator | 15604 111th Ave, Jamaica, NY 11433-3612 | 2018-07-18 |
| 1699267112 | Janece B Mcfadden | Case Manager/Care Coordinator | 8328 160th St, Jamaica, NY 11432-1632 | 2018-05-31 |
| 1225557796 | Joel Luis Figueroa | Case Manager/Care Coordinator | 9114 Merrick Blvd Fl 6, Jamaica, NY 11432-5247 | 2017-09-15 |
| 1841714748 | Samanta Anglade | Case Manager/Care Coordinator | 11642 142nd St, Jamaica, NY 11436-1233 | 2017-08-01 |
| 1063941425 | Mafruha Zaman | Case Manager/Care Coordinator | 119-23 179 Street, Jamaica, NY 11434 | 2017-06-08 |
| 1912433806 | Topu Datta | Case Manager/Care Coordinator | 14845 89th Ave Apt 3e, Jamaica, NY 11435-3563 | 2017-05-11 |
| Find all providers in JAMAICA | ||||
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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.