JUSTIN RYAN DREY (NPI# 1104059021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104059021 |
| Entity Type | Individual |
| Full Name | JUSTIN RYAN DREY |
| Credential | MA |
| Practice Address |
215 Hedrick Dr Newport TN 37821-2902 |
| Mailing Address |
6350 W A J Hwy Department 100 Talbott TN 37877 |
| Practice Telephone | 4236235301 |
| Practice Fax Number | 4236250808 |
| Mailing Telephone | 8003553565 |
| Mailing Fax Number | 4237142355 |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2010-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
215 HEDRICK DR |
| City | NEWPORT |
| State | TN |
| Zip Code | 37821-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194723379 | Melody Suzanne Hickman-horvath | Social Worker | 215 Hedrick Dr, Newport, TN 37821-2902 | 2005-07-12 |
| 1043839798 | Melanie James | Registered Nurse | 215 Hedrick Dr, Newport, TN 37821-2902 | 2020-04-13 |
| 1104459049 | Crysta Brooke Barnette | Nurse's Aide | 215 Hedrick Dr, Newport, TN 37821-2902 | 2020-02-19 |
| 1750933586 | Sarah Joyanna Johnson | Student in an Organized Health Care Education/Training Program | 215 Hedrick Dr, Newport, TN 37821-2902 | 2019-07-11 |
| 1629564984 | Cara Megan King Mcclain | Student in an Organized Health Care Education/Training Program | 215 Hedrick Dr, Newport, TN 37821-2902 | 2018-07-10 |
| 1548783749 | Jennifer Renea Cook | Nurse's Aide | 215 Hedrick Dr, Newport, TN 37821-2902 | 2017-07-19 |
| 1033632534 | Leah Renee Gregg | Registered Nurse | 215 Hedrick Dr, Newport, TN 37821-2902 | 2017-07-18 |
| 1164961231 | Brittany White | Student in an Organized Health Care Education/Training Program | 215 Hedrick Dr, Newport, TN 37821-2902 | 2017-02-22 |
| 1437697133 | Patricia Kinsler | Licensed Practical Nurse | 215 Hedrick Dr, Newport, TN 37821-2902 | 2017-02-02 |
| 1912371444 | Megan Wilds | Licensed Practical Nurse | 215 Hedrick Dr, Newport, TN 37821-2902 | 2015-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649733593 | Deborah Diane Webb | Licensed Practical Nurse | 1203 Beechwood Road, Newport, TN 37821 | 2019-04-08 |
| 1972072353 | Meg Marie Collins | Counselor | 990 Hwy 25, Newport, TN 37821 | 2018-11-15 |
| 1184199515 | Newport Family Eyecare | Optometrist | 1002 W Highway 25/70, Newport, TN 37821 | 2018-10-12 |
| 1578807269 | Newport Eyecare Center Pllc | Optometrist | 115 Hedrick Drive, Newport, TN 37821 | 2012-11-19 |
| 1538292867 | James Loran Hodge | Optometrist | 1075 Cosby Highway, Newport, TN 37821 | 2007-03-14 |
| 1336271071 | Alice Louise Dalton | Case Manager/Care Coordinator | 215 Hedrick Drive, Newport, TN 37821 | 2007-03-09 |
| 1700918521 | Kristi Renee Hansel | Case Manager/Care Coordinator | 215 Hendrick Drive, Newport, TN 37821 | 2007-03-09 |
| 1255404497 | Jeremy E Sherrod | Pharmacist | 602 E Broadway, Newport, TN 37821 | 2006-11-16 |
| 1316016306 | Stephen Kent Priser | Pharmacist | 468 Eastern Plaza, Newport, TN 37821 | 2006-11-06 |
| 1881770006 | Steven Fuller Smith | Dentist | 305 Cosby Hwy, Newport, TN 37821 | 2006-10-31 |
| Find all providers in zip 37821 | ||||
| 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 |
|---|---|---|---|---|
| 1720232325 | Frederick Emerson Moe | Case Manager/Care Coordinator | 163 Summer St, Newport, NH 03773-1208 | 2008-11-10 |
| 1710196647 | Bobbi Lambert | Case Manager/Care Coordinator | 418 Beech St, Newport, AR 72112-3906 | 2007-05-21 |
| 1336271071 | Alice Louise Dalton | Case Manager/Care Coordinator | 215 Hedrick Drive, Newport, TN 37821 | 2007-03-09 |
| 1700918521 | Kristi Renee Hansel | Case Manager/Care Coordinator | 215 Hendrick Drive, Newport, TN 37821 | 2007-03-09 |
| 1114065083 | Deanna Dawn Browning | Case Manager/Care Coordinator | 1509 N Pecan St, Newport, AR 72112 | 2007-02-02 |
| 1790821510 | Thel Latitia Jackson-earls | Case Manager/Care Coordinator | 1507 Pecan Street, Newport, AR 72112-0571 | 2007-01-29 |
| 1275132425 | Peter Carroll | Case Manager/Care Coordinator | 163 Summer St, Newport, NH 03773-1208 | 2020-10-20 |
| 1407462427 | Jessie Harris | Case Manager/Care Coordinator | 210 Third St, Newport, AR 72112-3302 | 2020-09-16 |
| 1023636040 | Megan Dunn | Case Manager/Care Coordinator | 163 Summer St, Newport, NH 03773-1208 | 2020-07-07 |
| 1962038638 | Eddie Jackson | Case Manager/Care Coordinator | 210 Third St, Newport, AR 72112-3302 | 2020-03-13 |
| Find all providers in NEWPORT | ||||
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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.