SHANNON FAYE ROBERTSON (NPI# 1134299563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134299563 |
| Entity Type | Individual |
| Full Name | SHANNON FAYE ROBERTSON |
| Credential | BSW, BHRS |
| Practice Address |
Rr 1, Box 35d Boley OK 74829 |
| Mailing Address |
Po Box 899 Seminole OK 74818-0899 |
| Practice Telephone | 9186673367 |
| Practice Fax Number | 9186673387 |
| Mailing Telephone | 4053820641 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154968758 | Shannon Robertson | Dietitian, Registered | 1800 Baronne St Apt 204, New Orleans, LA 70113-1582 | 2019-12-03 |
| 1184197543 | Shannon Stefan Robertson | Nurse Practitioner | 2719 Brodhead Rd Ste 190, Aliquippa, PA 15001-2793 | 2019-01-09 |
| 1669961819 | Shannon Lea Robertson | Licensed Vocational Nurse | 4251 Golding Ave Apt 5207, Fort Worth, TX 76155-2141 | 2018-05-03 |
| 1205265295 | Shannon Horton Robertson | Registered Nurse | 16412 London Ave, Baton Rouge, LA 70819-1821 | 2013-11-11 |
| 1942590146 | Shannon Yvette Robertson | Counselor | 1474 Newbury St, Georgetown, TX 78626-7617 | 2011-04-10 |
| 1144483736 | Shannon Cody Robertson | Counselor | 10 Lee Road 546, Smiths, AL 36877-4624 | 2008-07-03 |
| 1124683156 | Shannon Jenine Robertson | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2019-05-06 |
| 1962995795 | Shannon Lee Robertson | Counselor | 815 Buena Vista Ave W, San Francisco, CA 94117-4108 | 2018-06-06 |
| 1982995643 | Shannon Robertson | Chiropractor | 1413 Charnelton St, Eugene, OR 97401-3906 | 2011-04-28 |
| Street Address |
RR 1, BOX 35D |
| City | BOLEY |
| State | OK |
| Zip Code | 74829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285724062 | Gaylen L. Newton | Registered Nurse | Rr 1, Box 35d, Boley, OK 74829 | 2006-10-13 |
| 1952674772 | Kandice Elaine Taylor | Case Manager/Care Coordinator | Rr 1, Box 35d, Boley, OK 74829 | 2012-02-10 |
| 1306124045 | Shiricka Tara Turner | Case Manager/Care Coordinator | Rr 1, Box 35d, Boley, OK 74829 | 2011-07-29 |
| 1619268398 | John Stokes | Case Manager/Care Coordinator | Rr 1, Box 35d, Boley, OK 74829 | 2011-04-28 |
| 1154562767 | Dallas Michelle Cooper | Case Manager/Care Coordinator | Rr 1, Box 35d, Boley, OK 74829 | 2009-03-11 |
| 1659442820 | Rhonda Lee Cowan | Case Manager/Care Coordinator | Rr 1, Box 35d, Boley, OK 74829 | 2006-11-10 |
| 1205906732 | Ethel Mae Summers | Case Manager/Care Coordinator | Rr 1, Box 35d, Boley, OK 74829 | 2006-11-09 |
| 1528138971 | Judy Anne Stafford | Counselor | Rr 1, Box 35d, Boley, OK 74829 | 2006-11-09 |
| 1134299589 | Agatha Rene Thomas | Case Manager/Care Coordinator | Rr 1, Box 35d, Boley, OK 74829 | 2006-11-09 |
| 1346310711 | Randy Norman | Case Manager/Care Coordinator | Rr 1, Box 35d, Boley, OK 74829 | 2006-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144887191 | Dennis Philemon Smith | Case Manager/Care Coordinator | 369026 Us Hwy. 62, Boley, OK 74829 | 2019-05-24 |
| 1376095109 | Kathy Satawake | Case Manager/Care Coordinator | Rt. 1 Box 35d, Boley, OK 74829 | 2016-10-27 |
| 1245689934 | Zondra Magness | Contractor | Rt.1 Box 35d, Boley, OK 74829 | 2016-06-03 |
| 1780006734 | Joyce Redding | Registered Nurse | Rt.1 Box 35 D, Boley, OK 74829 | 2014-01-10 |
| 1114357068 | Lisa Moore | Case Manager/Care Coordinator | Route 1 Box 35d, Boley, OK 74829 | 2013-11-13 |
| 1821334988 | Ashli Dianne Williams | Case Manager/Care Coordinator | Rt 1, 35d, Boley, OK 74829 | 2012-12-18 |
| 1548536394 | Sherri Harjo | Counselor | Rt 1, Box 35 D, Boley, OK 74829 | 2012-03-27 |
| 1639466923 | Cherri Lynn Williams | Behavioral Analyst | 20 South Pecan, Boley, OK 74829 | 2011-07-07 |
| 1346547452 | Darletta Hinds | Case Manager/Care Coordinator | Rt 1 Box 35d, Boley, OK 74829 | 2011-02-25 |
| 1003118274 | Tanya L Edgell | Case Manager/Care Coordinator | Rr 1, Boley, OK 74829 | 2010-11-22 |
| Find all providers in zip 74829 | ||||
| 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 |
|---|---|---|---|---|
| 1144887191 | Dennis Philemon Smith | Case Manager/Care Coordinator | 369026 Us Hwy. 62, Boley, OK 74829 | 2019-05-24 |
| 1669995452 | Kacylia Stalin Stevenson | Case Manager/Care Coordinator | 368015 Old Highway 62, Boley, OK 74829-2914 | 2017-07-24 |
| 1376095109 | Kathy Satawake | Case Manager/Care Coordinator | Rt. 1 Box 35d, Boley, OK 74829 | 2016-10-27 |
| 1609240878 | Alana Lynn Owen | Case Manager/Care Coordinator | Rr 1 Box 35, Boley, OK 74829-9707 | 2015-11-25 |
| 1114357068 | Lisa Moore | Case Manager/Care Coordinator | Route 1 Box 35d, Boley, OK 74829 | 2013-11-13 |
| 1821334988 | Ashli Dianne Williams | Case Manager/Care Coordinator | Rt 1, 35d, Boley, OK 74829 | 2012-12-18 |
| 1346547452 | Darletta Hinds | Case Manager/Care Coordinator | Rt 1 Box 35d, Boley, OK 74829 | 2011-02-25 |
| 1003118274 | Tanya L Edgell | Case Manager/Care Coordinator | Rr 1, Boley, OK 74829 | 2010-11-22 |
| 1871810663 | Travis Burdine | Case Manager/Care Coordinator | Rr 1 Hwy 62, 2 1/2 Miles E of Boley, Boley, OK 74829 | 2010-05-03 |
| 1588145999 | Michael Shane Williams | Case Manager/Care Coordinator | 369026 Us Highway 62, Boley, OK 74829 | 2018-08-23 |
| Find all providers in BOLEY | ||||
Please comment or provide details below to improve the information on SHANNON FAYE ROBERTSON.
| 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.