JA'REALLE MONET CANNON (NPI# 1134611254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134611254 |
| Entity Type | Individual |
| Full Name | JA'REALLE MONET CANNON |
| Practice Address |
1516 1/2 Menville St Houma LA 70360-6532 |
| Mailing Address |
3821 Highway 1 Raceland LA 70394-3146 |
| Practice Telephone | 5044538147 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1516 1/2 MENVILLE ST |
| City | HOUMA |
| State | LA |
| Zip Code | 70360-6532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382697 | Start Corporation | Clinic/Center | 106 School Street, Houma, LA 70360 | 2020-09-24 |
| 1013474196 | Christi Thibodeaux Rodrigue | Case Manager/Care Coordinator | 427west Tunnel Blvd, Houma, LA 70360 | 2019-02-26 |
| 1053801415 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1420 Saint Charles St, Houma, LA 70360 | 2018-05-11 |
| 1447780044 | Shakira Harding | Counselor | 148 Columbus Street, Houma, LA 70360 | 2017-06-15 |
| 1639608995 | Rakitha Monique Volter-jones | Counselor | 6522 West Main Street, Houma, LA 70360 | 2017-06-08 |
| 1588103469 | Eyecare Specialties | Ophthalmology | 564 Valhi Blvd, Houma, LA 70360 | 2017-02-13 |
| 1538605464 | Houma Dental Associates, LLC | Dentist | 5934 West Main St, Houma, LA 70360 | 2017-01-17 |
| 1649721143 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 143 War Horse Place, Houma, LA 70360 | 2016-10-19 |
| 1528417045 | Mandi Gaubert Bonvillain | Psychologist | 1018 Verrett Street, Houma, LA 70360 | 2016-06-06 |
| 1295182434 | Kerry M Guidry | Chiropractor | 6902 West Main Street, Houma, LA 70360 | 2016-05-18 |
| Find all providers in zip 70360 | ||||
| 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 |
|---|---|---|---|---|
| 1568009405 | Tia Rojaunda Smith | Case Manager/Care Coordinator | 222 First St Apt B, Houma, LA 70364-3204 | 2019-12-10 |
| 1164088761 | Janita M Hodge | Case Manager/Care Coordinator | 327 Lakewood Dr, Houma, LA 70360-2519 | 2019-05-20 |
| 1013474196 | Christi Thibodeaux Rodrigue | Case Manager/Care Coordinator | 427west Tunnel Blvd, Houma, LA 70360 | 2019-02-26 |
| 1518423391 | Bianca Rajinda Twiggs | Case Manager/Care Coordinator | 700 Levron St Apt 10a, Houma, LA 70360-5572 | 2019-02-16 |
| 1528569118 | Quencia Cross | Case Manager/Care Coordinator | 137 Synergy Center Blvd Apt 326, Houma, LA 70360-1748 | 2018-02-28 |
| 1508381013 | Christopher Anthony Steward | Case Manager/Care Coordinator | 205 Enterprise Dr Ste D, Houma, LA 70360-2467 | 2017-08-04 |
| 1922467018 | Latika Smith | Case Manager/Care Coordinator | 142 Leboeuf St, Houma, LA 70363-3620 | 2016-02-17 |
| 1083082564 | Latory Martin | Case Manager/Care Coordinator | 207 Porche Ln, Houma, LA 70363-7776 | 2015-09-14 |
| 1568840692 | Rhonda Lynn Mcguire | Case Manager/Care Coordinator | 172 Jennings Ln, Houma, LA 70360-2719 | 2015-05-08 |
| 1346638053 | Donna Marie Neville | Case Manager/Care Coordinator | 137 New Orleans Blvd, Houma, LA 70363 | 2015-01-05 |
| Find all providers in HOUMA | ||||
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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.