KEIANA GRIFFIN (NPI# 1134620842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134620842 |
| Entity Type | Individual |
| Full Name | KEIANA GRIFFIN |
| Practice Address |
702 N 19th St Ste 10 Palatka FL 32177-3063 |
| Mailing Address |
349 Bartley Rd Daytona Beach FL 32114-3015 |
| Practice Telephone | 3868430597 |
| Mailing Telephone | 3868430597 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |
| 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 |
702 N 19TH ST STE 10 |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-3063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| 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 |
|---|---|---|---|---|
| 1942537634 | Katherine M. Lewis | Case Manager/Care Coordinator | 330 Kay Larkin Drive, Palatka, FL 32177 | 2009-11-17 |
| 1831342401 | Tara L. Simon | Case Manager/Care Coordinator | 330 Kay Larkin Drive, Palatka, FL 32177 | 2008-10-28 |
| 1699925974 | Tracy L Sherron | Case Manager/Care Coordinator | 330 Kay Larkin Drive, Palatka, FL 32177 | 2008-09-24 |
| 1235389511 | Janet L James | Case Manager/Care Coordinator | 330 Kay Larkin Drive, Palatka, FL 32177 | 2008-09-24 |
| 1609026988 | Evelyn L Wingerter | Case Manager/Care Coordinator | 330 Kay Larkin Drive, Palatka, FL 32177 | 2008-09-24 |
| 1962652248 | Michael T Bruce | Case Manager/Care Coordinator | 330 Kay Larkin Drive, Palatka, FL 32177 | 2008-09-24 |
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|---|---|---|---|---|
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| Find all providers with the same taxonomy | ||||
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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.