TONYA BENNETT (NPI# 1144794454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144794454 |
| Entity Type | Individual |
| Full Name | TONYA BENNETT |
| Practice Address |
2702 Ethel Ave Indianapolis IN 46208-5160 |
| Practice Telephone | 3177722673 |
| Mailing Telephone | 3177722673 |
| Enumeration Date | 2019-01-20 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310500000X | Intermediate Care Facility, Mental Illness | Nursing & Custodial Care Facilities | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RECOVERY WORKS | 123456 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801378187 | Tonya Francene Bennett | Nurse Practitioner | 3300 Buena Vista Rd, Bakersfield, CA 93311-9701 | 2018-09-03 |
| 1598132607 | Tonya N. Bennett | Counselor | 601 Children's Lane, Norfolk, VA 23507-1910 | 2015-08-24 |
| 1467732305 | Tonya L Bennett | Physical Therapist | 130 Marvin Rd Se, Ste 203, Lacey, WA 98503-6100 | 2011-08-24 |
| 1124180666 | Tonya Renee Bennett | Counselor | 608 Happy Valley Rd, Glasgow, KY 42141-1561 | 2006-12-14 |
| Street Address |
2702 ETHEL AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46208-5160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033650924 | Kristine M Sullivan | Dietitian, Registered | 2700 Doctor M.l.k. Jr St., Indianapolis, IN 46208 | 2017-03-13 |
| 1760877591 | Michael A. Davis, D.d.s. Family Dental LLC | Dentist | 3737 N. Meridian Ste. 410, Indianapolis, IN 46208 | 2015-03-30 |
| 1831432574 | Curtis Stennett | Psychiatry & Neurology | 563 W Westfield Blvd, Indianapolis, IN 46208 | 2013-04-01 |
| 1417206392 | Planned Parenthood of Indiana Midtown | Clinic/Center | 3750 N. Meridian St., Suite 100, Indianapolis, IN 46208 | 2012-09-06 |
| 1629216932 | Mary Carol Calloway Follman | Occupational Therapist | 5502 N. Kenwood Ave., Indianapolis, IN 46208 | 2009-01-23 |
| 1871760751 | Jacob Odell Roberts | Chiropractor | 2413 N Meridian St, Indianapolis, IN 46208 | 2008-05-10 |
| 1285846360 | Midwest Residential Services, Inc. | Preferred Provider Organization | 2425 N. Meridian Street, Suite B, Indianapolis, IN 46208 | 2007-05-03 |
| 1881814879 | Cheryl Ann Moore | Social Worker | 3171 N. Meridian Street, Indianapolis, IN 46208 | 2007-05-01 |
| 1679612881 | Kenneth Ackles Sr. | Chiropractor | 3231 North Meridian Street, Suite 502, Indianapolis, IN 46208 | 2007-02-05 |
| 1013062918 | William D. Alexy | Psychologist | 6110 N. Meridian, W.dr, Indianapolis, IN 46208 | 2007-01-24 |
| Find all providers in zip 46208 | ||||
| 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 |
|---|---|---|---|---|
| 1093351884 | Phx Mymed Health Access Solutions | Case Manager/Care Coordinator | 5777 N. Post Road, Indianapolis, IN 46216-2007 | 2019-11-27 |
| 1407409105 | Jeramie Davis | Case Manager/Care Coordinator | 2829 Greenview Way, Indianapolis, IN 46229-1500 | 2019-07-22 |
| 1174087894 | Cross Resource & Consulting LLC | Case Manager/Care Coordinator | 4716 Round Lake Rd Apt H, Indianapolis, IN 46205-2386 | 2019-01-27 |
| 1033688296 | Khulekani Mangozhe | Case Manager/Care Coordinator | 2410 Executive Dr Ste 201, Indianapolis, IN 46241-5000 | 2018-11-17 |
| 1356818744 | Christa R Henderson | Case Manager/Care Coordinator | 6301 Old Barn Ct, Indianapolis, IN 46268-4045 | 2018-10-24 |
| 1164999546 | Dominique Stuart | Case Manager/Care Coordinator | 2410 Executive Dr, Indianapolis, IN 46241-5045 | 2018-10-24 |
| 1457826513 | Christal Redd | Case Manager/Care Coordinator | 2819 Lambdin Ct, Indianapolis, IN 46268-5090 | 2018-10-04 |
| 1740765726 | Kimberly Sue Davis | Case Manager/Care Coordinator | 3171 N Meridian St Fl 2, Indianapolis, IN 46208-4784 | 2018-09-26 |
| 1720567712 | Monica M Lawrence | Case Manager/Care Coordinator | 924 Ardsley Dr, Indianapolis, IN 46234-2140 | 2018-08-09 |
| 1447737168 | Damon Lowell Hicks | Case Manager/Care Coordinator | 6342 Saint Jean Dr, Indianapolis, IN 46217-3859 | 2018-07-25 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46208 |
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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.