JOHN CHILDRESS IV (NPI# 1164986329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164986329 |
| Entity Type | Individual |
| Full Name | JOHN CHILDRESS IV |
| Credential | QMHS |
| Practice Address |
4968 Glenway Ave Cincinnati OH 45238-3902 |
| Practice Telephone | 5138536570 |
| Mailing Telephone | 5138536570 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275551673 | John Frederick Childress IIi | Psychologist | 810 Westwood Office Park, Fredericksburg, VA 22401-5121 | 2006-07-17 |
| 1780902841 | John Clyde Childress IIi | Radiology | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2010-05-13 |
| 1568662781 | John Michael Childress | Social Worker | Blanchfield Army Community Hospital, 650 Jole Drive, Fort Campbell, KY 42223-5349 | 2007-07-25 |
| 1134157605 | John M. Childress | Emergency Medicine | 234 Goodman St, Cincinnati, OH 45219-2364 | 2006-06-30 |
| Street Address |
4968 GLENWAY AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45238-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093994428 | Douglas David Moll | Psychologist | 4968 Glenway Ave, 2nd Floor, Cincinnati, OH 45238-3902 | 2007-11-01 |
| 1518564160 | Tamiko Goolsby | Case Manager/Care Coordinator | 4968 Glenway Ave, Cincinnati, OH 45238-3902 | 2020-10-07 |
| 1285248203 | Jacqueline Dell | Counselor | 4968 Glenway Ave, Cincinnati, OH 45238-3902 | 2020-09-08 |
| 1639788177 | Mikalia Taylor | Counselor | 4968 Glenway Ave, Cincinnati, OH 45238-3902 | 2020-07-30 |
| 1649897208 | Zephaniah O Lawson | Case Manager/Care Coordinator | 4968 Glenway Ave, Cincinnati, OH 45238-3902 | 2020-06-30 |
| 1831725290 | Davonna Chambers | Case Manager/Care Coordinator | 4968 Glenway Ave, Cincinnati, OH 45238-3902 | 2020-03-18 |
| 1205468329 | Karalle Laquintin Woodall | Case Manager/Care Coordinator | 4968 Glenway Ave, Cincinnati, OH 45238-3902 | 2020-02-06 |
| 1528699709 | Jonathan Ross Beard | Case Manager/Care Coordinator | 4968 Glenway Ave, Cincinnati, OH 45238-3902 | 2020-01-28 |
| 1699306852 | Amy Elizabeth Bolton | Case Manager/Care Coordinator | 4968 Glenway Ave, Cincinnati, OH 45238-3902 | 2020-01-27 |
| 1912547639 | Sharla Martin | Licensed Practical Nurse | 4968 Glenway Ave, Cincinnati, OH 45238-3902 | 2020-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860588 | Corey Allison | Case Manager/Care Coordinator | 312 Glenmore Ave. Ste 14, Cincinnati, OH 45238 | 2020-10-29 |
| 1366077174 | Lawanda Antoinette Price | Counselor | 5122 Glenway Crossing Way, Cincinnati, OH 45238 | 2020-03-12 |
| 1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
| 1629547021 | Abigail M Rebholz | Speech-Language Pathologist | 2039 Anderson Ferry Rd, Cincinnati, OH 45238 | 2018-11-15 |
| 1942667548 | Lashawnda C Gaston | Military Health Care Provider | 1322 Le Mar Dr, Cincinnati, OH 45238 | 2016-01-27 |
| 1134598402 | Abbie Crookham | Registered Nurse | 2146 Ferguson Rd., Cincinnati, OH 45238 | 2015-09-17 |
| 1518341346 | Kenyatta Shena Mccrary | Home Health Aide | 831 Greenwich Ave, Cincinnati, OH 45238 | 2015-07-10 |
| 1225431893 | Brooke Whalen | Dental Assistant | 2146 Ferguson Road, Cincinnati, OH 45238 | 2014-09-26 |
| 1669885588 | Moussa Demba | Medicare Defined Swing Bed Unit | 2484 Queen City Ave Apt 7, Cincinnati, OH 45238 | 2014-06-09 |
| 1811335961 | Kelly G Mirus | Specialist/Technologist | 5161 Ralph Ave, Cincinnati, OH 45238 | 2013-06-11 |
| Find all providers in zip 45238 | ||||
| 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 |
|---|---|---|---|---|
| 1548860588 | Corey Allison | Case Manager/Care Coordinator | 312 Glenmore Ave. Ste 14, Cincinnati, OH 45238 | 2020-10-29 |
| 1679170518 | Keana Eakins | Case Manager/Care Coordinator | 432 Ray Norrish Dr Ste B, Cincinnati, OH 45246-1520 | 2020-10-05 |
| 1992318596 | Janelle Selina Hocker | Case Manager/Care Coordinator | 3439 Knott St, Cincinnati, OH 45229-3109 | 2020-08-25 |
| 1215547450 | Erica Tivis | Case Manager/Care Coordinator | 2711 E Tower Dr Apt 108, Cincinnati, OH 45238-2655 | 2020-08-03 |
| 1629696687 | Albert Antonio Bailey Jr. | Case Manager/Care Coordinator | 432 Ray Norrish Dr # B, Cincinnati, OH 45246-1520 | 2020-07-07 |
| 1669005286 | Zachary Nordyke | Case Manager/Care Coordinator | 5880 Winton Ridge Ln, Cincinnati, OH 45232-1121 | 2020-02-21 |
| 1962035717 | Ronda Sue Gadd | Case Manager/Care Coordinator | 4550 Red Bank Rd, Cincinnati, OH 45227-2118 | 2020-02-20 |
| 1659902195 | Keeshon Taylor | Case Manager/Care Coordinator | 3643 Fyffe Ave, Cincinnati, OH 45211-6114 | 2020-02-03 |
| 1194382192 | Lauren Michelle Breadon | Case Manager/Care Coordinator | 4966 Glenway Ave Ste 205, Cincinnati, OH 45238-3917 | 2019-05-24 |
| 1649736000 | Ian A Gentry | Case Manager/Care Coordinator | 3962 Glenmore Ave, Cincinnati, OH 45211-3534 | 2019-02-11 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45238 |
Please comment or provide details below to improve the information on JOHN CHILDRESS IV.
| 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.