MR. DESMOND E KETTER (NPI# 1194296210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194296210 |
Entity Type | Individual |
Full Name | MR. DESMOND E KETTER |
Other Name | MR. DESMOND E KETTER |
Practice Address |
4071 S 211th East Ave Broken Arrow OK 74014-8717 |
Practice Telephone | 9186456064 |
Mailing Telephone | 9186456064 |
Enumeration Date | 2018-12-16 |
Last Update Date | 2018-12-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Street Address |
4071 S 211TH EAST AVE |
City | BROKEN ARROW |
State | OK |
Zip Code | 74014-8717 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
1497306260 | Donna Norton | Technician | 5311 East Madison Place, Broken Arrow, OK 74014 | 2019-09-24 |
1588159420 | Guadalupe Luis | Social Worker | 8000 E New Orleans St, Broken Arrow, OK 74014 | 2018-06-23 |
1083102099 | Hailey Elaine Kimball | Specialist/Technologist | 7251 South 301st East Avenue, Broken Arrow, OH 74014 | 2018-04-25 |
1508365800 | Kayla Porche | Speech-Language Pathologist | 3500 E Kenosha, Broken Arrow, OK 74014 | 2018-02-02 |
1073973392 | Heather Miller | Behavioral Analyst | 932 Hillcrest Drive, Broken Arrow, OK 74014 | 2016-02-29 |
1346518677 | Julie Genet Henry | Speech-Language Pathologist | 3294 S 202nd East Ave, Broken Arrow, OK 74014 | 2011-12-01 |
1619265212 | Katie Leigh Elliott | Physician Assistant | 7301 E Nashville St, Broken Arrow, OK 74014 | 2011-07-16 |
1407084676 | Jeremiah D Wilhite | Physical Therapist | 2560 East Kenosha Street, Broken Arrow, OK 74014 | 2009-06-26 |
1194963041 | Longnecker Counseling and Consulting | Counselor | 7014 S. 235th E. Ave., Broken Arrow, OK 74014 | 2009-01-30 |
Find all providers in zip 74014 |
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 |
---|---|---|---|---|
1689292906 | Natasha Firth | Case Manager/Care Coordinator | 1508 S Aspen Ct, Broken Arrow, OK 74012-6201 | 2020-07-13 |
1669008561 | Jad Alkhatib | Case Manager/Care Coordinator | 3804 S Yellow Pine Ave, Broken Arrow, OK 74011-1270 | 2020-03-23 |
1942836598 | Joseph Caleb Michela | Case Manager/Care Coordinator | 802 E Toledo St, Broken Arrow, OK 74012-6513 | 2020-03-16 |
1326679911 | Anthea Miller | Case Manager/Care Coordinator | 8224 S Murphree Dr, Broken Arrow, OK 74014-3033 | 2020-01-31 |
1780222794 | Carlos L Guzman | Case Manager/Care Coordinator | 3411 W Edgewater Pl, Broken Arrow, OK 74012-7666 | 2019-12-20 |
1689210171 | Ellen Ruth Byers | Case Manager/Care Coordinator | 7312 S Garnett Rd Apt 337, Broken Arrow, OK 74012-8744 | 2019-11-20 |
1881235026 | Jeffrey Hughes | Case Manager/Care Coordinator | 19702 E 49th St S, Broken Arrow, OK 74014-1369 | 2019-09-30 |
1073163036 | Ceirra Kay Moran | Case Manager/Care Coordinator | 1101 W Houston St Apt 904, Broken Arrow, OK 74012-3755 | 2019-09-12 |
1861047631 | Charles Vernon Atkins Jr. | Case Manager/Care Coordinator | 3606 S Fir Ct, Broken Arrow, OK 74011-1751 | 2019-08-07 |
1063064566 | Kelly P Austin | Case Manager/Care Coordinator | 1903 S Lions Ave, Broken Arrow, OK 74012-6932 | 2019-07-15 |
Find all providers in BROKEN ARROW |
City | BROKEN ARROW |
Zip Code | 74014 |
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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.