DYNAMIC HEALTHCARE PARTNERS LLC (NPI# 1194298836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194298836 |
| Entity Type | Organization |
| Organization Name | DYNAMIC HEALTHCARE PARTNERS LLC |
| Practice Address |
20509 E Blue Mills Rd Independence MO 64058-2054 |
| Practice Telephone | 8166684689 |
| Mailing Telephone | 8166684689 |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | RYAN JAMES PHILLIPS (CEO) |
| Authorized Official Telephone | 8166684689 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
20509 E BLUE MILLS RD |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64058-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952777179 | Michelle Armilio | Speech-Language Pathologist | 2101 N. Twyman Road, Independence, MO 64058 | 2015-08-12 |
| 1912046079 | Jessica M Isaacson | Speech-Language Pathologist | 2101 N Twyman Rd, Independence, MO 64058 | 2007-02-05 |
| 1336508852 | Janelle Deblock | Counselor | 3205 N Twyman Rd, Independence, MO 64058 | 2016-02-11 |
| 1043873052 | Lee Harris Counseling LLC | Clinic/Center | 1404 N Cherokee St, Independence, MO 64058-1106 | 2019-04-16 |
| 1437488749 | Kevin Poul Wilson | Counselor | 1819 N Dover St, Independence, MO 64058-1231 | 2009-12-15 |
| 1316009244 | Cheryl Spurgeon | Speech-Language Pathologist | 1901 N Lazy Branch Rd, Independence, MO 64058-1241 | 2006-12-15 |
| 1699905810 | Katrina Joy Hall | Speech-Language Pathologist | 2106 N Ponca Dr, Independence, MO 64058-1251 | 2009-07-22 |
| 1538610068 | Tracie Janeann Krysa | Physical Therapy Assistant | 1917 N Colony Ln, Independence, MO 64058-1311 | 2016-10-19 |
| 1326460502 | Rita's Hearing Center and Repairs | Durable Medical Equipment & Medical Supplies | 1914 N Plymouth Rd, Independence, MO 64058-1321 | 2014-01-07 |
| 1922650399 | Rita Michelle Harman | Hearing Instrument Specialist | 1914 N Plymouth Rd, Independence, MO 64058-1321 | 2019-07-15 |
| Find all providers in zip 64058 | ||||
| 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 |
|---|---|---|---|---|
| 1902457161 | Emilie Hadley | Case Manager/Care Coordinator | 5700 Rockside Rd, Independence, OH 44131 | 2019-09-27 |
| 1831559111 | Susan Wilson | Case Manager/Care Coordinator | 24 Riverside Dr, Independence, VA 24348-3746 | 2016-03-01 |
| 1194003780 | Marsha J. Clark | Case Manager/Care Coordinator | 1830 Pembroke Cres W, Independence, MO 64057-1116 | 2011-07-29 |
| 1568790749 | Charity Faith Morris | Case Manager/Care Coordinator | 314 E Pacific Avenue, Independence, MO 64050 | 2009-11-25 |
| 1033353131 | Terry Lee Horn | Case Manager/Care Coordinator | 700 N Forest Ave, Independence, MO 64050-2320 | 2009-04-21 |
| 1477690121 | Jamie Michelle Kassner | Case Manager/Care Coordinator | 1292 Northgate Dr, Independence, OR 97351-9559 | 2007-01-31 |
| 1578611042 | Kimberly Kay Bess Warth | Case Manager/Care Coordinator | 1897 Bridle Path, Independence, KY 41051-8141 | 2007-01-08 |
| 1134728645 | Anthony Glass | Case Manager/Care Coordinator | 4700 Rockside Rd Ste 100, Independence, OH 44131-2148 | 2020-10-26 |
| 1861091860 | Kiam Mccutchen | Case Manager/Care Coordinator | 4700 Rockside Rd Ste 100, Independence, OH 44131-2148 | 2020-10-21 |
| 1730787854 | Chanel Connor | Case Manager/Care Coordinator | 4700 Rockside Rd Ste 100, Independence, OH 44131-2148 | 2020-10-12 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64058 |
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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.