TERRIS MIKE


Address: 2219 Claiborne Ave, Shreveport, LA 71103-4301
Phone: 3187790434

TERRIS MIKE (NPI# 1205200557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205200557
Entity Type Individual
Full Name TERRIS MIKE
Practice Address 2219 Claiborne Ave
Shreveport
LA 71103-4301
Mailing Address 2924 Knight St
#434
Shreveport
LA 71105-2415
Practice Telephone 3187790434
Mailing Telephone 3186311122
Enumeration Date 2015-11-24
Last Update Date 2019-05-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 104100000X Social Worker Behavioral Health & Social Service Providers
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1939846 05

Office Location

Street Address 2219 CLAIBORNE AVE
City SHREVEPORT
State LA
Zip Code 71103-4301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679797286 Armanda Y. Whitaker I Counselor 2219 Claiborne Ave, Shreveport, LA 71103-4301 2007-04-13
1134727704 Ida Natasha Henderson Case Manager/Care Coordinator 2219 Claiborne Ave, Shreveport, LA 71103-4301 2020-10-15
1770100851 Courtney Ukpabi Case Manager/Care Coordinator 2219 Claiborne Ave, Shreveport, LA 71103-4301 2020-07-06
1730713587 Peggy B Mahoney-clark Case Manager/Care Coordinator 2219 Claiborne Ave, Shreveport, LA 71103-4301 2020-03-01
1396208088 Kulicia Anderson Case Manager/Care Coordinator 2219 Claiborne Ave, Shreveport, LA 71103-4301 2019-04-09
1194294660 Lisa Jones Battle Case Manager/Care Coordinator 2219 Claiborne Ave, Shreveport, LA 71103-4301 2018-11-14
1679051957 Tasha Simpson Social Worker 2219 Claiborne Ave, Shreveport, LA 71103-4301 2018-07-30
1861978736 Jutina Latson-cole Social Worker 2219 Claiborne Ave, Shreveport, LA 71103 2018-07-13
1407341746 Shakisha Moore Social Worker 2219 Claiborne Ave, Shreveport, LA 71103-4301 2018-06-28
1457852014 Jacqueline Wilson Social Worker 2219 Claiborne Ave, Shreveport, LA 71103-4301 2018-02-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083124887 Elizabeth Ponder Case Manager/Care Coordinator 404 Hearne Avenue, Shreveport, LA 71103 2017-10-05
1245648393 Madiha Tariq General Acute Care Hospital Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 2014-07-31
1659782688 Jennifer G Smith Pharmacist 1725 Claiborne Ave, Shreveport, LA 71103 2014-05-13
1336568823 Taylor Jieun Jung Student in an Organized Health Care Education/Training Program Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 2014-04-10
1578984746 Jamie Terrell Pharmacist 1625 Claiborne Ave, Shreveport, LA 71103 2013-12-13
1346675188 Srijan Tandukar Internal Medicine 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 2013-09-12
1699017681 Deanna Elise Mossallati Internal Medicine 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 2013-03-18
1346527330 Tim M Smith Clinical Exercise Physiologist 3200 Greenwood Rd., Shreveport, LA 71103 2011-11-04
1144451683 Second Chance Recovery Durable Medical Equipment & Medical Supplies 3816 Linwood, Shreveport, LA 71103 2009-07-31
1093919920 Neeraj Singh Internal Medicine 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 2007-06-13
Find all providers in zip 71103

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497360887 Halena Jones Case Manager/Care Coordinator 9409 Chaparral Ln, Shreveport, LA 71118-4337 2020-09-11
1598376196 Michaela Nicole Bradley Case Manager/Care Coordinator 10021 Stratmore Cir, Shreveport, LA 71115-3416 2020-08-17
1619585791 Kimberly Bissell Case Manager/Care Coordinator 7505 Pines Rd Ste 1115, Shreveport, LA 71129-3900 2020-07-15
1902414170 Unique Lashae Lister Case Manager/Care Coordinator 2611 Corbitt St, Shreveport, LA 71108-2805 2020-07-14
1407474828 Angela Harris Case Manager/Care Coordinator 1111 W 70th St Apt 93, Shreveport, LA 71106-3558 2020-07-13
1669096921 Ryan Barham Case Manager/Care Coordinator 824 Oneonta St, Shreveport, LA 71106-1130 2020-06-02
1922621085 Julian White Case Manager/Care Coordinator 8529 Grover Pl, Shreveport, LA 71115-2707 2020-05-24
1396368817 Shannon Marie Cannon Case Manager/Care Coordinator 1543 Summers St, Shreveport, LA 71108-3131 2020-05-19
1730701954 Brianna Mason Case Manager/Care Coordinator 1533 Marshall St, Shreveport, LA 71101-3941 2020-05-11
1295355238 Angela Rice Case Manager/Care Coordinator 2704 Frostwood Dr, Shreveport, LA 71108-5524 2020-04-20
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71103

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Dataset Information

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.

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