DEWAYNE DAVIS (NPI# 1205304136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205304136 |
| Entity Type | Individual |
| Full Name | DEWAYNE DAVIS |
| Practice Address |
31330 Highway 22 Ste 101 Springfield LA 70462-7427 |
| Practice Telephone | 2252947227 |
| Practice Fax Number | 2252947667 |
| Mailing Telephone | 2252947227 |
| Mailing Fax Number | 2252947667 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |
| 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 |
31330 HIGHWAY 22 STE 101 |
| City | SPRINGFIELD |
| State | LA |
| Zip Code | 70462-7427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346323235 | Debralee Ann Populis | Registered Nurse | 31330 Highway 22 Ste 101, Springfield, LA 70462-7427 | 2006-10-23 |
| 1962016535 | Lindora Ford | Case Manager/Care Coordinator | 31330 Highway 22 Ste 101, Springfield, LA 70462-7427 | 2020-09-01 |
| 1033720735 | Wayne Thompson | Case Manager/Care Coordinator | 31330 Highway 22 Ste 101, Springfield, LA 70462-7427 | 2020-08-14 |
| 1063078988 | Ti'asti Savannah | Case Manager/Care Coordinator | 31330 Highway 22 Ste 101, Springfield, LA 70462-7427 | 2019-05-15 |
| 1538637467 | Tanesha Bennett | Case Manager/Care Coordinator | 31330 Highway 22 Ste 101, Springfield, LA 70462-7427 | 2018-11-08 |
| 1447743497 | Yvonne Coney | Case Manager/Care Coordinator | 31330 Highway 22 Ste 101, Springfield, LA 70462 | 2018-06-13 |
| 1134610603 | Carrlissa Neal | Case Manager/Care Coordinator | 31330 Highway 22 Ste 101, Springfield, LA 70462-7427 | 2018-05-21 |
| 1235646340 | Tammie Thompson | Counselor | 31330 Highway 22 Ste 101, Springfield, LA 70462 | 2018-01-10 |
| 1750808267 | Premier Choice Counseling Service, LLC | Community/Behavioral Health | 31330 Highway 22 Ste 101, Springfield, LA 70462-7427 | 2017-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1023623105 | Heather Dugas | Speech-Language Pathologist | 25190 Blood River Road, Springfield, LA 70462 | 2020-09-15 |
| 1598382434 | Laurie Mayeaux Simon | Occupational Therapist | 25190 Blood River Rd, Springfield, LA 70462 | 2020-06-26 |
| 1952613366 | Robyn Landeche | Occupational Therapist | 20629 Swamp Road, Springfield, LA 70462 | 2010-07-14 |
| 1053648634 | David Emile Casanova | Pharmacist | 31696 Hwy 22, Springfield, LA 70462 | 2009-11-03 |
| 1972723211 | Charles B Morrison | Dentist | 32106 Main Street, Springfield, LA 70462 | 2007-04-27 |
| 1568077642 | Bryony Stafford | Speech-Language Pathologist | 25190 Blood River Rd, Springfield, LA 70462 | 2020-09-15 |
| 1104462373 | Sol Stevenson Morgan | Registered Nurse | 27124 Highway 42, Springfield, LA 70462 | 2019-11-22 |
| 1275182107 | Alicia George | Registered Nurse | 27124 Highway 42, Springfield, LA 70462 | 2019-09-04 |
| 1629620547 | Tasha Ryan | Registered Nurse | 27124 Highway 42, Springfield, LA 70462 | 2019-07-11 |
| Find all providers in zip 70462 | ||||
| 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 |
|---|---|---|---|---|
| 1831745728 | Affinity Patient Coordination LLC | Case Manager/Care Coordinator | 217 E Monroe St Ste 204, Springfield, IL 62701-1746 | 2019-08-15 |
| 1578075107 | Christopher Worthen | Case Manager/Care Coordinator | 223 N Western Ave, Springfield, OH 45504-2719 | 2017-11-06 |
| 1497204622 | Inesha Simmons | Case Manager/Care Coordinator | 1331 Denison Dr, Apt C, Springfield, IL 62704-4454 | 2016-09-29 |
| 1235687138 | Yvonne Persley | Case Manager/Care Coordinator | 8 Allison Ct, Springfield, IL 62703-1130 | 2016-09-20 |
| 1902255516 | Dionna Marino | Case Manager/Care Coordinator | 731 Cheatham Street, Springfield, TN 37172 | 2016-06-06 |
| 1972918423 | Loree Lynn Howard | Case Manager/Care Coordinator | 4145 Jasper Road, Springfield, OR 97478 | 2014-06-24 |
| 1871907824 | Latisha Robinson | Case Manager/Care Coordinator | 3050 S National Ave Ste 104, Springfield, MO 65804-4242 | 2014-06-18 |
| 1548601792 | Richard S Buford | Case Manager/Care Coordinator | 1086 Mound St, Springfield, OH 45505-1191 | 2013-07-16 |
| 1164765228 | Colleen K Webb | Case Manager/Care Coordinator | 285 Third St. Extension, Springfield, GA 31329-1612 | 2013-03-27 |
| 1447503636 | Lifetime Support Incorporated | Case Manager/Care Coordinator | 52 Fadem Rd, Springfield, NJ 07081-3116 | 2012-10-25 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 70462 |
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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.