MRS. HANNAH SUE WOMBLE (NPI# 1205304474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205304474 |
| Entity Type | Individual |
| Full Name | MRS. HANNAH SUE WOMBLE |
| Practice Address |
1085 Maple St Farmington MO 63640-1955 |
| Mailing Address |
1430 Olive St Ste 400 Saint Louis MO 63103-2303 |
| Practice Telephone | 5737565353 |
| Mailing Telephone | 3142063700 |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1085 Maple St, Farmington, MO 63640 | 5737565353 |
| Street Address |
1085 MAPLE ST |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730193848 | Jennifer Lynn Beard | Social Worker | 1085 Maple St, Farmington, MO 63640-1955 | 2006-07-27 |
| 1710585716 | Sheri Lynn Ketcherside | Specialist | 1085 Maple St, Farmington, MO 63640-1955 | 2020-10-12 |
| 1821603887 | Ronni Kay Dubois | Social Worker | 1085 Maple St, Farmington, MO 63640-1955 | 2020-09-15 |
| 1306451372 | Melissa Gail Parson | Social Worker | 1085 Maple St, Farmington, MO 63640-1955 | 2020-09-15 |
| 1043825912 | Kayla Luber | Behavior Technician | 1085 Maple St, Farmington, MO 63640-1955 | 2020-09-08 |
| 1912521030 | Adam Feltes | Behavioral Analyst | 1085 Maple St, Farmington, MO 63640-1955 | 2020-06-04 |
| 1841824125 | Benjamin Carl Wilson | Case Manager/Care Coordinator | 1085 Maple St, Farmington, MO 63640-1955 | 2020-02-26 |
| 1285268482 | Jockese Martin | Social Worker | 1085 Maple St, Farmington, MO 63640-1955 | 2020-02-26 |
| 1528607991 | Felecia Elders | Technician, Other | 1085 Maple St, Farmington, MO 63640-1955 | 2020-01-02 |
| 1033758404 | Jeannie Bray | Technician, Other | 1085 Maple St, Farmington, MO 63640-1955 | 2020-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| 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 |
|---|---|---|---|---|
| 1245872498 | Shannon Haley Kirkness | Case Manager/Care Coordinator | 4 Cope Farms Rd, Farmington, CT 06032-3153 | 2019-10-09 |
| 1629564091 | Kaibah Gorman | Case Manager/Care Coordinator | 815 W Apache St, Farmington, NM 87401-5527 | 2018-07-09 |
| 1013456243 | Adam Blum | Case Manager/Care Coordinator | 876 Electric St, Farmington, MO 63640-9215 | 2017-02-21 |
| 1376901603 | William Jackson | Case Manager/Care Coordinator | 1001 W Broadway Ste B, Farmington, NM 87401-5638 | 2016-02-01 |
| 1134546526 | Georgina Guadalupe Hernandez I | Case Manager/Care Coordinator | 818 E Main St Trlr 91, Farmington, NM 87401-2734 | 2014-03-24 |
| 1417298746 | Chelsie Lynn Stewart | Case Manager/Care Coordinator | 807 W. Apache, Farmington, NM 87401 | 2013-03-12 |
| 1336406479 | Lavee Keoni | Case Manager/Care Coordinator | 807 W Apace St, Farmington, NM 87401 | 2012-04-13 |
| 1255651998 | Megan Hill | Case Manager/Care Coordinator | 1615 Ojo Ct., Farmington, NM 87401 | 2010-06-04 |
| 1376142679 | Michelle M Medina | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-10-19 |
| 1972117729 | Valaria Lisa Kee | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-08-31 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
Please comment or provide details below to improve the information on MRS. HANNAH SUE WOMBLE.
| 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.