DWYNICA S PENDLETON (NPI# 1205320108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205320108 |
| Entity Type | Individual |
| Full Name | DWYNICA S PENDLETON |
| Practice Address |
1176 Cordova Ave Akron OH 44320 |
| Mailing Address |
1176 Cordova Ave Akron OH 44320-3245 |
| Practice Telephone | 3309268112 |
| Mailing Telephone | 3309268112 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | SW841100 | 05 |
| Street Address |
1176 CORDOVA AVE |
| City | AKRON |
| State | OH |
| Zip Code | 44320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538628425 | Adrian Hooks | Home Health | 1300 West Market, Akron, OH 44320 | 2019-03-19 |
| 1962979609 | Jeanean Marie Clark | Case Manager/Care Coordinator | 825 Mercer Avenue, Akron, OH 44320 | 2018-10-31 |
| 1497247902 | Baron Kenley Rogers | Student in an Organized Health Care Education/Training Program | Minority Behavioral Health Group, 1293 Copley Rd, Akron, OH 44320 | 2018-05-31 |
| 1750871513 | Maria Hardgrove | Social Worker | 2279 Romig Rd., Akron, OH 44320 | 2018-05-16 |
| 1043728652 | Asya Michelle Tipton | Nurse's Aide | 852 Delia, Akron, OH 44320 | 2018-01-17 |
| 1669990487 | Rhonda Renee Riddle | Community Health Worker | 308 S Portage Path, Akron, OH 44320 | 2017-08-31 |
| 1467992487 | Rodney Sheppard | Nurse's Aide | 471 White Pond Drive, Apt 604, Akron, OH 44320 | 2017-02-24 |
| 1033571740 | Bernard Taylor | Counselor | 2180 Romig Rd, Akron, OH 44320 | 2016-03-22 |
| 1093173718 | Brittany Stephens | Nurse's Aide | 1207 Greenwood Ave, Akron, OH 44320 | 2016-02-09 |
| 1235515073 | Jason Marchal | Pharmacist | 1303 Coply Rd, Akron, OH 44320 | 2015-08-04 |
| Find all providers in zip 44320 | ||||
| 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 |
|---|---|---|---|---|
| 1457951097 | James P Watkins Jr. | Case Manager/Care Coordinator | 955 Snowfall Spur Apt B, Akron, OH 44313-4966 | 2020-10-30 |
| 1417554148 | Destiny Lynn Alexander | Case Manager/Care Coordinator | 331 S Main St Ste 105, Akron, OH 44308-1203 | 2020-10-06 |
| 1457968281 | Hannah Elizabeth Predojev | Case Manager/Care Coordinator | 1338 Weathervane Ln Apt 2b, Akron, OH 44313-5134 | 2020-09-25 |
| 1932710324 | Jeanarre Spencer | Case Manager/Care Coordinator | 333 S Main St Ste 603, Akron, OH 44308-1228 | 2020-08-11 |
| 1336759422 | Jessica Barker | Case Manager/Care Coordinator | 2647 Shelburn Ave, Akron, OH 44312-1625 | 2020-08-04 |
| 1891304945 | Richard Andrew Gibson | Case Manager/Care Coordinator | 878 Donald Ave, Akron, OH 44306-3539 | 2020-07-24 |
| 1164058814 | Jamar Blackmon | Case Manager/Care Coordinator | 1198 Iona Ave, Akron, OH 44314-2510 | 2020-03-13 |
| 1255971248 | Paul Darnel Miller Jr. | Case Manager/Care Coordinator | 1792 Horizon Drive, A, Akron, OH 44313-8713 | 2020-01-08 |
| 1669013009 | Deatra Lavonne Hunt | Case Manager/Care Coordinator | 553 Baird St, Akron, OH 44311-1804 | 2019-10-07 |
| 1356902571 | Tierra Richerson | Case Manager/Care Coordinator | 2351 Edwin Ave, Akron, OH 44314-3627 | 2019-06-27 |
| Find all providers in AKRON | ||||
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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.