SHARON ANGELICA FOWLKES (NPI# 1215420054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215420054 |
Entity Type | Individual |
Full Name | SHARON ANGELICA FOWLKES |
Other Name | MRS. SHARON ANGELICA SPELLMAN, BURKE |
Credential | L.P.N. |
Practice Address |
5812 Dunkirk St Portsmouth VA 23703-3128 |
Practice Telephone | 7573188407 |
Practice Fax Number | 7576733606 |
Mailing Telephone | 7573188407 |
Mailing Fax Number | 7576733606 |
Enumeration Date | 2018-06-06 |
Last Update Date | 2018-06-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 164W00000X | Licensed Practical Nurse | 0002079887 | VA | Nursing Service Providers |
N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
5416 Tidewater Dr, Norfolk, VA 235091437 | 7573188407 |
Street Address |
5812 DUNKIRK ST |
City | PORTSMOUTH |
State | VA |
Zip Code | 23703-3128 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174037444 | Kelly Foster | Massage Therapist | 3108 Tyre Neck Rd Ste D, Portsmouth, VA 23703 | 2017-11-25 |
1578072104 | Katherine Armstrong Wise | Behavior Technician | 3120 Verne Ave, Portsmouth, VA 23703 | 2017-09-27 |
1891223913 | Ashley Rebecca Anderson | Dentist | 5915 High Street W, Portsmouth, VA 23703 | 2017-06-02 |
1881126019 | Anas Elmahdi | Specialist | 5205 Sweetbriar C., 5205 Sweetbriar C., Portsmouth, VA 23703 | 2017-03-28 |
1578003554 | Elyse Buttery | Nurse Practitioner | Mast One 1040 University Blvd, Suite 200, Portsmouth, VA 23703 | 2017-02-24 |
1376948349 | Charles Douglas Knight | Military Health Care Provider | Uss Maryland Ssbn 738, Fpo, AA 23703 | 2014-11-03 |
1689929382 | Positive Connections, Inc | Community/Behavioral Health | 3823d Meherrin River Reach, Portsmouth, VA 23703 | 2012-07-18 |
1225319874 | Sanaz Namin | Pharmacist | 5601 High Street, Porstmouth, VA 23703 | 2011-09-08 |
1295029767 | Maggie Jackson | Dental Hygienist | 4000 Coast Guard Blvd., Portsmouth, VA 23703 | 2011-06-02 |
1679804892 | Amy Kathleenn Gaspar | Specialist/Technologist, Other | 4113 Pendleton Rd, Portsmouth, VA 23703 | 2010-01-28 |
Find all providers in zip 23703 |
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 |
---|---|---|---|---|
1639776974 | Ayana Capri Esau | Case Manager/Care Coordinator | 414 Taft Dr, Portsmouth, VA 23701-4160 | 2020-10-08 |
1831716471 | Stephanie Seevers | Case Manager/Care Coordinator | 1018 21st St Apt C, Portsmouth, OH 45662-2859 | 2020-06-30 |
1841837200 | Grant Underwood | Case Manager/Care Coordinator | 1025 20th St, Portsmouth, OH 45662-2801 | 2019-12-04 |
1043857402 | Rebecca Childers | Case Manager/Care Coordinator | 1793 Jackson St, Portsmouth, OH 45662-4477 | 2019-12-04 |
1417594870 | Monique Y Harmon | Case Manager/Care Coordinator | 3207 Old Post Rd, Portsmouth, OH 45662-2426 | 2019-12-04 |
1265998397 | Alex Jarome Harris | Case Manager/Care Coordinator | 205 South Preston St, Portsmouth, OH 45662-4566 | 2019-02-13 |
1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
1598287823 | Kim Machon Williams | Case Manager/Care Coordinator | 2011 Queen St Ste N-210, Portsmouth, VA 23704-3027 | 2017-07-07 |
1275665093 | Wendy Segit | Case Manager/Care Coordinator | 114 5 Sagamore Ave, Portsmouth, NH 03801-5585 | 2007-03-09 |
1194871020 | Franziska Maria Bennett | Case Manager/Care Coordinator | 15 Edendale Rd, Portsmouth, OH 45662 | 2007-01-25 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 23703 |
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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.