SHANNON RAE KEENEY (NPI# 1245772383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245772383 |
| Entity Type | Individual |
| Full Name | SHANNON RAE KEENEY |
| Credential | ADULT CPST |
| Practice Address |
625 Cleveland Ave Nw Canton OH 44702-1805 |
| Practice Telephone | 3304538252 |
| Practice Fax Number | 3304536716 |
| Mailing Telephone | 3304540374 |
| Mailing Fax Number | 3304536716 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2019-09-12 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0294569 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134513435 | Shannon Keeney | Physical Therapist | 3834 Sir Francis Drake Dr, Chesapeake, VA 23321-4021 | 2015-03-24 |
| 1720691298 | Shannon Leigh Keeney | Nurse Practitioner | 171 Mast Dr, Garner, NC 27529-6718 | 2020-08-25 |
| Street Address |
625 CLEVELAND AVE NW |
| City | CANTON |
| State | OH |
| Zip Code | 44702-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669451167 | Samantha J Posey | Counselor | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2006-01-12 |
| 1972140184 | Kaitlyn Tanner Ring | Community Health Worker | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2019-12-06 |
| 1295383503 | Naomi Rumano | Counselor | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2019-08-29 |
| 1033766845 | Ronnie Lynn Turpin | Counselor | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2019-08-26 |
| 1427605955 | Tiana Lee Hochstetler | Counselor | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2019-08-20 |
| 1154978690 | Heather Leigh Morris | Counselor | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2019-08-20 |
| 1952958480 | Jennifer Lynn Coss | Counselor | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2019-08-20 |
| 1871154989 | Julia A Mcdonald | Counselor | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2019-06-28 |
| 1659938496 | Lianna C Mueller | Counselor | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2019-05-28 |
| 1740846732 | Kaitlyn R Schmucker | Counselor | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2019-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138390 | Angela Rhoad | Peer Specialist | Coleman Professional Services 400 Tuscarawas St W., Canton, OH 44702 | 2019-01-15 |
| 1710426291 | Aaron Valentine | Community Health Worker | 401 West Tuscarawas Street, Suite 501, Canton, OH 44702 | 2017-02-17 |
| 1386028389 | Leigh Fotheringham | Skilled Nursing Facility | 800 Market Ave. North, Canton, OH 44702 | 2015-07-20 |
| 1427485127 | Canton College Preparatory School | Local Education Agency (LEA) | 101 Cleveland Avenue Nw, Canton, OH 44702 | 2013-09-26 |
| 1730337197 | Linda Lee Gemma | Registered Nurse | 733 Market St South, Canton, OH 44702 | 2008-08-28 |
| 1447372875 | Rushina Anil Patel | Physical Therapist | 800 Market Ave N, Canton, OH 44702 | 2007-04-05 |
| 1124183702 | John Mannos | Family Medicine | 333 2nd St Se, Canton, OH 44702 | 2006-12-26 |
| 1629556949 | Judy Chava | Nurse Practitioner | 400 Tuscarawas St W, Canton, OH 44702 | 2018-07-30 |
| 1407359656 | Reginald A Corner | Case Manager/Care Coordinator | 401 Tuscarawas St W Ste 501, Canton, OH 44702 | 2018-03-14 |
| 1609378322 | Nicole Osborne | Peer Specialist | 624 Market Ave N, Canton, OH 44702 | 2018-03-08 |
| Find all providers in zip 44702 | ||||
| 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 |
|---|---|---|---|---|
| 1255949475 | Olivia Clare Peer | Case Manager/Care Coordinator | 800 Market Ave N Ste 1600, Canton, OH 44702-2305 | 2020-07-14 |
| 1275154916 | Margaret Speller | Case Manager/Care Coordinator | 626 Walnut Ave Ne, Canton, OH 44702-1081 | 2020-05-05 |
| 1376034728 | Tyreia Louise Grimes | Case Manager/Care Coordinator | 122 Central Plz N Lowr Level, Canton, OH 44702-1448 | 2018-05-22 |
| 1013419084 | Susan Marie Rayner | Case Manager/Care Coordinator | 400 Tuscarawas St W Ste 300, Canton, OH 44702-2044 | 2018-03-06 |
| 1073051272 | R'ajja Lee Turpin-allison | Case Manager/Care Coordinator | 3236 Kalahari St Ne, Canton, OH 44705-3606 | 2017-02-08 |
| 1053863159 | Loralynn Wharton | Case Manager/Care Coordinator | 321 Ironwood St Se, Canton, OH 44707-1458 | 2016-10-25 |
| 1053862151 | Dionna T Stokes-ellis | Case Manager/Care Coordinator | 919 Second St Se, Canton, OH 44704 | 2016-10-24 |
| 1447632120 | Rashan Hall | Case Manager/Care Coordinator | 1321 18th St Ne, Canton, OH 44705-1225 | 2015-06-18 |
| 1639418163 | Marilynn L Farrow | Case Manager/Care Coordinator | 1522 Timber Trce, Canton, GA 30114-8900 | 2013-02-04 |
| 1083974869 | Melinda Miles | Case Manager/Care Coordinator | 311 W. Main Street, Canton, OK 73724 | 2012-05-25 |
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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.