AMANDA JANE BERNASCONI (NPI# 1255834156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255834156 |
| Entity Type | Individual |
| Full Name | AMANDA JANE BERNASCONI |
| Practice Address |
111 Sequoyah Ln Altus OK 73521-1756 |
| Mailing Address |
Po Box 175 Altus OK 73522-0175 |
| Practice Telephone | 5804822809 |
| Practice Fax Number | 5804822820 |
| Mailing Telephone | 5804822809 |
| Mailing Fax Number | 5804822820 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |
| 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 |
| Street Address |
111 SEQUOYAH LN |
| City | ALTUS |
| State | OK |
| Zip Code | 73521-1756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538661665 | John Wall | Counselor | 111 Sequoyah Ln, Altus, OK 73521-1756 | 2018-03-05 |
| 1285137216 | Jeanne Lee Brandon | Social Worker | 111 Sequoyah Ln, Altus, OK 73521-1756 | 2018-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
| 1598025827 | Dustin James Robins | Counselor | 1052 E Cherry St, Altus, OK 73521 | 2012-05-21 |
| 1831471101 | Manda Lea Stephens | Nurse Practitioner | 205 S. Park Lane, Altus, OK 73521 | 2011-09-13 |
| 1649439167 | Lisa Michelle Shelton | Pharmacist | 2500 N Main, Altus, OK 73521 | 2008-06-09 |
| 1114192911 | Richard G. Henry | Health Maintenance Organization | 112 Val Verde, Altus, OK 73521 | 2008-04-23 |
| 1194881060 | Resters Diabetic Shoes and Home Medical | Durable Medical Equipment & Medical Supplies | 103 West Commerce Street, Altus, OK 73521 | 2006-12-28 |
| 1265592141 | Noble L Ballard.medical Clinic, Pllc | Family Medicine | 1015 East Broadway Street, Stuite 101, Altus, OK 73521 | 2006-12-11 |
| 1457377822 | Comanche County Healthcare | Family Medicine | 3000 N Main St, Suite A, Altus, OK 73521 | 2006-07-15 |
| 1326095381 | Charles C Carter Md Dph Pllc | Family Medicine | 1015 E Broadway St, Suite 102, Altus, OK 73521 | 2006-05-27 |
| 1013988179 | Carol Marie Sherman | Family Medicine | 205 S Park Ln, Altus, OK 73521 | 2006-01-27 |
| Find all providers in zip 73521 | ||||
| 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 |
|---|---|---|---|---|
| 1265915227 | Ben M Hayes | Case Manager/Care Coordinator | 111 Sequoyah Ln Ste B2, Altus, OK 73521-1756 | 2018-09-14 |
| 1184044059 | Jenna Hamm | Case Manager/Care Coordinator | 123 W Commerce St Fl 5, Altus, OK 73521-3850 | 2014-04-18 |
| 1639596729 | Jennifer S Garcia | Case Manager/Care Coordinator | 123 W. Commerce, Altus, OK 73521-2734 | 2014-03-26 |
| 1073948089 | Jessica V Beisel | Case Manager/Care Coordinator | 215 W Commerce St, Altus, OK 73521-3809 | 2013-09-10 |
| 1487915898 | Antonio Alfaro | Case Manager/Care Coordinator | 1313 N Forrest St, Altus, OK 73521-2734 | 2012-06-01 |
| 1619248291 | Misty Deheon Reuter | Case Manager/Care Coordinator | 409 E Commerce St, Altus, OK 73521-3917 | 2012-01-13 |
| 1578830006 | Kelle Deon Cybulski | Case Manager/Care Coordinator | 917 Ranch Rd N, Altus, OK 73521-1026 | 2011-11-29 |
| 1467757765 | Dianne Moore | Case Manager/Care Coordinator | 317 N Hudson St, Altus, OK 73521-3709 | 2011-01-18 |
| 1942834114 | Nicole Marie Nguyen | Case Manager/Care Coordinator | 111 N Hudson St, Altus, OK 73521-3811 | 2020-02-26 |
| 1871055764 | Abigail Graham | Case Manager/Care Coordinator | 111 N Hudson St, Altus, OK 73521-3811 | 2019-04-01 |
| Find all providers in ALTUS | ||||
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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.