ELBERT SMITH (NPI# 1275909673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275909673 |
| Entity Type | Individual |
| Full Name | ELBERT SMITH |
| Practice Address |
138 S Main Afton OK 74331-1822 |
| Practice Telephone | 9182574244 |
| Practice Fax Number | 9182574247 |
| Mailing Telephone | 9182574244 |
| Mailing Fax Number | 9182574247 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881613487 | Elbert B Smith | Emergency Medicine | 8012 S Crandon Ave, Chicago, IL 60617-1124 | 2006-07-18 |
| 1013958180 | Elbert E Smith IIi | Pediatrics | 4400 Broadway St, Suite 206, Kansas City, MO 64111-3498 | 2006-06-09 |
| Street Address |
138 S MAIN |
| City | AFTON |
| State | OK |
| Zip Code | 74331-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073570875 | Gina Marie Francisco | Nurse Practitioner | 138 S Main, Afton, OK 74331-1822 | 2006-04-27 |
| 1326539768 | Tim R Lucas | Peer Specialist | 138 S Main, Afton, OK 74331 | 2018-05-22 |
| 1619479664 | James Rufus Johnson | Peer Specialist | 138 S Main, Afton, OK 74331-1822 | 2018-03-06 |
| 1043726607 | Rebecca Zinn | Peer Specialist | 138 S Main, Afton, OK 74331 | 2017-12-19 |
| 1730611476 | Angela Marie Overstreet | Peer Specialist | 138 S Main, Afton, OK 74331 | 2017-03-31 |
| 1235505330 | Dyla Abbas | Case Manager/Care Coordinator | 138 S Main, Afton, OK 74331-1822 | 2015-08-12 |
| 1164813093 | Courtney Lynn Hall | Peer Specialist | 138 S Main, Afton, OK 74331-1822 | 2015-02-13 |
| 1841600863 | Grand Lake Mental Health Center Inc. | Clinic/Center | 138 S Main, Afton, OK 74331-1822 | 2014-04-29 |
| 1750701108 | Wendy Dawn Frost | Community Health Worker | 138 S Main, Afton, OK 74331-1822 | 2014-04-24 |
| 1538581814 | Heather Knott | Specialist | 138 S Main, Afton, OK 74331-1822 | 2014-01-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578114575 | Tena Kennon | Technician | 54301 East 250 Road, Afton, OK 74331 | 2019-09-23 |
| 1376920660 | Dayspring Community Services | Community/Behavioral Health | 3 Southeast 1st St, Afton, OK 74331 | 2015-05-06 |
| 1578742383 | Chiropractic Associates of Miami | Clinic/Center | 30650 S. Lakeside Dr., Afton, OK 74331 | 2007-10-29 |
| 1174735088 | Integrity Emergency Medical Services of Oklahoma LLC | Ambulance | 104 Sw 1st Street, Afton, OK 74331 | 2007-05-04 |
| 1043371198 | Courtland Prentice Smith Jr. | Otolaryngology | 26300 South Hwy 125, Afton, OK 74331 | 2006-12-13 |
| 1710920152 | Debra Maxton Miller | Counselor | 138 S. Main, Afton, OK 74331 | 2006-06-14 |
| 1639654429 | Sheena Nidiffer | Peer Specialist | 138 S. Main St, Afton, OK 74331 | 2018-09-27 |
| 1003397084 | Jaime Joseph Siegmann | Peer Specialist | 138 S Main St, Afton, OK 74331 | 2018-08-27 |
| 1730674508 | Caleigh Nichols | Social Worker | 138 S Main St, Afton, OK 74331 | 2018-06-25 |
| 1093252439 | Russell Allen Peters | Nurse Practitioner | 138 S. Main St, Afton, OK 74331 | 2017-01-24 |
| Find all providers in zip 74331 | ||||
| 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 |
|---|---|---|---|---|
| 1104365428 | William Spencer York | Case Manager/Care Coordinator | 138 S Main Street, Afton, OK 74331-1822 | 2017-02-20 |
| 1588082978 | Sarah Miller | Case Manager/Care Coordinator | 138 S Main Ave, Afton, OK 74331-1822 | 2014-04-02 |
| 1932464328 | Leslie Figueroa | Case Manager/Care Coordinator | 453416 Canal St, Afton, OK 74331-5537 | 2012-07-11 |
| 1003184581 | Tiffany Reed | Case Manager/Care Coordinator | 31200 Blackwood Dr, Afton, OK 74331-8511 | 2011-12-12 |
| 1255635199 | Minde Julander | Case Manager/Care Coordinator | 144 E 5th Avenue, Afton, WY 83110 | 2011-01-07 |
| 1215260732 | Pamela Mcken | Case Manager/Care Coordinator | 138 E 7th, Afton, WY 83110 | 2009-09-16 |
| 1518290519 | Valerie Merritt Anglesey | Case Manager/Care Coordinator | 7020 Bitter Creek Rd, Afton, WY 83110-9723 | 2009-09-09 |
| 1285828384 | Christy Lynne Williamson | Case Manager/Care Coordinator | 221 Lincoln St, Afton, WY 83110 | 2007-08-31 |
| 1831381649 | Cindy R. White | Case Manager/Care Coordinator | 555 Madison Street, Afton, WY 83110 | 2007-08-15 |
| 1134635758 | Eddie L Knox Jr. | Case Manager/Care Coordinator | 138 S. Main, Afton, OK 74331-1822 | 2017-12-19 |
| Find all providers in AFTON | ||||
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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.