SKYLAR TANAKA (NPI# 1295332906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295332906 |
| Entity Type | Individual |
| Full Name | SKYLAR TANAKA |
| Practice Address |
5310 Ball Camp Pike Knoxville TN 37921-3234 |
| Mailing Address |
201 W Springdale Ave Knoxville TN 37917-5158 |
| Practice Telephone | 8655392409 |
| Mailing Telephone | 8656379711 |
| Mailing Fax Number | 8656374362 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| 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 |
| Street Address |
5310 BALL CAMP PIKE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37921-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255300356 | Arun Jethanandani | Psychiatry & Neurology | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2006-03-14 |
| 1487253423 | Justin Philip Fetter | Behavior Technician | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-10-21 |
| 1538767512 | Rita Renee Seiber | Licensed Practical Nurse | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-10-13 |
| 1750988465 | Mackenzie Stephen Kohnle | Registered Nurse | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-10-06 |
| 1467069765 | Olivia Grace Hardie | Counselor | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-09-30 |
| 1851903066 | Steven Wayne Welsh | Licensed Practical Nurse | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-08-19 |
| 1972113173 | Clay Martin Mings | Counselor | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-08-03 |
| 1629686068 | Mary Franfces Miller | Peer Specialist | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-07-22 |
| 1891319265 | Alexis Reagan Leechford | Social Worker | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-06-02 |
| 1073137444 | Afton Nicole Neal | Social Worker | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-06-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902425366 | Marissa Michelle Sharp | Home Health Aide | 6224 Western Avenue, Knoxville, TN 37921 | 2020-04-15 |
| 1245860352 | Keshyra Paulsha Robinson | Nurse's Aide | 1754 Texas Avenue, Knoxville, TN 37921 | 2020-01-17 |
| 1700435443 | Velissa Ann Caffey | Licensed Practical Nurse | 5203 Ball Camp Pk, Knoxville, TN 37921 | 2019-09-05 |
| 1720551641 | Lindsey Michelle Yarnell | Behavior Technician | 5203 Ball Camp Pike, Knoxville, TN 37921 | 2019-01-03 |
| 1205354255 | Kylee Blair Dick | Case Manager/Care Coordinator | 600 Arthur Street, Knoxville, TN 37921 | 2017-08-30 |
| 1134658230 | Nicole Elaine Roberts | Pharmacist | 3588 Workman Rd Suite 101, Knoxville, TN 37921 | 2017-06-12 |
| 1710312053 | Megan Marie Pfeifer | Counselor | 626 Bernard Avenue, Knoxville, TN 37921 | 2013-09-05 |
| 1366601775 | Drd Management, Inc | Counselor | 412 Citico, Knoxville, TN 37921 | 2008-06-02 |
| 1457521320 | Tamara Flowers | Advanced Practice Midwife | 1925 B Ailor Avenue, Knoxville, TN 37921 | 2008-03-07 |
| 1790823722 | Oxygen and Sleep Associates, Inc. | Durable Medical Equipment & Medical Supplies | 1701 Louisville Dr, Ste. 107, Knoxville, TN 37921 | 2007-02-02 |
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| 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 |
|---|---|---|---|---|
| 1255945283 | Vanessa Elaine Davis | Case Manager/Care Coordinator | 2215 Amherst Rd, Knoxville, TN 37921-4902 | 2020-09-08 |
| 1427699537 | Tytiauna Ruffin | Case Manager/Care Coordinator | 3006 Lake Brook Blvd # 1, Knoxville, TN 37909-1137 | 2019-10-01 |
| 1053967356 | Lindsi Blair | Case Manager/Care Coordinator | 601 Arthur St, Knoxville, TN 37921-6406 | 2019-08-13 |
| 1891253225 | Jessica L White | Case Manager/Care Coordinator | 600 Arthur St # A, Knoxville, TN 37921-6405 | 2019-03-05 |
| 1952892150 | Howard Dean Jennings | Case Manager/Care Coordinator | 1010 Cox St, Knoxville, TN 37919-2221 | 2018-05-23 |
| 1700375326 | Jimmy Wayne Parks | Case Manager/Care Coordinator | 424 Clark St, Knoxville, TN 37921-6426 | 2018-05-09 |
| 1336644608 | Thomas Everett Cordell | Case Manager/Care Coordinator | 2455 Sutherland Ave Unit C, Knoxville, TN 37919-2355 | 2018-03-28 |
| 1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
| 1205354255 | Kylee Blair Dick | Case Manager/Care Coordinator | 600 Arthur Street, Knoxville, TN 37921 | 2017-08-30 |
| 1902352768 | Destiney Carter | Case Manager/Care Coordinator | 2130 Adair Dr Apt 3, Knoxville, TN 37918-1649 | 2016-08-31 |
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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.