KRISTIAN CHANNING DUMAS (NPI# 1306490107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306490107 |
| Entity Type | Individual |
| Full Name | KRISTIAN CHANNING DUMAS |
| Practice Address |
3407 Shamrock Ct Gautier MS 39553-5337 |
| Practice Telephone | 2284970690 |
| Mailing Telephone | 2284970690 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | OOO18214 | 05 |
| Street Address |
3407 SHAMROCK CT |
| City | GAUTIER |
| State | MS |
| Zip Code | 39553-5337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184626905 | Julie T Trice | Nurse Practitioner | 3407 Shamrock Ct, Gautier, MS 39553 | 2005-08-11 |
| 1144820689 | Erica Lynn Holden | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-10-26 |
| 1588271100 | Kayla Mitchell | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-09-28 |
| 1134733967 | Elizabeth Ann Shepard-bynum | Peer Specialist | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-08-31 |
| 1336751916 | Courtney Dale Trull | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-08-17 |
| 1073138509 | Thomas Gregory Hicks | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-06-10 |
| 1588287148 | Kaitlyn Hinton | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-05-18 |
| 1043832140 | Brenda Gail Miller | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-05-12 |
| 1639716517 | Chiquita Walker | Counselor | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2019-12-10 |
| 1629615505 | Alexusia Jones | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2019-12-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205465044 | Loggan Malone | Dentist | 2808 Us-90 W, Gautier, MS 39553 | 2020-04-03 |
| 1770979775 | Catherine Durham | Counselor | 3407 Shamrock Dr., Gautier, MS 39553 | 2015-04-07 |
| 1851648836 | Pharmatex, LLC | Pharmacy | 4551-d Gautier Vancleave Road, Gautier, MS 39553 | 2012-08-09 |
| 1891957544 | David W Bonderer Dds Pllc | Dentist | 2808 Hwy 90, Suite 1, Gautier, MS 39553 | 2008-06-25 |
| 1790830313 | William D Parrish | Dentist | 713 Us Hwy 90, Gautier, MS 39553 | 2007-01-24 |
| 1073685830 | Jeffrey Lamone Knight | Dentist | 3105 Shaw Dr., Gautier, MS 39553 | 2006-11-15 |
| 1720178437 | Erica B Wilson | Counselor | 3704 Shamrock Court, Gautier, MS 39553 | 2006-10-13 |
| 1881781631 | James D Victory | Chiropractor | 315 Highway 90, Gautier, MS 39553 | 2006-10-05 |
| 1508959180 | Robert Douglas Holbert | Internal Medicine | 2105 Old Spanish Trail, Gautier, MS 39553 | 2006-10-02 |
| 1962508119 | Sentry-gautier, Inc. | Nursing Facility/Intermediate Care Facility | 5090 Gautier Vancleave Road, Gautier, MS 39553 | 2006-09-15 |
| Find all providers in zip 39553 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326142076 | Rose Marie Morton | Social Worker | 3407 Shamrock Court, Gautier, MS 39553 | 2006-09-12 |
| 1134681836 | Ebbie Larhonda Maddox | Social Worker | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2019-04-02 |
| 1235608605 | Jamie Kristen Allen | Social Worker | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2018-11-15 |
| 1588133995 | Kurtisha Brister Winstead | Social Worker | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2018-11-14 |
| 1124439112 | Dean Shepard Doty | Social Worker | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2014-05-13 |
| 1720404403 | Stacy Diane Dunevant | Social Worker | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2014-03-05 |
| 1851547772 | John Garfield Burke | Social Worker | 3407 Shamrock Ct, Gautier, MS 39553 | 2008-08-12 |
| 1578749735 | Kristie Lynn Noroin | Social Worker | 3407 Shamrock Ct, Gautier, MS 39553 | 2008-01-17 |
| 1285761502 | Spiecey Joanne Nelson | Social Worker | 3407 Shamrock Ct, Gautier, MS 39553 | 2007-02-27 |
| 1689766685 | Cindie L Martiny | Social Worker | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2006-09-28 |
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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.