MR. TILLMAN WATKINS III (NPI# 1346605532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346605532 |
| Entity Type | Individual |
| Full Name | MR. TILLMAN WATKINS III |
| Practice Address |
209 W Jefferson Ave Bastrop LA 71220-4543 |
| Practice Telephone | 3182393890 |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2019-08-01 |
| 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 |
209 W JEFFERSON AVE |
| City | BASTROP |
| State | LA |
| Zip Code | 71220-4543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720351109 | Tyesha Turner | Counselor | 209 W Jefferson Ave, 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2012-02-16 |
| 1427696558 | Katina Renea Washington | Case Manager/Care Coordinator | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2019-12-19 |
| 1063075273 | Shelia Edwards | Case Manager/Care Coordinator | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2019-04-15 |
| 1629533542 | Tikela Nawana Mansfield | Case Manager/Care Coordinator | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2019-02-05 |
| 1154897007 | Shelia Brown Washington | Case Manager/Care Coordinator | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2018-10-18 |
| 1164920575 | Jeffery Turner | Counselor | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2018-01-31 |
| 1609381037 | Alisha Love | Counselor | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2017-12-07 |
| 1457865743 | Jada Matlock | Counselor | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2017-11-22 |
| 1396255923 | Ijnanya Davis | Counselor | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2017-10-10 |
| 1477072650 | Ed Lamar Anderson | Counselor | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2017-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935983 | Broken Wings Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2869 New Monroe Road, Bastrop, LA 71220 | 2020-02-28 |
| 1275002685 | Hulin Urgent Care Services, LLC | Clinic/Center | 2100 East Madison Avenue, Bastrop, LA 71220 | 2018-11-14 |
| 1023594975 | Shuntel Ramona Johnson | Counselor | 8891 Holley Farm Road, Bastrop, LA 71220 | 2018-07-13 |
| 1376050526 | Kevin Hubbard | Case Manager/Care Coordinator | 9409 Willow Dr, Bastrop, LA 71220 | 2018-01-09 |
| 1265957229 | Alma Holmes | Behavioral Analyst | 644 E. Jefferson Ave, Bastrop, LA 71220 | 2017-08-10 |
| 1427570886 | Jennifer Rochelle Glosson | Counselor | 410 S. Franklin St, Bastrop, LA 71220 | 2017-07-07 |
| 1386179307 | Total Divine Care LLC | Community/Behavioral Health | 1840 North Washington Street, Bastrop, LA 71220 | 2017-04-27 |
| 1538609524 | Tyrra Watkins | Counselor | 10599 Parkwood Dr, Bastrop, LA 71220 | 2017-02-24 |
| 1528502119 | Oatie Brooks | Counselor | 813 Mccreight Street, Bastrop, LA 71220 | 2016-12-15 |
| 1487197810 | Valencia Reese | Counselor | 10434 Boswell St, Bastrop, LA 71220 | 2016-12-03 |
| Find all providers in zip 71220 | ||||
| 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 |
|---|---|---|---|---|
| 1376177022 | Rachel Kirgis | Case Manager/Care Coordinator | 715 Boatner St, Bastrop, LA 71220-5001 | 2020-03-02 |
| 1376050526 | Kevin Hubbard | Case Manager/Care Coordinator | 9409 Willow Dr, Bastrop, LA 71220 | 2018-01-09 |
| 1952773574 | Kimberly Newman | Case Manager/Care Coordinator | 5757 Naff Ave, Bastrop, LA 71220 | 2015-10-22 |
| 1427696558 | Katina Renea Washington | Case Manager/Care Coordinator | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2019-12-19 |
| 1063075273 | Shelia Edwards | Case Manager/Care Coordinator | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2019-04-15 |
| 1912465618 | Destinee Keys | Case Manager/Care Coordinator | 644 E Jefferson Ave, Bastrop, LA 71220-4619 | 2019-03-12 |
| 1629533542 | Tikela Nawana Mansfield | Case Manager/Care Coordinator | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2019-02-05 |
| 1871063859 | Tatyana Barnes-davis | Case Manager/Care Coordinator | 644 E Jefferson Ave, Bastrop, LA 71220-4619 | 2018-12-03 |
| 1609346840 | Tyanna Jones | Case Manager/Care Coordinator | 410 S Franklin St, Bastrop, LA 71220-4533 | 2018-11-30 |
| 1255801601 | Autchalo Nicole Jones | Case Manager/Care Coordinator | 410 S Franklin St, Bastrop, LA 71220-4533 | 2018-11-28 |
| Find all providers in BASTROP | ||||
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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.