DIANNE RANDOLPH (NPI# 1346887205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346887205 |
Entity Type | Individual |
Full Name | DIANNE RANDOLPH |
Practice Address |
1100 W 6th Ave Gary IN 46402-1711 |
Practice Telephone | 2198854264 |
Enumeration Date | 2019-12-10 |
Last Update Date | 2019-12-10 |
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 |
1100 W 6TH AVE |
City | GARY |
State | IN |
Zip Code | 46402-1711 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912970229 | Mathew V Castelino | Psychiatry & Neurology | 1100 W 6th Ave, Gary, IN 46402-1711 | 2006-02-08 |
1578162087 | Laura Lisseth Robles | Technician, Other | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-26 |
1013516939 | Laresse Harris | Nurse Practitioner | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-21 |
1245838762 | Alexis Katherine Neylon | Technician, Other | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-16 |
1386242378 | Ameena R Rucker | Case Manager/Care Coordinator | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-13 |
1215535372 | Brittany Marie Comer | Specialist/Technologist | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-12 |
1093321549 | Curtis Freeman | Case Manager/Care Coordinator | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-09-21 |
1174136980 | Shania Johnson | Technician | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-08-31 |
1669080248 | Syreeta Newsom | Technician | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-07-20 |
1841808433 | Andrea W Johnson | Technician | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-07-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790154417 | Edgewater Systerms for Balanced Living | Community/Behavioral Health | 1106 West 6 Th Avenue, Gary, IN 46402 | 2015-09-23 |
1447642772 | Michael Pirtle | Counselor | 1100 W. Fifth Ave, Gary, IN 46402 | 2015-02-24 |
1356748370 | Peter F Uchman | Social Worker | 1100 W. 6th Ave., Gary, IN 46402 | 2014-11-20 |
1295142594 | Demetria A Macon | Counselor | 1100 W. 6th Ave, Gary, IN 46402 | 2014-07-18 |
1396952503 | 21st Century Charter School At Gary | Local Education Agency (LEA) | 556 W Washington, Gary, IN 46402 | 2007-05-17 |
1609094630 | Jomon Mathew | Physical Therapist | 353 Tyler St, Gary, IN 46402 | 2007-04-23 |
1376677138 | Kovilparambil Xavier Antony | Psychiatry & Neurology | 1100 W 6th Avenue, Gary, IN 46402 | 2007-03-15 |
1588759013 | Waltee Douglas | Psychologist | 667 Van Buren, Gary, IN 46402 | 2006-10-03 |
1851332514 | Thessa Grace Robertson | Emergency Medicine | 600 Grant Street, Gary, IN 46402 | 2006-06-10 |
1932672888 | The Methodist Hospitals, Inc | Pharmacy | 600 Grant St, Gary, IN 46402 | 2019-01-03 |
Find all providers in zip 46402 |
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 |
---|---|---|---|---|
1386242378 | Ameena R Rucker | Case Manager/Care Coordinator | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-13 |
1093321549 | Curtis Freeman | Case Manager/Care Coordinator | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-09-21 |
1275167090 | Mary Hankins | Case Manager/Care Coordinator | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-03-02 |
1508403643 | Jenna Ducret | Case Manager/Care Coordinator | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-12-09 |
1427694488 | Dana Mosley | Case Manager/Care Coordinator | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-11-25 |
1093357824 | Tina Mulinaro | Case Manager/Care Coordinator | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-10-14 |
1205488228 | Tamera Walker | Case Manager/Care Coordinator | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-07-10 |
1508428814 | Antwana Grant | Case Manager/Care Coordinator | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-07-08 |
1356902977 | Fatima Smith | Case Manager/Care Coordinator | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-06-25 |
1851852487 | Stacey J Colby | Case Manager/Care Coordinator | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-03-27 |
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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.