DIANNE RANDOLPH


Address: 1100 W 6th Ave, Gary, IN 46402-1711
Phone: 2198854264

DIANNE RANDOLPH (NPI# 1346887205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 1100 W 6TH AVE
City GARY
State IN
Zip Code 46402-1711

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
Find all providers in GARY

Competitor

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City GARY
Zip Code 46402

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Dataset Information

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.

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