SAMANTHA BERGERON (NPI# 1366069627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366069627 |
| Entity Type | Individual |
| Full Name | SAMANTHA BERGERON |
| Practice Address |
1325 Wright Ave Crowley LA 70526-2226 |
| Practice Telephone | 3187945162 |
| Mailing Telephone | 3187945162 |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |
| 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 |
1325 WRIGHT AVE |
| City | CROWLEY |
| State | LA |
| Zip Code | 70526-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801893508 | Gary H Stevens | Surgery | 1325 Wright Ave, Suite G, Crowley, LA 70526-2226 | 2005-07-07 |
| 1235761925 | Mary Toups | Counselor | 1325 Wright Ave, Crowley, LA 70526-2226 | 2020-02-10 |
| 1194246595 | Adria Champagne Dubose | Nurse Practitioner | 1325 Wright Ave, Crowley, LA 70526-2226 | 2017-07-06 |
| 1013442433 | Darlene Cormier | Case Manager/Care Coordinator | 1325 Wright Ave, Crowley, LA 70526-2226 | 2017-04-23 |
| 1164978078 | Tiremone Williams | Case Manager/Care Coordinator | 1325 Wright Ave, Crowley, LA 70526-2226 | 2016-08-31 |
| 1932550035 | Jennifer Driggers Trahan | Nurse Practitioner | 1325 Wright Ave, Suite K, Crowley, LA 70526-2226 | 2016-06-29 |
| 1598115057 | Jedediah David Meche | Nurse Practitioner | 1325 Wright Ave, Ste. H, Crowley, LA 70526-2226 | 2016-06-15 |
| 1114392693 | Hannah Comeaux | Counselor | 1325 Wright Ave, Crowley, LA 70526-2226 | 2015-12-09 |
| 1366849390 | Amanda R. Dupre Lcsw LLC | Social Worker | 1325 Wright Ave, Suite E, Crowley, LA 70526-2226 | 2014-11-19 |
| 1568865376 | Acadia Wound Care and Hyperbarics | General Acute Care Hospital | 1325 Wright Ave, Suite G, Crowley, LA 70526-2226 | 2014-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606478 | Dr Lawanda Lamar Bellamy Md A Professional Medical Corporation | Clinic/Center | 1307 Crowley-rayne Hwy, Suite B, Crowley, LA 70526 | 2020-07-09 |
| 1255950192 | Just Health | Clinic/Center | 500 Northeast Court Circle, Ste 3, Crowley, LA 70526 | 2020-04-10 |
| 1942724901 | Megan Cart Chachere | Family Medicine | 1307 Crowley Rayne Hwy Ste D, Crowley, LA 70526 | 2017-08-01 |
| 1598205940 | Astacia Ford | Counselor | 1325 Wright Ave. Suite D, Crowley, LA 70526 | 2017-03-05 |
| 1982032041 | Susan Carnes | Registered Nurse | 1822 West Second St., Crowley, LA 70526 | 2013-10-28 |
| 1679842280 | Todd Anthony Touchet | Dentist | 117 Blue Lake Drive, Crowley, LA 70526 | 2011-12-28 |
| 1417270067 | Envision Pathology LLC | Clinical Medical Laboratory | 806 North Avenue K, Suite 101, Crowley, LA 70526 | 2010-03-10 |
| 1205028412 | Patrick Dale Leleux Jr. | Internal Medicine | 1307 Crowley Rayne Hwy Ste E, Crowley, LA 70526 | 2007-08-11 |
| 1164634283 | Acadia Parish School System | Clinic/Center | 2402 N. Parkerson Avenue, Crowley, LA 70526 | 2007-05-03 |
| 1497801450 | Kurt S Rothermel | Dentist | 817 North Avenue K, Crowley, LA 70526 | 2007-01-25 |
| Find all providers in zip 70526 | ||||
| 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 |
|---|---|---|---|---|
| 1326403973 | Rayetta Wright | Case Manager/Care Coordinator | 416 Buoy Ct, Crowley, TX 76036-3553 | 2015-12-28 |
| 1598375297 | Ladaysha Domingeaux | Case Manager/Care Coordinator | 19157 Crowley Eunice Hwy, Crowley, LA 70526-0801 | 2020-08-06 |
| 1467061838 | Valencia M Demuchest | Case Manager/Care Coordinator | 19157 Crowley Eunice Hwy, Crowley, LA 70526-0801 | 2020-07-30 |
| 1184233553 | Adrain M Smith | Case Manager/Care Coordinator | 19157 Crowley Eunice Hwy, Crowley, LA 70526-0801 | 2020-07-30 |
| 1649889536 | Elijah B Evans | Case Manager/Care Coordinator | 1120 W Hutchinson Ave, Crowley, LA 70526-4124 | 2020-07-27 |
| 1811522642 | Victoria Thomas | Case Manager/Care Coordinator | 1325 Wright Ave Ste D, Crowley, LA 70526-2226 | 2020-03-12 |
| 1780215400 | Lauren Phillips | Case Manager/Care Coordinator | 1325 Wright Ave Ste D, Crowley, LA 70526-2226 | 2020-01-31 |
| 1437799384 | Destiny Medows | Case Manager/Care Coordinator | 19157 Crowley Eunice Hwy, Crowley, LA 70526-0801 | 2020-01-08 |
| 1851930135 | Ma'kayleen Mo'nay Milson | Case Manager/Care Coordinator | 507 N Western Ave, Crowley, LA 70526-4141 | 2020-01-03 |
| 1457995318 | Dehvin Chaisson | Case Manager/Care Coordinator | 19157 Crowley Eunice Hwy, Crowley, LA 70526-0801 | 2019-11-04 |
| Find all providers in CROWLEY | ||||
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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.