JASMINE R PETTWAY (NPI# 1376013599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376013599 |
| Entity Type | Individual |
| Full Name | JASMINE R PETTWAY |
| Credential | LMSW |
| Practice Address |
1601 Main St Ste 211 Richmond TX 77469-3230 |
| Practice Telephone | 8328474836 |
| Practice Fax Number | 8328474852 |
| Mailing Telephone | 8328474836 |
| Mailing Fax Number | 8328474852 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1601 MAIN ST STE 211 |
| City | RICHMOND |
| State | TX |
| Zip Code | 77469-3230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215423967 | Osana Mental Healthcare & Counseling Service Pllc | Case Management | 1601 Main St Ste 211, Richmond, TX 77469-3230 | 2018-07-05 |
| 1801353552 | Vanessa Baylis-vallery | Case Manager/Care Coordinator | 1601 Main St Ste 211, Richmond, TX 77469-3230 | 2019-02-28 |
| 1134694227 | Osana Medical Case Management LLC | Case Management | 1601 Main St Ste 211, Richmond, TX 77469-3230 | 2018-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992325328 | Nikki Bradley | Private Vehicle | 7902 Lake Commerce Drive, Rosenberg, TX 77469 | 2020-04-27 |
| 1508496993 | Vanessa Joyce Daniels | Counselor | 22155 Wildwood Park Road, 615, Richmond, TX 77469 | 2020-01-24 |
| 1881230183 | Tiffany Elaine Chen | Counselor | 22034 Rustic Canyon Lane, Richmond, TX 77469 | 2019-11-21 |
| 1265074199 | Laura Y Magana | Technician | 212 Mellon Street, Richmond, TX 77469 | 2019-10-11 |
| 1629626155 | Kofi Assenso-onyinah | Registered Nurse | 8111 Baccharis Road, Richmond, TX 77469 | 2019-08-28 |
| 1740759182 | Houssam Mahmoud Mozeyen | Nurse Practitioner | 5719 Indigo Trails Dr, Richmond, TX 77469 | 2018-11-15 |
| 1205317302 | Amarachi Peace Okafor | Registered Nurse | 22018 Rustic Canyon Ln, Richmond Tx, TX 77469 | 2018-08-27 |
| 1649750969 | Brazos Hybrid Pharmacy LLC | Pharmacy | 545 Fm 2977 Road Suite 110, Rosenberg, TX 77469 | 2018-08-16 |
| 1104303437 | Richmond Rx LLC | Pharmacy | 1100 Jackson Street, Suite D, Richmond, TX 77469 | 2018-07-19 |
| 1962988766 | Allcare Mental Health Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6419 Granite Springs Ln, Richmond, TX 77469 | 2018-07-15 |
| Find all providers in zip 77469 | ||||
| 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 |
|---|---|---|---|---|
| 1558961102 | Melanie Welzel | Case Manager/Care Coordinator | 500 Hull St Apt 314, Richmond, VA 23224-4348 | 2020-10-31 |
| 1205469814 | Raymon Ward | Case Manager/Care Coordinator | 3813 Old Post Rd, Richmond, VA 23234-2023 | 2020-02-21 |
| 1285277467 | Shamika Melton | Case Manager/Care Coordinator | 6316 Oak Middle Ct Apt 304, Richmond, VA 23231-4870 | 2019-10-21 |
| 1497305171 | Kenithia Evans | Case Manager/Care Coordinator | 6966 Chessgate Falls Ln, Richmond, TX 77469-1818 | 2019-09-16 |
| 1689226540 | Mercades Chevis | Case Manager/Care Coordinator | 19118 Cannon Hills Ln, Richmond, TX 77407-8608 | 2019-07-11 |
| 1609338268 | Nadine Deborah De La Torre | Case Manager/Care Coordinator | 244 S 47th St Apt B, Richmond, CA 94804-3498 | 2019-04-03 |
| 1861956708 | Marcy Williams | Case Manager/Care Coordinator | 312 Brook Rd, Richmond, VA 23220-4225 | 2019-01-24 |
| 1790278000 | Miranda Nicole Dobbs | Case Manager/Care Coordinator | 1081 Heathcliff Dr, Richmond, KY 40475-2659 | 2018-06-11 |
| 1477050433 | Maurie Dennis | Case Manager/Care Coordinator | 1600 Eagles Roost Ct, Richmond, VA 23223-1274 | 2018-04-06 |
| 1790284537 | Alicia Rashelle Harris | Case Manager/Care Coordinator | 151 W Commerce Rd Apt 322, Richmond, VA 23224-2374 | 2018-02-07 |
| Find all providers in RICHMOND | ||||
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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.