JASON EDWARD BRANDON (NPI# 1376020677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376020677 |
| Entity Type | Individual |
| Full Name | JASON EDWARD BRANDON |
| Credential | BS |
| Practice Address |
111 S Treaty Rd Miami OK 74354-5327 |
| Practice Telephone | 9185401511 |
| Practice Fax Number | 9185427374 |
| Mailing Telephone | 9185401511 |
| Mailing Fax Number | 9185427374 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-10-01 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2017 N St Sw, Miami, OK 743541938 | 9185337654 |
| Street Address |
111 S TREATY RD |
| City | MIAMI |
| State | OK |
| Zip Code | 74354-5327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356333819 | Julie D Finney | Physician Assistant | 111 S Treaty Rd, Miami, OK 74354-5327 | 2005-08-19 |
| 1194336156 | Presley Ashtin Goff | Social Worker | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-08-13 |
| 1649898529 | Caressa Russell | Social Worker | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-07-08 |
| 1043838899 | Brandon Allan Maples | Peer Specialist | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-07-08 |
| 1942823190 | Zaine Alexander Gibson | Behavioral Analyst | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-05-22 |
| 1215558127 | Sydnee Marie Vance | Case Manager/Care Coordinator | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-05-01 |
| 1558981217 | Michael Shane Allen | Case Manager/Care Coordinator | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-04-23 |
| 1093335754 | Jonathan Kyle Shinn | Counselor | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-04-23 |
| 1972139475 | Lila Renee Metzker | Counselor | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-03-16 |
| 1518591254 | Amanda Wren | Case Manager/Care Coordinator | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786603 | Coal Creek Counseling, LLC | Social Worker | 204 D St Ne, Miami, OK 74354 | 2017-05-10 |
| 1164958567 | Yco Tulsa, Inc | Counselor | 1458 E Steve Owens Blvd, Miami, OK 74354 | 2017-05-04 |
| 1982064226 | Yco Tulsa, Inc | Clinic/Center | 1519 E Steve Owens Blvd, Miami, OK 74354 | 2016-02-29 |
| 1548641285 | Courtney Marie Winfrey | Occupational Therapy Assistant | 310 2nd Ave Sw Fl 3, Miami, OK 74354 | 2015-06-17 |
| 1417338039 | Michelle Dawn Johnson | Case Manager/Care Coordinator | 1519 E. Steve Owens Blvd, Miami, OK 74354 | 2015-06-10 |
| 1790100337 | Jordan Taylor-threet | Speech-Language Pathologist | 2225 N. Main St., Miami, OK 74354 | 2014-02-19 |
| 1700137551 | Miami Healthcare, LLC | Skilled Nursing Facility | 2530 North Elm St., Miami, OK 74354 | 2012-09-19 |
| 1144507534 | Julia Brown | Pharmacist | 11 West Central, Miami, OK 74354 | 2011-11-14 |
| 1841504685 | Dodie A Giles Keith | Counselor | 33 C Street Northeast, Miami, OK 74354 | 2010-08-04 |
| 1013221571 | Katherine Renee Burke | Counselor | 111 S. Treaty Rd., Miami, OK 74354 | 2010-07-27 |
| Find all providers in zip 74354 | ||||
| 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] |
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|---|---|---|---|---|
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| 1932715018 | Evelio O Rodriguez | Case Manager/Care Coordinator | 914 Sw 65th Ave, Miami, FL 33144-4832 | 2020-09-23 |
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| 1265045231 | Excellent Social Services LLC | Case Manager/Care Coordinator | 3485 W Flagler St Ste 500, Miami, FL 33135-1046 | 2020-08-28 |
| 1730790338 | Daisys Lucia Sanchez Gonzalez | Case Manager/Care Coordinator | 1233 Nw 54th St, Miami, FL 33142-3857 | 2020-08-17 |
| 1346851177 | Yanetsy Rivero | Case Manager/Care Coordinator | 10313 Sw 24th St, Miami, FL 33165-7982 | 2020-08-14 |
| 1962011536 | Juan Alberto Delgado Brito | Case Manager/Care Coordinator | 110 Fontainebleau Blvd Apt 307, Miami, FL 33172-4571 | 2020-07-29 |
| 1942818547 | Patient Care Solutions LLC | Case Manager/Care Coordinator | 4960 Sw 72nd Ave Ste 305, Miami, FL 33155-5550 | 2020-07-20 |
| 1346868627 | Osvaldo Gonzalez | Case Manager/Care Coordinator | 14902 Sw 173rd Ter, Miami, FL 33187-6756 | 2020-07-13 |
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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.