MRS. TINA MITCHELL (NPI# 1376919878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376919878 |
| Entity Type | Individual |
| Full Name | MRS. TINA MITCHELL |
| Practice Address |
10075 Highway 51 Broseley MO 63932-9276 |
| Mailing Address |
10075 Highway 51 Broseley MO 63932 |
| Practice Telephone | 5737189909 |
| Mailing Telephone | 5737189909 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124273321 | Tina Mitchell | Speech-Language Pathologist | 53 Johnson Ave Unit 11, Plattsburgh, NY 12901-3747 | 2008-12-02 |
| 1437128485 | Tina F Mitchell | Obstetrics & Gynecology | 7000 Wellness Way Ste 7220, Brunswick, GA 31522-2286 | 2006-03-14 |
| 1952770059 | Tina Mitchell | Licensed Practical Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2015-09-18 |
| 1619389632 | Tina Mitchell | Speech-Language Pathologist | 6700 Antioch Rd, Merriam, KS 66204-1497 | 2014-05-26 |
| 1376846402 | Tina Marie Mitchell | Pharmacist | 7951 Brook Rd, Richmond, VA 23227-1336 | 2010-12-12 |
| 1013929488 | Tina Marie Mitchell | Pharmacy Technician | 211 W Monroe St, Bangor, MI 49013-1330 | 2006-08-13 |
| Street Address |
10075 HIGHWAY 51 |
| City | BROSELEY |
| State | MO |
| Zip Code | 63932-9276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235270612 | Twin Rivers R-x | Local Education Agency (LEA) | 9348 Highway 51, Broseley, MO 63932 | 2007-02-09 |
| 1437290806 | Terry Niederkorn | Speech-Language Pathologist | 9348 Highway 51, Broseley, MO 63932 | 2007-02-09 |
| 1659789766 | Matthew Mansfield | Adult Companion | 286 Highway Vv, Broseley, MO 63932-9174 | 2014-08-01 |
| 1992113013 | 731 Investment | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 286 Highway Vv, Broseley, MO 63932-9174 | 2014-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659789766 | Matthew Mansfield | Adult Companion | 286 Highway Vv, Broseley, MO 63932-9174 | 2014-08-01 |
| 1235270612 | Twin Rivers R-x | Local Education Agency (LEA) | 9348 Highway 51, Broseley, MO 63932 | 2007-02-09 |
| 1992113013 | 731 Investment | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 286 Highway Vv, Broseley, MO 63932-9174 | 2014-08-01 |
| 1437290806 | Terry Niederkorn | Speech-Language Pathologist | 9348 Highway 51, Broseley, MO 63932 | 2007-02-09 |
| 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 |
|---|---|---|---|---|
| 1861092074 | Strategic Family Solutions, LLC | Case Manager/Care Coordinator | 1904 Ne 80th St, Kansas City, MO 64118-1541 | 2020-10-27 |
| 1528667441 | Ronald York Sr. | Case Manager/Care Coordinator | 1000 N Vandeventer Ave, Saint Louis, MO 63113-3459 | 2020-10-21 |
| 1659983476 | Anthony Thomas Leogrande | Case Manager/Care Coordinator | 122 Briar Meadow Dr, Carl Junction, MO 64834-9690 | 2020-08-21 |
| 1134740004 | Kertonnia Petty-miliken | Case Manager/Care Coordinator | 2570 Mockingbird Ln, Florissant, MO 63031-3611 | 2020-05-02 |
| 1861013732 | Shontay Simpson | Case Manager/Care Coordinator | 37 Saint Anthony Ln, Florissant, MO 63031-6720 | 2020-05-02 |
| 1326677964 | Elaine Baker | Case Manager/Care Coordinator | 120 N Mill St, Festus, MO 63028-1816 | 2020-04-06 |
| 1205487139 | Stacey C Smith | Case Manager/Care Coordinator | 4166 Lindell Blvd Ste 1b, Saint Louis, MO 63108-2923 | 2019-09-23 |
| 1932758125 | Proactive Home Care Missouri | Case Manager/Care Coordinator | 104b W Mount Vernon Blvd, Mount Vernon, MO 65712-1936 | 2019-09-10 |
| 1235781055 | Melony Crayton | Case Manager/Care Coordinator | 800 N Tucker Blvd # Stm, Saint Louis, MO 63101-1008 | 2019-07-11 |
| 1497214118 | Ashley N Nelson | Case Manager/Care Coordinator | 2632 Breckenridge Cir, O Fallon, MO 63368-6669 | 2019-03-13 |
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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.