STACY ANDERSON (NPI# 1386094134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386094134 |
| Entity Type | Individual |
| Full Name | STACY ANDERSON |
| Credential | B.S., M.S. |
| Practice Address |
4700 Wichers Dr Ste 206 Marrero LA 70072-3054 |
| Mailing Address |
1406 Esplanade Ave New Orleans LA 70116-1803 |
| Practice Telephone | 5043044097 |
| Mailing Telephone | 5043044097 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2019-06-24 |
| 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 |
|---|---|---|---|---|
| 1063068740 | Stacy Renee Anderson | Technician | 1510 Talon Dr, Cameron, MO 64429-2095 | 2019-08-17 |
| 1366646713 | Stacy Lynette Anderson | Social Worker | 1501 N Meridian Ave, Wichita, KS 67203-1942 | 2007-06-11 |
| 1306457031 | Stacy Anne Anderson | Behavior Technician | 6910 S Highland Dr, Cottonwood Heights, UT 84121-3060 | 2020-08-15 |
| 1144846064 | Stacy Ann Anderson | Registered Nurse | 3230 Waring Ct Ste A, Oceanside, CA 92056-4509 | 2020-06-17 |
| 1942824701 | Stacy Lynn Anderson | Pharmacist | 305 S State St, Aberdeen, SD 57401-4527 | 2020-06-07 |
| 1376949842 | Stacy Diane Anderson | Counselor | 2601 Pasadena Blvd, Pasadena, TX 77502-3265 | 2014-11-11 |
| 1619210648 | Stacy Lee Anderson | Internal Medicine | 1275 York Ave, New York, NY 10065-6007 | 2013-03-28 |
| 1093020653 | Stacy Jennifer Anderson | Counselor | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2010-08-07 |
| 1710114038 | Stacy Anderson | Pharmacist | 1401 N 1st St, Grand Junction, CO 81501-2139 | 2009-06-12 |
| 1790931319 | Stacy Anderson | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2008-08-14 |
| Street Address |
4700 WICHERS DR STE 206 |
| City | MARRERO |
| State | LA |
| Zip Code | 70072-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801840210 | Rural Health Care Development Corporation LLC | Clinic/Center | 4700 Wichers Dr Ste 206, Marrero, LA 70072-3054 | 2006-05-20 |
| 1245700061 | Janieka S Mills | Case Manager/Care Coordinator | 4700 Wichers Dr Ste 206, Marrero, LA 70072-3054 | 2018-12-05 |
| 1356816557 | Brittany Nicole Polk | Case Manager/Care Coordinator | 4700 Wichers Dr Ste 206, Marrero, LA 70072-3054 | 2018-10-04 |
| 1922471929 | Lester Hamlin Jr. | Counselor | 4700 Wichers Dr Ste 206, Marrero, LA 70072-3054 | 2015-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
| Find all providers in zip 70072 | ||||
| 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 |
|---|---|---|---|---|
| 1457876765 | Elisah Magee | Case Manager/Care Coordinator | 4700 Wichers Dr Ste 105, Marrero, LA 70072-3054 | 2017-08-08 |
| 1164946802 | Sheena Manuel | Case Manager/Care Coordinator | 2051 Sauvage Ave, Marrero, LA 70072-4734 | 2017-08-02 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1639618788 | Henry Eric Washington | Case Manager/Care Coordinator | 1924 Esher Pl, Marrero, LA 70072-6709 | 2017-02-21 |
| 1245783125 | Marquita J Kaywood | Case Manager/Care Coordinator | 5904 N Oak Dr, Marrero, LA 70072 | 2016-07-27 |
| 1578914537 | Danielle Jackson | Case Manager/Care Coordinator | 2088 Carver Dr, Marrero, LA 70072 | 2016-06-30 |
| 1134592595 | Antoinette Denson | Case Manager/Care Coordinator | 4700 Wichers Dr Ste 205, Marrero, LA 70072-3054 | 2015-11-07 |
| 1548867229 | Chare' Narisse Leblanc | Case Manager/Care Coordinator | 931 Westwood Dr Ste E, Marrero, LA 70072-2400 | 2020-10-05 |
| 1154936631 | Jane Kalm | Case Manager/Care Coordinator | 931 Westwood Dr Ste E, Marrero, LA 70072-2400 | 2020-09-11 |
| 1730791534 | Treva Richmond | Case Manager/Care Coordinator | 909 Avenue C, Marrero, LA 70072-3123 | 2020-08-21 |
| Find all providers in MARRERO | ||||
Please comment or provide details below to improve the information on STACY ANDERSON.
| 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.