MRS. BROOKE AMY PEGG (NPI# 1407072713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407072713 |
| Entity Type | Individual |
| Full Name | MRS. BROOKE AMY PEGG |
| Credential | BSSW |
| Practice Address |
2875 Henry St Port Huron MI 48060-2526 |
| Practice Telephone | 8109663557 |
| Mailing Telephone | 8109663557 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 6802078511 | MI | Other Service Providers |
| Street Address |
2875 HENRY ST |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871501650 | Racheal Marie Trupe | Social Worker | 2875 Henry St, Port Huron, MI 48060-2526 | 2006-08-04 |
| 1043482854 | Stacey Lynn Tissue | Case Manager/Care Coordinator | 2875 Henry St, Port Huron, MI 48060-2526 | 2008-04-01 |
| 1972775567 | Kristen Ann Janssen | Social Worker | 2875 Henry St, Port Huron, MI 48060-2526 | 2008-03-24 |
| 1578743779 | Brooke Kathleen Cooper | Social Worker | 2875 Henry St, Port Huron, MI 48060-2526 | 2007-11-06 |
| 1598954315 | Margaret Joann Goudie | Case Manager/Care Coordinator | 2875 Henry St, Port Huron, MI 48060-2526 | 2007-10-17 |
| 1164625323 | Marie Niedzwiecki | Massage Therapist | 2875 Henry St, Port Huron, MI 48060-2526 | 2007-06-06 |
| 1225118318 | Andrea Lyn Velez | Counselor | 2875 Henry St, Port Huron, MI 48060-2526 | 2006-10-16 |
| 1336230739 | Amy Beth Prosch | Social Worker | 2875 Henry St, Port Huron, MI 48060-2526 | 2006-09-28 |
| 1851491583 | Suzette Tweedie Stapleton | Counselor | 2875 Henry St, Port Huron, MI 48060-2526 | 2006-09-23 |
| 1336241439 | Laura Ann Whittaker | Counselor | 2875 Henry St, Port Huron, MI 48060-2526 | 2006-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| 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 |
|---|---|---|---|---|
| 1811513690 | Skye L Paling | Case Manager/Care Coordinator | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-06-17 |
| 1518593003 | Joy Daggett | Case Manager/Care Coordinator | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-03-17 |
| 1033745666 | Robert Edison Farrell Jr. | Case Manager/Care Coordinator | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-03-15 |
| 1700411469 | Pamela Sue Huff | Case Manager/Care Coordinator | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-03-03 |
| 1730711508 | Jeanette Grove | Case Manager/Care Coordinator | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-02-10 |
| 1467083196 | William Barrons | Case Manager/Care Coordinator | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-01-31 |
| 1316589112 | Sarah Hammel | Case Manager/Care Coordinator | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2019-10-13 |
| 1720644115 | Tairan Dale Malachi- Cooney | Case Manager/Care Coordinator | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2019-05-12 |
| 1326517137 | Janene Desiree Young | Case Manager/Care Coordinator | 1406 8th St, Port Huron, MI 48060-5804 | 2018-11-21 |
| 1457849580 | Krystal Alice Nowak | Case Manager/Care Coordinator | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2018-04-24 |
| Find all providers in PORT HURON | ||||
| City | PORT HURON |
| Zip Code | 48060 |
Please comment or provide details below to improve the information on MRS. BROOKE AMY PEGG.
| 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.