SHANNON HODGE (NPI# 1407413115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407413115 |
| Entity Type | Individual |
| Full Name | SHANNON HODGE |
| Credential | BA |
| Practice Address |
2052 Princeton Rd Fairfield Township OH 45011-4746 |
| Practice Telephone | 5138052315 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 171M00000X | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235366485 | Shannon Hodge | Counselor | 211 13th St, San Francisco, CA 94103-2461 | 2009-06-15 |
| 1508057241 | Shannon Christi Hodge | Counselor | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2007-08-07 |
| Street Address |
2052 PRINCETON RD |
| City | FAIRFIELD TOWNSHIP |
| State | OH |
| Zip Code | 45011-4746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031868 | Meghan Howells | Case Manager/Care Coordinator | 2052 Princeton Rd, Fairfield Township, OH 45011-4746 | 2020-10-23 |
| 1871108886 | Kathryn M Long | Peer Specialist | 2052 Princeton Rd, Fairfield Township, OH 45011-4746 | 2020-09-15 |
| 1841809464 | Maryah Martin | Case Manager/Care Coordinator | 2052 Princeton Rd, Fairfield Township, OH 45011-4746 | 2020-07-29 |
| 1649894619 | Michelle Lynn Reimer | Social Worker | 2052 Princeton Rd, Fairfield Township, OH 45011-4746 | 2020-06-04 |
| 1114540101 | Megan Dawn Salisbury | Counselor | 2052 Princeton Rd, Fairfield Township, OH 45011-4746 | 2020-05-25 |
| 1992325427 | Gwendolyn Caithness Cameron | Behavior Technician | 2052 Princeton Rd, Fairfield Township, OH 45011-4746 | 2020-04-24 |
| 1841825874 | Joshua Emanuelle Maldonado Rivera | Counselor | 2052 Princeton Rd, Fairfield Township, OH 45011-4746 | 2020-03-10 |
| 1194358929 | Jessica Ann Miller | Specialist | 2052 Princeton Rd, Fairfield Township, OH 45011-4746 | 2020-02-20 |
| 1891330510 | Tawnie Nicole Seevers | Case Manager/Care Coordinator | 2052 Princeton Rd, Fairfield Township, OH 45011-4746 | 2019-11-18 |
| 1003467994 | Nathan White | Case Manager/Care Coordinator | 2052 Princeton Rd, Fairfield Township, OH 45011-4746 | 2019-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702000 | Trisha Sue Allen | Case Manager/Care Coordinator | Sojourner Recovery Services, 515 Dayton Street, Hamilton, OH 45011 | 2020-08-27 |
| 1235755158 | Toika Thompson | Community Health Worker | 614 S 4th St, Hamilton, OH 45011 | 2020-06-17 |
| 1912477589 | Bernice Lorene Garrison | Registered Nurse | 621 S. Erie Boulevard, Hamilton, OH 45011 | 2018-11-27 |
| 1811465040 | Delanie Darcelle Kidd | Counselor | 515 High Street, Hamilton, OH 45011 | 2018-11-06 |
| 1386128288 | Matthew Smith | Counselor | 621 E Erie Highway, Hamilton, OH 45011 | 2018-09-18 |
| 1912485863 | Heavens Quest LLC | Home Health | 415 North Erie Blvd, Hamilton, OH 45011 | 2018-08-02 |
| 1326532748 | Margaret Phillips | Nurse Practitioner | 5290 Poets Way, Liberty Twp, OH 45011 | 2018-06-19 |
| 1891284386 | Myles Evan Silas | Counselor | 1210 N W Washington Blvd #4, Hamilton, OH 45011 | 2018-05-09 |
| 1295223436 | Taylor Guecking | Counselor | 621 South Erie Highway, Hamilton, OH 45011 | 2018-04-24 |
| 1790282069 | Leroy Thomas Brown | Counselor | 621 South Erie Blvd, Hamilton, OH 45011 | 2018-04-12 |
| Find all providers in zip 45011 | ||||
| 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 |
|---|---|---|---|---|
| 1265031868 | Meghan Howells | Case Manager/Care Coordinator | 2052 Princeton Rd, Fairfield Township, OH 45011-4746 | 2020-10-23 |
| 1841809464 | Maryah Martin | Case Manager/Care Coordinator | 2052 Princeton Rd, Fairfield Township, OH 45011-4746 | 2020-07-29 |
| 1891330510 | Tawnie Nicole Seevers | Case Manager/Care Coordinator | 2052 Princeton Rd, Fairfield Township, OH 45011-4746 | 2019-11-18 |
| 1003467994 | Nathan White | Case Manager/Care Coordinator | 2052 Princeton Rd, Fairfield Township, OH 45011-4746 | 2019-09-23 |
| 1629629514 | Crystal Angelica Delucio | Case Manager/Care Coordinator | 2052 Princeton Rd, Fairfield Township, OH 45011-4746 | 2019-09-23 |
| 1649820978 | Porcha Patrice Hope | Case Manager/Care Coordinator | 2052 Princeton Rd, Fairfield Township, OH 45011-4746 | 2019-09-18 |
| 1649824517 | Jade Ann Smallwood | Case Manager/Care Coordinator | 2052 Princeton Rd, Fairfield Township, OH 45011-4746 | 2019-07-30 |
| 1750948097 | Robin Marie Addis | Case Manager/Care Coordinator | 2052 Princeton Rd, Fairfield Township, OH 45011-4746 | 2019-05-22 |
| 1992262927 | Janique Hall | Case Manager/Care Coordinator | 2052 Princeton Rd, Fairfield Township, OH 45011-4746 | 2019-02-26 |
| 1942774740 | Heather Renee Lawrence | Case Manager/Care Coordinator | 2052 Princeton Rd, Fairfield Township, OH 45011-4746 | 2019-01-15 |
| Find all providers in FAIRFIELD TOWNSHIP | ||||
| City | FAIRFIELD TOWNSHIP |
| Zip Code | 45011 |
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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.