SHANNON LOUELLA BULLOCK (NPI# 1417450420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417450420 |
| Entity Type | Individual |
| Full Name | SHANNON LOUELLA BULLOCK |
| Practice Address |
10711 Vienna St New Orleans LA 70127 |
| Mailing Address |
10711 Vienna St New Orleans LA 70127-3117 |
| Practice Telephone | 5048134616 |
| Mailing Telephone | 5048134616 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
10711 VIENNA ST |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114567302 | Ruth Bermudez | Peer Specialist | 4747 Earhart Blvd Suite D, New Orleans, LA 70127 | 2020-01-15 |
| 1457830036 | Generations Health Inc | Case Manager/Care Coordinator | 8000 Crowder Blvd Ste B, New Orleans, LA 70127 | 2018-08-14 |
| 1881189066 | Gwendolyn A Brown | Psychologist | 9840 Andover Dr, New Orleans, LA 70127 | 2018-06-29 |
| 1407349095 | Impressive Diagnostics | Pathology | 7011 Read Blvd Ste I, New Orleans, LA 70127 | 2018-06-08 |
| 1528555760 | Traveling Grace Transportation Service LLC | Military/U.S. Coast Guard Transport | 7520 Shubrick Street, New Orleans, LA 70127 | 2018-04-13 |
| 1942719026 | Brianna Truffa | Counselor | 10001 Lake Forest Blvd., Suite 302, New Orleans, LA 70127 | 2017-09-21 |
| 1609303338 | Briana Alphonse | Counselor | 7240 Crowder Boulevard, Suite 202, New Orleans, LA 70127 | 2017-05-12 |
| 1679006720 | Michele Torregano | Case Manager/Care Coordinator | 10110 Deerfield Dr, New Orleans, LA 70127 | 2017-04-05 |
| 1083152128 | Keisha Black | Counselor | 8470 Morrison Road, Suite A, New Orleans, LA 70127 | 2017-02-09 |
| 1487191623 | Tara James | Counselor | 4518 Hickerson Dr, New Orleans, LA 70127 | 2017-01-26 |
| Find all providers in zip 70127 | ||||
| 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 |
|---|---|---|---|---|
| 1134727514 | Shatiya Reshun Williams | Case Manager/Care Coordinator | 6121 Dauphine St, New Orleans, LA 70117-2109 | 2020-10-16 |
| 1982201547 | Keiara Shermetra Cline | Case Manager/Care Coordinator | 1351 Burbank Dr, New Orleans, LA 70122-2031 | 2020-10-07 |
| 1770199143 | Tatyana Henry | Case Manager/Care Coordinator | 4727 Knight Dr, New Orleans, LA 70127-3329 | 2020-09-21 |
| 1013542398 | Leslie Marie Arceneaux | Case Manager/Care Coordinator | 2732 Saint Anthony St, New Orleans, LA 70119-1153 | 2020-03-07 |
| 1568092880 | Shanna Paige Powell | Case Manager/Care Coordinator | 4107 Maple Leaf Dr, New Orleans, LA 70131-7422 | 2020-01-26 |
| 1396375945 | Kathleen Barre | Case Manager/Care Coordinator | 6500 Elysian Fields Ave, New Orleans, LA 70122 | 2020-01-23 |
| 1457998023 | Kechelle Jackson | Case Manager/Care Coordinator | 1819 Duels St, New Orleans, LA 70119-1110 | 2019-12-03 |
| 1437795580 | Chanel Mercadel | Case Manager/Care Coordinator | 6631 W Laverne St, New Orleans, LA 70126-2504 | 2019-11-25 |
| 1922642933 | Renard Jamal Lewis Jr. | Case Manager/Care Coordinator | 3801 Canal St # S5ite325, New Orleans, LA 70119-6082 | 2019-11-01 |
| 1154965374 | Paulette Facianne | Case Manager/Care Coordinator | 6408 Arts St, New Orleans, LA 70122-5604 | 2019-10-31 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70127 |
Please comment or provide details below to improve the information on SHANNON LOUELLA BULLOCK.
| 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.