JOHNNIE PECK (NPI# 1467993378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467993378 |
| Entity Type | Individual |
| Full Name | JOHNNIE PECK |
| Practice Address |
24624 Interstate 45 N #200 Spring TX 77386-4084 |
| Practice Telephone | 8327994954 |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 05115620 | 05 |
| Street Address |
24624 INTERSTATE 45 N #200 |
| City | SPRING |
| State | TX |
| Zip Code | 77386-4084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790981561 | Kimberly Bass | Counselor | 24624 Interstate 45 N, Ste 200, Spring, TX 77386-4084 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573765 | William Cooper Buschemeyer IIi, M.d. P.a. | Urology | 26620 Interstate 45-north, The Woodlands, TX 77386 | 2020-09-22 |
| 1205452554 | Kira Marie Levy | Specialist | 25700 I-45 #415, Spring, TX 77386 | 2020-06-23 |
| 1356986590 | Zill Holding Inc | Hospice, Inpatient | 415 Woodline Drive, Spring, TX 77386 | 2019-11-12 |
| 1366906257 | Einstein's Pharmacy LLC | Pharmacy | 25190 I-45, Suite B2d, Spring, TX 77386 | 2019-01-25 |
| 1679043202 | Gershom Jinhyun Kim | Physical Therapist | 500 Spring Hill Drive #120, Spring, TX 77386 | 2018-11-27 |
| 1205349065 | Brazos Care Pharmacy LLC | Pharmacy | 990 Rayford Rd Ste 106, Spring, TX 77386 | 2017-11-14 |
| 1740718071 | Ideal Dental of Rayford Pllc | Dentist | 2200 Rayford Road, Suite 101, Spring, TX 77386 | 2017-05-31 |
| 1114453453 | Apollo Rehab At Woodlands, LLC | Skilled Nursing Facility | 24854 Cathedral Lakes Pkwy, Spring, TX 77386 | 2017-05-05 |
| 1093261620 | Pregnancy Assistance Center North | Clinic/Center | 26464 Interstate 45 North, Spring, TX 77386 | 2016-09-01 |
| 1861945388 | Scd,pllc | Dentist | 2833 Riley Fuzzel Rd, Suite #500, Spring, TX 77386 | 2016-08-02 |
| Find all providers in zip 77386 | ||||
| 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 |
|---|---|---|---|---|
| 1922668417 | Ashleigh Pete | Case Manager/Care Coordinator | 19426 Country Village Dr, Spring, TX 77388-3081 | 2019-06-17 |
| 1861845703 | Ray Anthony Carlton II | Case Manager/Care Coordinator | 8422 Barmby Ct, Spring, TX 77389 | 2016-07-15 |
| 1851741250 | Tawanna Sheree Mikkola | Case Manager/Care Coordinator | 7615 Naremore Dr, Spring, TX 77379-4663 | 2016-06-16 |
| 1891048740 | Tiffany Roshwan Broussard | Case Manager/Care Coordinator | 23207 Summer Pine Dr, Spring, TX 77373-6618 | 2012-10-16 |
| 1841505997 | Agnes Thompson | Case Manager/Care Coordinator | 6842 Shallow River Ct, Spring, TX 77379-4193 | 2010-08-13 |
| 1891932364 | Lashonda Denise Jones | Case Manager/Care Coordinator | 17310 Eden Ct, Spring, TX 77379-3870 | 2009-01-20 |
| 1467650028 | Rhoda Norris | Case Manager/Care Coordinator | 2331 Autumn Springs Ln, Spring, TX 77373-6155 | 2007-07-05 |
| 1164929931 | Adetola Adelekan | Case Manager/Care Coordinator | 2111 River Valley Dr, Spring, TX 77373-6396 | 2018-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911644 | Ramiro Meave Jr. | Case Manager/Care Coordinator | 6162 Misty Meadow Rd Apt 1102, Corpus Christi, TX 78414-2570 | 2020-10-31 |
| 1992305999 | Jonah Micah Reyes | Case Manager/Care Coordinator | 94 Briggs St Ste 450, San Antonio, TX 78224-1294 | 2020-10-28 |
| 1285233668 | Patricia A Griffith | Case Manager/Care Coordinator | 203 Brewer St, Navasota, TX 77868-3603 | 2020-10-18 |
| 1699380881 | Margarita Williams | Case Manager/Care Coordinator | 111 W Anderson Ln # D202-b, Austin, TX 78752-1132 | 2020-09-14 |
| 1497360945 | Chosen Care, Inc. | Case Manager/Care Coordinator | 144 Clemens Ave, New Braunfels, TX 78130-5613 | 2020-09-11 |
| 1306451828 | Dorneisia Tyson | Case Manager/Care Coordinator | 320 E Wintergreen Rd Apt 20h, Desoto, TX 75115-2473 | 2020-09-11 |
| 1548874332 | Alicia Pery | Case Manager/Care Coordinator | 5997 Shady Oaks Dr, Frisco, TX 75034-7228 | 2020-08-31 |
| 1265045694 | Dimide Inc. | Case Manager/Care Coordinator | 1928 Transcendence Dr, St Paul, TX 75098-0900 | 2020-08-25 |
| 1326658261 | Jasmine Capers | Case Manager/Care Coordinator | 5700 N Knoll Apt 201, San Antonio, TX 78240-2253 | 2020-08-05 |
| 1588272876 | Avarita Shari Henry | Case Manager/Care Coordinator | 3710 Iris Ridge Way, Fresno, TX 77545-6040 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
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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.