MRS. STACY BROCK (NPI# 1467996181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467996181 |
| Entity Type | Individual |
| Full Name | MRS. STACY BROCK |
| Practice Address |
8946 Interline Ave Baton Rouge LA 70809 |
| Mailing Address |
8946 Interline Ave Baton Rouge LA 70809-1913 |
| Practice Telephone | 2256157282 |
| Mailing Telephone | 2256157282 |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2018-05-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
8946 INTERLINE AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801997804 | Jeffrey P Leblanc | Nurse Anesthetist, Certified Registered | 8946 Interline Ave, Suite C, Baton Rouge, LA 70809-1913 | 2006-09-25 |
| 1265966402 | Anchor Community Services | Community/Behavioral Health | 8946 Interline Ave, Suite A, Baton Rouge, LA 70809-1913 | 2017-04-14 |
| 1245763861 | Vickki Maloid | Assistant Behavior Analyst | 8946 Interline Ave, Baton Rouge, LA 70809-1913 | 2017-04-10 |
| 1720522444 | Sharniece Comeaux | Case Management | 8946 Interline Ave, Suite A, Baton Rouge, LA 70809-1913 | 2016-12-14 |
| 1528424926 | George H Thompson Jr. | Counselor | 8946 Interline Ave, Suite A, Baton Rouge, LA 70809-1913 | 2016-01-14 |
| 1033583141 | Sheila Minor | Counselor | 8946 Interline Ave, Suite A, Baton Rouge, LA 70809-1913 | 2015-12-01 |
| 1083087514 | Christiana Freeman | Counselor | 8946 Interline Ave, Suite A, Baton Rouge, LA 70809-1913 | 2015-11-05 |
| 1881067353 | Pamela Green | Counselor | 8946 Interline Ave, Ste A, Baton Rouge, LA 70809-1913 | 2015-11-05 |
| 1184096497 | Cedric White | Counselor | 8946 Interline Ave, A, Baton Rouge, LA 70809-1913 | 2015-10-26 |
| 1972975282 | Leonard G Briscoe | Counselor | 8946 Interline Ave, Suite A, Baton Rouge, LA 70809-1913 | 2015-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| 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 |
|---|---|---|---|---|
| 1992305023 | Deonna Hawkins Jackson | Case Manager/Care Coordinator | 17616 Heritage Estates Dr, Baton Rouge, LA 70810-6579 | 2020-10-28 |
| 1306445713 | Beverly Jean Holmes | Case Manager/Care Coordinator | 9331 Foster Rd Apt C, Baton Rouge, LA 70811-2736 | 2020-10-19 |
| 1922606326 | Christie Hitchens | Case Manager/Care Coordinator | 1041 Chariot Dr, Baton Rouge, LA 70816-1842 | 2020-10-16 |
| 1750989190 | Bridgette Lynette Azoanee | Case Manager/Care Coordinator | 4119 Lake Sherwood Ave E, Baton Rouge, LA 70816-7322 | 2020-10-16 |
| 1629676465 | Jessica Dennis | Case Manager/Care Coordinator | 2950 Chippewa St, Baton Rouge, LA 70805-8126 | 2020-10-14 |
| 1720686769 | Wyona Jordan | Case Manager/Care Coordinator | 6980 Saint Francis Ave, Baton Rouge, LA 70811-1419 | 2020-10-13 |
| 1659984748 | Lasondra Finley | Case Manager/Care Coordinator | 6024 N Howell Dr, Baton Rouge, LA 70805-7231 | 2020-08-28 |
| 1134730476 | Melissa Urch | Case Manager/Care Coordinator | 14635 S Harrells Ferry Rd Ste 3a, Baton Rouge, LA 70816-2960 | 2020-08-11 |
| 1780294058 | Yolande Eileen Thomas | Case Manager/Care Coordinator | Array of Hope, 11940 Bricksome Ave, Baton Rouge, LA 70816 | 2020-08-03 |
| 1285243691 | Adriana Arshell Vessell | Case Manager/Care Coordinator | 2211 Weymouth Dr, Baton Rouge, LA 70809-2017 | 2020-07-31 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
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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.