KENYA SIMMONS (NPI# 1528677804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528677804 |
| Entity Type | Individual |
| Full Name | KENYA SIMMONS |
| Practice Address |
1109 Carter St Ste 10 Vidalia LA 71373-3227 |
| Practice Telephone | 3183364700 |
| Mailing Telephone | 3183364700 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| 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 |
|---|---|---|---|
| LA | 1561444 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366948655 | Kenya Simmons | Pharmacist | 10001 W Bellfort St Ste K, Houston, TX 77031-2559 | 2018-04-04 |
| Street Address |
1109 CARTER ST STE 10 |
| City | VIDALIA |
| State | LA |
| Zip Code | 71373-3227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346762010 | Dennis L Harried | Counselor | 1109 Carter St Ste 10, Vidalia, LA 71373-3227 | 2017-07-13 |
| 1326653536 | Colton Davis | Case Manager/Care Coordinator | 1109 Carter St Ste 10, Vidalia, LA 71373-3227 | 2020-09-14 |
| 1437764651 | Shelby Holsted | Case Manager/Care Coordinator | 1109 Carter St Ste 10, Vidalia, LA 71373-3227 | 2020-09-14 |
| 1730798547 | Valesha Johnson | Case Manager/Care Coordinator | 1109 Carter St Ste 10, Vidalia, LA 71373-3227 | 2020-07-28 |
| 1841826070 | April Frost | Case Manager/Care Coordinator | 1109 Carter St Ste 10, Vidalia, LA 71373-3227 | 2020-03-19 |
| 1134753502 | Tyshica Rodgers | Case Manager/Care Coordinator | 1109 Carter St Ste 10, Vidalia, LA 71373-3227 | 2020-02-25 |
| 1073153656 | Kadeshia Hunt | Case Manager/Care Coordinator | 1109 Carter St Ste 10, Vidalia, LA 71373-3227 | 2020-01-10 |
| 1932741204 | Tomika Morris | Case Manager/Care Coordinator | 1109 Carter St Ste 10, Vidalia, LA 71373-3227 | 2019-10-08 |
| 1457917981 | Shyvonia Nicole Manuel | Case Manager/Care Coordinator | 1109 Carter St Ste 10, Vidalia, LA 71373-3227 | 2019-05-09 |
| 1356906465 | Rachel Birchfield | Case Manager/Care Coordinator | 1109 Carter St Ste 10, Vidalia, LA 71373-3227 | 2019-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513494 | Total Urgent Care | Clinic/Center | 4014 Carter Street, Vidalia, LA 71373 | 2020-03-13 |
| 1609412097 | Hulin Urgent Care Services, LLC | Clinic/Center | 4319 Highway 84, Vidalia, LA 71373 | 2019-11-21 |
| 1720562556 | Neashion Marie Davis | Counselor | 1644 B Carter Street. Suite #2, Vidalia, LA 71373 | 2018-09-18 |
| 1992292403 | Angelica Francheska Woods | Counselor | 1644 B. Carter Street Suite 2, Vidalia, LA 71373 | 2018-04-19 |
| 1164973780 | Linda Sherbia | Counselor | 1644 B Carter St., Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1518418045 | Cheryl Clark | Case Manager/Care Coordinator | 1644 B Carter Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1972054500 | Sherry Cade | Counselor | 1644 B Carter Street, Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1457801136 | Sarai Johnson | Counselor | 1644 B Carter Street Suite 2, Vidalia, LA 71373 | 2016-10-06 |
| 1053766410 | Erin Fournet Woodruff | Physical Therapist | 402 Holly Street, Vidalia, LA 71373 | 2016-05-04 |
| 1184084113 | Troy Nolan Thomas Jr. | Counselor | 4012 Carter St., Vidalia, LA 71373 | 2016-03-03 |
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| 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 |
|---|---|---|---|---|
| 1518418045 | Cheryl Clark | Case Manager/Care Coordinator | 1644 B Carter Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1184081853 | Breanna Walker | Case Manager/Care Coordinator | 1644 B Carter Street, Vidalia, LA 71373 | 2016-01-26 |
| 1487025953 | Felicia Bowman | Case Manager/Care Coordinator | 4012 Carter Street, Vidalia, LA 71373 | 2015-10-09 |
| 1326653536 | Colton Davis | Case Manager/Care Coordinator | 1109 Carter St Ste 10, Vidalia, LA 71373-3227 | 2020-09-14 |
| 1437764651 | Shelby Holsted | Case Manager/Care Coordinator | 1109 Carter St Ste 10, Vidalia, LA 71373-3227 | 2020-09-14 |
| 1114537826 | Lasheka Coleman Eanochs | Case Manager/Care Coordinator | 4012 Carter St, Vidalia, LA 71373-3013 | 2020-08-06 |
| 1730798547 | Valesha Johnson | Case Manager/Care Coordinator | 1109 Carter St Ste 10, Vidalia, LA 71373-3227 | 2020-07-28 |
| 1477176733 | Danielle Spencer | Case Manager/Care Coordinator | 806 Carter St, Vidalia, LA 71373-3206 | 2020-05-21 |
| 1841826070 | April Frost | Case Manager/Care Coordinator | 1109 Carter St Ste 10, Vidalia, LA 71373-3227 | 2020-03-19 |
| 1134753502 | Tyshica Rodgers | Case Manager/Care Coordinator | 1109 Carter St Ste 10, Vidalia, LA 71373-3227 | 2020-02-25 |
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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.