ANNIE SUE WALLS (NPI# 1538707831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538707831 |
| Entity Type | Individual |
| Full Name | ANNIE SUE WALLS |
| Practice Address |
882 Oakman Blvd Ste C Detroit MI 48238-4019 |
| Practice Telephone | 3139614890 |
| Practice Fax Number | 3138836206 |
| Mailing Telephone | 3139614890 |
| Mailing Fax Number | 3138836206 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| 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 |
| Street Address |
882 OAKMAN BLVD STE C |
| City | DETROIT |
| State | MI |
| Zip Code | 48238-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699161034 | Partners 4 Health Inc. | Case Management | 882 Oakman Blvd Ste C, Detroit, MI 48238-2958 | 2015-04-13 |
| 1700484664 | Beverly Jean Mucene | Registered Nurse | 882 Oakman Blvd Ste C, Detroit, MI 48238-4019 | 2020-10-13 |
| 1417569260 | Andrea Jane Dewey | Social Worker | 882 Oakman Blvd Ste C, Detroit, MI 48238-4019 | 2020-08-21 |
| 1801444104 | Charnae Keith | Community Health Worker | 882 Oakman Blvd Ste C, Detroit, MI 48238-4019 | 2019-08-29 |
| 1316501703 | Layne Elizabeth Miller | Social Worker | 882 Oakman Blvd Ste C, Detroit, MI 48238-4019 | 2019-05-01 |
| 1366925810 | Evelyn Morris | Registered Nurse | 882 Oakman Blvd Ste C, Detroit, MI 48238-4019 | 2018-09-11 |
| 1689151862 | Gloria Lynne Lyons | Social Worker | 882 Oakman Blvd Ste C, Detroit, MI 48238-4019 | 2018-07-20 |
| 1932686102 | Gwendylon West | Social Worker | 882 Oakman Blvd Ste C, Detroit, MI 48238-4019 | 2018-07-20 |
| 1396230744 | Michelle Cristina Lee | Registered Nurse | 882 Oakman Blvd Ste C, Detroit, MI 48238-4019 | 2018-06-28 |
| 1174037014 | Gena S Jennings | Social Worker | 882 Oakman Blvd Ste C, Detroit, MI 48238-4019 | 2017-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700372224 | Cardinal Home Healthcare Group, LLC | Home Health | 3165 Oakman Boulvard, Detroit, MI 48238 | 2018-07-09 |
| 1063963684 | Lydia Adkins | Counselor | 13505 Lasalle St, Apt 305, Detroit, MI 48238 | 2016-10-19 |
| 1750837324 | A Plus Care Transportation LLC | Clinic/Center | 14586 Wisconsin, Detroit, MI 48238 | 2016-09-01 |
| 1518413756 | Valarie Grayer - Felton | Case Manager/Care Coordinator | 15941 Fairfield St., Detroit, MI 48238 | 2016-08-28 |
| 1144773722 | Juanna Cherise Hardaway | Case Manager/Care Coordinator | 1935 Pasadena, Detroit, MI 48238 | 2016-07-29 |
| 1336503556 | Gladys S Chambers | Home Health Aide | 15473 Wisconsin, Detroit, MI 48238 | 2016-04-13 |
| 1891158788 | Karla Gill | Licensed Practical Nurse | 153060 Wildemere, Detroit, MI 48238 | 2016-03-30 |
| 1790145548 | Cecil Cosey IIi | Psychologist | 11000 W Micnichols, Detroit, MI 48238 | 2016-03-07 |
| 1508264102 | Sav-med Pharmacy Inc | Pharmacy | 2645 West Davison, Detroit, MI 48238 | 2014-12-12 |
| 1760887020 | Monument Dental PC | Dentist | 15510 Livernois Avenue, Detroit, MI 48238 | 2014-10-29 |
| Find all providers in zip 48238 | ||||
| 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 |
|---|---|---|---|---|
| 1932700242 | Best Choice Health Services, LLC | Case Manager/Care Coordinator | 19300 Greenfield Rd Ste C, Detroit, MI 48235-2003 | 2020-11-03 |
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1083243596 | Kelley Grice | Case Manager/Care Coordinator | 4620 Haverhill St, Detroit, MI 48224-3520 | 2020-04-06 |
| 1316573652 | Stacey Hayes | Case Manager/Care Coordinator | 18283 Freeland St, Detroit, MI 48235-2537 | 2020-03-18 |
| 1255978045 | Barbara Richelle Williams | Case Manager/Care Coordinator | 1800 Brainard St Apt 104, Detroit, MI 48208-2863 | 2019-11-29 |
| 1609427376 | Alexis Williams | Case Manager/Care Coordinator | 8828 Moffat St, Detroit, MI 48213-2909 | 2019-09-24 |
| 1376107136 | Brittany Wright-ahmad | Case Manager/Care Coordinator | 888 Pallister St Apt 103, Detroit, MI 48202-2670 | 2019-04-26 |
| 1336609320 | Emily Dozier | Case Manager/Care Coordinator | 65 Cadillac Sq Fl 30, Detroit, MI 48226-2844 | 2019-03-25 |
| 1063913457 | Candiss Letice Chambers | Case Manager/Care Coordinator | 2712 Gratiot Ave, Detroit, MI 48207-2493 | 2018-02-22 |
| 1356859375 | Natasha Walker | Case Manager/Care Coordinator | 4929 Spokane St, Detroit, MI 48204-5021 | 2018-01-11 |
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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.