ANTIONETTE CARDENAS (NPI# 1588894521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588894521 |
| Entity Type | Individual |
| Full Name | ANTIONETTE CARDENAS |
| Practice Address |
5490 Broadway L3 Merrillville IN 46410-1675 |
| Practice Telephone | 2199857617 |
| Practice Fax Number | 2199856097 |
| Mailing Telephone | 2199857617 |
| Mailing Fax Number | 2199856097 |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | IN | Other Service Providers |
| Street Address |
5490 BROADWAY L3 |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689776015 | San H Tsai | Obstetrics & Gynecology | 5490 Broadway, Merrillville, IN 46410-1675 | 2006-09-05 |
| 1679103717 | Michelle Lipton-carroll | Nurse Practitioner | 5490 Broadway, Merrillville, IN 46410-1675 | 2020-01-16 |
| 1831653690 | Bianca Chatman | Registered Nurse | 5490 Broadway, Merrillville, IN 46410-1675 | 2019-01-25 |
| 1568858637 | Rp Wellness Center Md Inc | Family Medicine | 5490 Broadway, Suite 106, Merrillville, IN 46410-1675 | 2015-04-15 |
| 1558780759 | Ascot Diagnostic Services, Inc | Radiology | 5490 Broadway, Merrillville, IN 46410-1675 | 2014-04-15 |
| 1720328149 | Ascot Diagnostic Services, Inc | Clinic/Center | 5490 Broadway, Merrillville, IN 46410-1675 | 2013-02-21 |
| 1508106303 | Ascot Diagnostic Services, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5490 Broadway, Merrillville, IN 46410-1675 | 2013-02-15 |
| 1285960088 | Humana Labs Inc | Clinical Medical Laboratory | 5490 Broadway, Suite #108, Merrillville, IN 46410-1675 | 2009-10-29 |
| 1508096546 | Jerri Floyd | Case Manager/Care Coordinator | 5490 Broadway, L3, Merrillville, IN 46410-1675 | 2009-07-24 |
| 1679703540 | Mark Mikula | Case Manager/Care Coordinator | 5490 Broadway, L3, Merrillville, IN 46410-1675 | 2009-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| 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 |
|---|---|---|---|---|
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1033507637 | Elia Qasim | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2015-01-05 |
| 1093353013 | Latoya King | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2019-12-20 |
| 1821634775 | Jermaine Vaughn | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2019-11-25 |
| 1568017556 | Kimberly Johnson | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2019-08-06 |
| 1598310864 | Lauren N Wilson | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2019-08-05 |
| 1639640352 | Bridgette Frazier | Case Manager/Care Coordinator | 1441 E 84th Pl, Merrillville, IN 46410-6451 | 2018-12-06 |
| 1295219640 | Jessica Robberts | Case Manager/Care Coordinator | 233 E 84th Dr, Merrillville, IN 46410-6394 | 2018-09-21 |
| 1437633989 | Deanna John | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2018-09-20 |
| 1740764364 | Charlotte Ford | Case Manager/Care Coordinator | 233 E 84th Dr Ste 205, Merrillville, IN 46410-6399 | 2018-09-19 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on ANTIONETTE CARDENAS.
| 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.