BERTHA MAE BLOODWORTH (NPI# 1598263246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598263246 |
| Entity Type | Individual |
| Full Name | BERTHA MAE BLOODWORTH |
| Credential | MA |
| Practice Address |
118 Touline St Natchitoches LA 71457 |
| Mailing Address |
5902 Buncombe Rd Shreveport LA 71129-4004 |
| Practice Telephone | 3183794751 |
| Practice Fax Number | 3183003772 |
| Mailing Telephone | 3186708898 |
| Mailing Fax Number | 3183003772 |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-12-26 |
| 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 |
118 TOULINE ST |
| City | NATCHITOCHES |
| State | LA |
| Zip Code | 71457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932539350 | Kathy Davenport-clark | Social Worker | 118 Touline St, Natchitoches, LA 71457 | 2013-11-21 |
| 1467088237 | Peaceful Transportation Services LLC | Non-emergency Medical Transport (VAN) | 118 Touline St, Natchitoches, LA 71457-4639 | 2020-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427615848 | Special Crawford | Case Manager/Care Coordinator | 419 Wasington Ave, Mansfield, LA 71457 | 2019-05-21 |
| 1497232748 | Hand In Hand Hospice Care LLC | Hospice Care, Community Based | 135 East 5th Street, Natchitoches, LA 71457 | 2018-07-19 |
| 1851809214 | Latoya M Gray | Counselor | 132 Kelly St, Natchitoches, LA 71457 | 2018-01-18 |
| 1467968024 | Amanda K Cully | Case Manager/Care Coordinator | 200 Rapides Dr Ste A, Natchitoches, LA 71457 | 2017-12-19 |
| 1972021749 | Jessica Smith | Case Manager/Care Coordinator | 325 South Drive, Natchitoches, LA 71457 | 2017-08-31 |
| 1689190720 | Chartia Hurt | Counselor | 430 Dixie Plaza, Natchitoches, LA 71457 | 2017-08-21 |
| 1902331556 | Daima Atinkah | Specialist/Technologist | 468 Caspari Drive, Natchitoches, LA 71457 | 2017-04-20 |
| 1548794969 | Stephanie Sowell | Counselor | 120 Laird Fletcher Rd, Natchitoches, LA 71457 | 2017-04-12 |
| 1538692579 | Cynthia Harmon | Counselor | 1025 Hill Ave, Natchitoches, LA 71457 | 2017-04-06 |
| 1104365097 | Justin Dewayne Evans I | Counselor | 820 Gentry Davis, Natchitoches, LA 71457 | 2017-02-13 |
| Find all providers in zip 71457 | ||||
| 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 |
|---|---|---|---|---|
| 1174124762 | Mary Flemon | Case Manager/Care Coordinator | 733 Keyser Ave Ste 120, Natchitoches, LA 71457-0039 | 2020-11-02 |
| 1568079606 | Keyshia T Flowers | Case Manager/Care Coordinator | 839 Posey St, Natchitoches, LA 71457-3860 | 2020-09-23 |
| 1841817236 | Kelsey Frank | Case Manager/Care Coordinator | 723 Woodyard Dr # 723b, Natchitoches, LA 71457-5407 | 2020-07-01 |
| 1740817873 | Amber Nicole Holmes | Case Manager/Care Coordinator | 320 Pearl St, Natchitoches, LA 71457-6023 | 2020-03-26 |
| 1245873603 | Kristi Simms | Case Manager/Care Coordinator | 200 Rapides Dr, Natchitoches, LA 71457-3105 | 2019-10-17 |
| 1770141186 | Sh'kea Christine Sibley | Case Manager/Care Coordinator | 220 Fairgrounds Rd, Natchitoches, LA 71457-3069 | 2019-05-31 |
| 1174081533 | Lanae Shanice Wilson | Case Manager/Care Coordinator | 604 Jackson Dr, Natchitoches, LA 71457-5460 | 2019-03-05 |
| 1265911259 | Brittany M Jackson | Case Manager/Care Coordinator | 908 Jeston Dr, Natchitoches, LA 71457-5908 | 2018-08-09 |
| 1467968024 | Amanda K Cully | Case Manager/Care Coordinator | 200 Rapides Dr Ste A, Natchitoches, LA 71457 | 2017-12-19 |
| 1972021749 | Jessica Smith | Case Manager/Care Coordinator | 325 South Drive, Natchitoches, LA 71457 | 2017-08-31 |
| Find all providers in NATCHITOCHES | ||||
| City | NATCHITOCHES |
| Zip Code | 71457 |
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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.