KADIJA YVETTE HUDSON (NPI# 1629616743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629616743 |
| Entity Type | Individual |
| Full Name | KADIJA YVETTE HUDSON |
| Practice Address |
2404 Ferrand St Ste 23 Monroe LA 71201-3233 |
| Practice Telephone | 3183230463 |
| Practice Fax Number | 3183230465 |
| Mailing Telephone | 3183230463 |
| Mailing Fax Number | 3183230465 |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |
| 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 | 4701066 | 05 |
| Street Address |
2404 FERRAND ST STE 23 |
| City | MONROE |
| State | LA |
| Zip Code | 71201-3233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043472608 | Immanuels Healing Center | Community/Behavioral Health | 2404 Ferrand St Ste 23, Monroe, LA 71201-3233 | 2008-06-25 |
| 1538716576 | Rima Imad Jaber | Case Manager/Care Coordinator | 2404 Ferrand St Ste 23, Monroe, LA 71201-3233 | 2019-08-23 |
| 1568020378 | Monalisa Renee Menyweather | Case Manager/Care Coordinator | 2404 Ferrand St Ste 23, Monroe, LA 71201-3233 | 2019-06-05 |
| 1285292367 | Carolyn Y Caldwell | Case Manager/Care Coordinator | 2404 Ferrand St Ste 23, Monroe, LA 71201-3233 | 2019-06-03 |
| 1669939633 | Marcus Len Horne | Case Manager/Care Coordinator | 2404 Ferrand St Ste 23, Monroe, LA 71201-3233 | 2019-02-26 |
| 1659809598 | Anthony E Jenkins Jr. | Counselor | 2404 Ferrand St Ste 23, Monroe, LA 71201 | 2017-05-23 |
| 1003344938 | Beverly R Johnson | Counselor | 2404 Ferrand St Ste 23, Monroe, LA 71201 | 2017-05-23 |
| 1770949273 | Tyree S Hollins | Case Manager/Care Coordinator | 2404 Ferrand St Ste 23, Monroe, LA 71201-3233 | 2016-01-13 |
| 1194090183 | Clarence Williams | Counselor | 2404 Ferrand St Ste 23, Monroe, LA 71201-3233 | 2012-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| 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 |
|---|---|---|---|---|
| 1346856960 | Ebony Hall | Case Manager/Care Coordinator | 2911 Cameron St # A, Monroe, LA 71201-3713 | 2020-09-18 |
| 1285251785 | Good News Counseling | Case Manager/Care Coordinator | 3217 Concordia Ave, Monroe, LA 71201-5131 | 2020-06-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1164060331 | Myrtle Burks | Case Manager/Care Coordinator | 820 Jackson St, Monroe, LA 71201-8422 | 2019-12-18 |
| 1114583069 | Brandon Rashaard Collins | Case Manager/Care Coordinator | 5504 Robinson Drive, Monroe, LA 71202 | 2019-05-16 |
| 1851956007 | Dorothy Marie Page | Case Manager/Care Coordinator | 811 Maplewood Dr, Monroe, LA 71202-2362 | 2019-05-03 |
| 1235792029 | Jasmine Powell | Case Manager/Care Coordinator | 2808 Evangeline St, Monroe, LA 71201-3750 | 2019-04-17 |
| 1922560150 | Isabelle Rocher | Case Manager/Care Coordinator | 3000 Evangeline St Apt 191, Monroe, LA 71201-3831 | 2019-04-05 |
| 1912463274 | Brittany Johnson | Case Manager/Care Coordinator | 141 Desiard St Apt 303, Monroe, LA 71201-7340 | 2019-02-12 |
| 1043774862 | Krystal J. Williams | Case Manager/Care Coordinator | 3000 Kilpatrick Blvd, Monroe, LA 71201-5166 | 2019-01-25 |
| Find all providers in MONROE | ||||
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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.