LELIA WAYCASTER (NPI# 1699805473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699805473 |
| Entity Type | Individual |
| Full Name | LELIA WAYCASTER |
| Credential | OTR/L |
| Practice Address |
629 W Elk Ave Elizabethton TN 37643-2559 |
| Mailing Address |
1028 Knob Creek Rd Johnson City TN 37604-5343 |
| Practice Telephone | 4237222062 |
| Practice Fax Number | 6784946908 |
| Mailing Telephone | 4232911411 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
3826 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
629 W ELK AVE |
| City | ELIZABETHTON |
| State | TN |
| Zip Code | 37643-2559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598849648 | Justin Smith | Physical Therapist | 629 W Elk Ave, Elizabethton, TN 37643-2559 | 2006-10-25 |
| 1639208838 | Alice C. Archer | Physical Therapy Assistant | 629 W Elk Ave, Elizabethton, TN 37643-2559 | 2007-03-05 |
| 1699840892 | Physical Therapy Services, P.a. | Clinic/Center | 629 W Elk Ave, Elizabethton, TN 37643-2559 | 2006-11-22 |
| 1750451308 | Holly Suzanne Smith | Contractor | 629 W Elk Ave, Elizabethton, TN 37643-2559 | 2006-11-09 |
| 1457436891 | Danny Dale Smith | Physical Therapist | 629 W Elk Ave, Elizabethton, TN 37643-2559 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558831115 | Blue Ridge Medical Management Corporation | Internal Medicine | 404 Bemberg Rd, Elizabethton, TN 37643 | 2018-11-27 |
| 1396269072 | Solutions Medical Centers Pllc | General Practice | Solutions Medical Centers, 851 W Elk Ave, Elizabethton, TN 37643 | 2017-08-03 |
| 1437533924 | Dr. Benjamin D. Parrish and Assoc Od. PC | Optometrist | 114 S. Sycamore St, Elizabethton, TN 37643 | 2015-07-14 |
| 1972980431 | Valerie Lynn Pierce | Nurse's Aide | 101 Crowe Rd, Elizabethton, TN 37643 | 2015-05-04 |
| 1679816730 | Jeremy Meyer | Surgery | 1497 W Elk Ave Ste 10, Elizabethton, TN 37643 | 2013-03-27 |
| 1649579087 | Melinda Lynn Jennings | Pharmacist | 507 West Elk Ave, Elizbethton, TN 37643 | 2011-03-24 |
| 1588987036 | Troy Kevin Covarrubias | Driver | 219 Coal Chute Rd, Elizabethton, TN 37643 | 2010-03-11 |
| 1649502048 | Derek Charles Rhoton | Physician Assistant | 1500 West Elk Ave, Elizabethton, TN 37643 | 2010-02-10 |
| 1144456047 | Peacock Medical Equipment and Home Health Care LLC | Home Health | 1201 Highway 19 E Bypass Suite 3, Elizabethton, TN 37643 | 2009-06-05 |
| 1235386434 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 1210 Militia Ct., Elizabethton, TN 37643 | 2008-08-19 |
| Find all providers in zip 37643 | ||||
| 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 |
|---|---|---|---|---|
| 1770666455 | Brian Timothy Benjamin | Case Manager/Care Coordinator | 426 G St, Elizabethton, TN 37643 | 2006-10-24 |
| 1598194425 | Krystle Thomas | Case Manager/Care Coordinator | 426 E G St, Elizabethton, TN 37643-3224 | 2013-11-01 |
| 1962843235 | Chase Duty | Case Manager/Care Coordinator | 426 E G St, Elizabethton, TN 37643-3224 | 2013-07-15 |
| 1962752931 | Elizabeth Widner | Case Manager/Care Coordinator | 426 E G St, Elizabethton, TN 37643-3224 | 2012-09-17 |
| 1740535699 | Ashley W Hansen | Case Manager/Care Coordinator | 426 E G St, Elizabethton, TN 37643-3224 | 2012-07-17 |
| 1609149541 | Shauna Davida Dickson | Case Manager/Care Coordinator | 426 E G St, Elizabethton, TN 37643-3224 | 2012-02-22 |
| 1003103219 | Jason Paul Garst | Case Manager/Care Coordinator | 426 E G St, Elizabethton, TN 37643-3224 | 2011-07-08 |
| 1831272517 | Stephanie May Cox | Case Manager/Care Coordinator | 426 E G Street, Elizabethton, TN 37643 | 2006-10-24 |
| 1659454338 | Kimberly Ann Sams | Case Manager/Care Coordinator | 426 E G Street, Elizabethton, TN 37643 | 2006-10-24 |
| 1386727063 | Cathy Ann Nave | Case Manager/Care Coordinator | 426 E G St, Elizabethton, TN 37643 | 2006-10-24 |
| Find all providers in ELIZABETHTON | ||||
| City | ELIZABETHTON |
| Zip Code | 37643 |
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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.