HOLLY BEACHUM (NPI# 1720501786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720501786 |
| Entity Type | Individual |
| Full Name | HOLLY BEACHUM |
| Practice Address |
8953 Conservancy Dr Ne Ada MI 49301-8872 |
| Practice Telephone | 6165667686 |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2017-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761701 | Holly Beachum | Registered Nurse | 4437 Main St, Shallotte, NC 28470-4451 | 2020-02-12 |
| Street Address |
8953 CONSERVANCY DR NE |
| City | ADA |
| State | MI |
| Zip Code | 49301-8872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326608720 | Mary Zuidema Lmsw LLC | Social Worker | 938 Spaulding Ave Se, Ada, MI 49301 | 2019-06-18 |
| 1689115040 | Bright Life Therapies LLC | Physical Therapist | 7690 Candlewood Dr, Ada, MI 49301 | 2017-03-17 |
| 1639425747 | Gary W Watson | Social Worker | 975 Spaulding Ave Ste D., Ada, MI 49301 | 2012-07-25 |
| 1821361353 | Paul George Theodore | Obstetrics & Gynecology | 660 South Whitman Ct. Se (retired), Ada, MI 49301 | 2012-02-14 |
| 1265768097 | Mary Kathryn Bennett | Social Worker | 983 Spaulding Ave. S.e., Ada, MI 49301 | 2009-10-29 |
| 1770739997 | Sheila R. Mccormack | Psychologist | 983 Spaulding St., Se, Ada, MI 49301 | 2008-08-08 |
| 1932321593 | Allison Leigh Stevens | Psychologist | 4670 E Fulton Ave Se, Suite 101, Ada, MI 49301 | 2007-05-03 |
| 1750434239 | Sarah J Ash | Registered Nurse | 983 Spaulding Office Annex, Ada, MI 49301 | 2007-01-19 |
| 1396756326 | Christine Marie Olree | Clinical Nurse Specialist | 200 Jefferson, Saint Marys Healthcare, Grand Rapids, MI 49301 | 2006-08-11 |
| 1174548606 | Kurt E Schabes | Dentist | 7210 Headley Se, Ada, MI 49301 | 2006-07-13 |
| Find all providers in zip 49301 | ||||
| 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 |
|---|---|---|---|---|
| 1659982064 | Rebecca Bruner | Case Manager/Care Coordinator | 15629 County Road 1510, Ada, OK 74820-4908 | 2020-08-11 |
| 1033733449 | Nneka Me'shell Uche | Case Manager/Care Coordinator | 1009 1st Pl, Ada, OK 74820-2027 | 2020-06-01 |
| 1255955894 | Raelyn Bennett | Case Manager/Care Coordinator | 314 S Broadway Ave Ste 116, Ada, OK 74820-5818 | 2020-05-29 |
| 1215559927 | Jennifer Gregory | Case Manager/Care Coordinator | 941 N Susan Ave, Ada, OK 74820-2623 | 2020-05-15 |
| 1972157485 | Kree Challa Lester | Case Manager/Care Coordinator | 13782 County Road 1556, Ada, OK 74820-3730 | 2019-08-01 |
| 1144883430 | Chekota Leeann Blakemore | Case Manager/Care Coordinator | 701 S Rennie St, Ada, OK 74820-7851 | 2019-04-22 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1275036766 | Joy Burris | Case Manager/Care Coordinator | Healthy Lifestyles, 3115 E. Arlington Blvd., Ada, OK 74820 | 2018-03-12 |
| 1841790995 | Charles Edward Moore II | Case Manager/Care Coordinator | 2024 Te Ata Drive, Ada, OK 74820 | 2018-02-15 |
| Find all providers in ADA | ||||
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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.