LINDA DIANNE BULLOCK (NPI# 1750928172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750928172 |
| Entity Type | Individual |
| Full Name | LINDA DIANNE BULLOCK |
| Practice Address |
425 Capitol Dr Avondale LA 70094-2457 |
| Practice Telephone | 3104336410 |
| Mailing Telephone | 3104336410 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649241001 | Linda M. Bullock | Internal Medicine | 915 Montgomery Ave, 4th Floor, Penn Valley, PA 19072-1548 | 2006-02-01 |
| 1629061692 | Linda Crist Bullock | Dentist | 498 Harlow Rd, Suite # 2, Springfield, OR 97477-1336 | 2005-08-25 |
| 1619975604 | Linda Nadene Bullock | Nurse Practitioner | 208 W 2nd St, Muleshoe, TX 79347-3631 | 2005-07-13 |
| Street Address |
425 CAPITOL DR |
| City | AVONDALE |
| State | LA |
| Zip Code | 70094-2457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326549593 | Jesucare Transportation Services | Non-emergency Medical Transport (VAN) | 1409 West Dr #b, Westwego, LA 70094 | 2018-02-23 |
| 1861921157 | Jelessa Penn | Specialist/Technologist | 43 Lucille St., Waggaman, LA 70094 | 2017-06-08 |
| 1538691035 | Raqual Badeaux | Case Manager/Care Coordinator | 705 Chipley St, Westwego, LA 70094 | 2017-04-03 |
| 1316486905 | Hong Tran | Pharmacist | 173 June Dr., Avondale, LA 70094 | 2017-02-16 |
| 1114466703 | Dwayne M Hawkins | Counselor | 321 Georgetown Dr., Avondale, LA 70094 | 2017-02-16 |
| 1568912251 | Keyanna Adams | Case Manager/Care Coordinator | 41 Clifford Ct, Westwego, LA 70094 | 2016-10-06 |
| 1669838074 | Joann Blair | Counselor | 251 Laroussini St, Westwego, LA 70094 | 2016-01-14 |
| 1538524699 | Chevella Austin | Counselor | 269 Glendella Dr, Avondale, LA 70094 | 2015-12-16 |
| 1164895025 | Tiffeny Haynes | Case Manager/Care Coordinator | 104 Dillard Dr, Westwego, LA 70094 | 2015-11-01 |
| 1952710766 | Thien Nguyen | Dentist | 125 Poplar St., Westwego, LA 70094 | 2014-08-06 |
| Find all providers in zip 70094 | ||||
| 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 |
|---|---|---|---|---|
| 1588214944 | Verna York | Case Manager/Care Coordinator | 139 Southern Ct, Avondale, LA 70094-2543 | 2019-09-18 |
| 1568751691 | Symetha Tyese Love | Case Manager/Care Coordinator | 164 Bishop Dr, Avondale, LA 70094 | 2011-03-29 |
| 1154795631 | Shandell Simmons | Case Manager/Care Coordinator | 240 Church St, Avondale, LA 70094-2514 | 2015-11-20 |
| 1477801173 | Cjk Health Center LLC | Case Manager/Care Coordinator | 12409 W Indian School Rd Ste B210, Avondale, AZ 85392-9505 | 2012-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124762 | Mary Flemon | Case Manager/Care Coordinator | 733 Keyser Ave Ste 120, Natchitoches, LA 71457-0039 | 2020-11-02 |
| 1992305023 | Deonna Hawkins Jackson | Case Manager/Care Coordinator | 17616 Heritage Estates Dr, Baton Rouge, LA 70810-6579 | 2020-10-28 |
| 1306445713 | Beverly Jean Holmes | Case Manager/Care Coordinator | 9331 Foster Rd Apt C, Baton Rouge, LA 70811-2736 | 2020-10-19 |
| 1922606326 | Christie Hitchens | Case Manager/Care Coordinator | 1041 Chariot Dr, Baton Rouge, LA 70816-1842 | 2020-10-16 |
| 1134727514 | Shatiya Reshun Williams | Case Manager/Care Coordinator | 6121 Dauphine St, New Orleans, LA 70117-2109 | 2020-10-16 |
| 1750989190 | Bridgette Lynette Azoanee | Case Manager/Care Coordinator | 4119 Lake Sherwood Ave E, Baton Rouge, LA 70816-7322 | 2020-10-16 |
| 1447858923 | Ajona Lavallais | Case Manager/Care Coordinator | 521 Redbird Dr, Alexandria, LA 71303-3934 | 2020-10-15 |
| 1629676465 | Jessica Dennis | Case Manager/Care Coordinator | 2950 Chippewa St, Baton Rouge, LA 70805-8126 | 2020-10-14 |
| 1720686769 | Wyona Jordan | Case Manager/Care Coordinator | 6980 Saint Francis Ave, Baton Rouge, LA 70811-1419 | 2020-10-13 |
| 1043817331 | Wanda Frazier | Case Manager/Care Coordinator | 203 Robert Lee Cir, Lafayette, LA 70506-3130 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
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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.