JEDANNDRILA BUSHNELL (NPI# 1770091977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770091977 |
| Entity Type | Individual |
| Full Name | JEDANNDRILA BUSHNELL |
| Practice Address |
1450 Peterman Dr Alexandria LA 71301 |
| Mailing Address |
3625 Youree Dr Shreveport LA 71105-2121 |
| Practice Telephone | 3184734328 |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1450 PETERMAN DR |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659813095 | Lakeisha Jones | Social Worker | 1450 Peterman Dr, Suite A, Alexandria, LA 71301-3432 | 2016-11-16 |
| 1689214116 | Tomika Sherill Duncan | Peer Specialist | 1450 Peterman Dr, Alexandria, LA 71301-3432 | 2020-01-13 |
| 1306486964 | Emily Kate Doucet | Peer Specialist | 1450 Peterman Dr, Alexandria, LA 71301-3432 | 2020-01-13 |
| 1760022388 | Michelle Magee | Peer Specialist | 1450 Peterman Dr, Alexandria, LA 71301-3432 | 2020-01-11 |
| 1609343573 | Richard Gillespie | Case Manager/Care Coordinator | 1450 Peterman Dr, Alexandria, LA 71301 | 2018-10-30 |
| 1295214534 | Keila Coleman | Counselor | 1450 Peterman Dr, Alexandria, LA 71301 | 2018-08-08 |
| 1285142489 | Brooke Nicole Adams | Case Manager/Care Coordinator | 1450 Peterman Dr, Alexandria, LA 71301 | 2018-01-22 |
| 1669995080 | Dionne Le'trese Stewart | Counselor | 1450 Peterman Dr, Alexandria, LA 71301-3432 | 2017-07-18 |
| 1699298117 | Patricia Ann Blade | Counselor | 1450 Peterman Dr, Alexandria, LA 71301-3432 | 2017-07-18 |
| 1730618364 | Anna J Bryant | Counselor | 1450 Peterman Dr, Alexandria, LA 71301-3432 | 2017-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| 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 |
|---|---|---|---|---|
| 1447858923 | Ajona Lavallais | Case Manager/Care Coordinator | 521 Redbird Dr, Alexandria, LA 71303-3934 | 2020-10-15 |
| 1235752890 | Jamarcus Reed | Case Manager/Care Coordinator | 424 Faith Way, Alexandria, LA 71302-5046 | 2020-05-18 |
| 1083240444 | Chenika Fowler | Case Manager/Care Coordinator | 808 23rd St Apt A, Alexandria, LA 71301-5202 | 2020-03-18 |
| 1790315984 | Kiana Larae Johnson | Case Manager/Care Coordinator | 4338 Carlyle Loop, Alexandria, LA 71302-2864 | 2020-01-16 |
| 1780222521 | Natoshia Wellman | Case Manager/Care Coordinator | 1450 Peterman Dr # Dra, Alexandria, LA 71301-3432 | 2019-12-11 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1740833847 | Dominique Rue | Case Manager/Care Coordinator | 1906 Dixie St, Alexandria, LA 71303-4718 | 2019-07-18 |
| 1659931293 | Ryshee Wilson | Case Manager/Care Coordinator | 1321 Shirland Ave, Alexandria, LA 71301-7249 | 2019-06-17 |
| 1992267363 | Caitlyn Lauren Woodard | Case Manager/Care Coordinator | 109a Yorktown Dr Ste A, Alexandria, LA 71303-3621 | 2019-04-03 |
| 1194297325 | Kiondra Chambliess | Case Manager/Care Coordinator | 4335 Clubhouse Dr, Alexandria, LA 71303-3569 | 2018-12-28 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71301 |
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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.