SUMMER TEAHNA DAVENPORT (NPI# 1770092603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770092603 |
| Entity Type | Individual |
| Full Name | SUMMER TEAHNA DAVENPORT |
| Practice Address |
1501 Lera Weatherford OK 73096-2669 |
| Mailing Address |
1212 Birch Weatherford OK 73096-1020 |
| Practice Telephone | 5807749105 |
| Mailing Telephone | 5806508097 |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2017-09-22 |
| 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 |
|---|---|---|---|---|
| 1396397493 | Summer June Davenport | Social Worker | 8500 N Mopac Expy Ste 701, Austin, TX 78759-8347 | 2019-07-10 |
| Street Address |
1501 LERA |
| City | WEATHERFORD |
| State | OK |
| Zip Code | 73096-2669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659807121 | Crista Butts | Case Manager/Care Coordinator | 1501 Lera, Weatherford, OK 73096-2669 | 2017-05-03 |
| 1821570581 | Jade Lanier | Case Manager/Care Coordinator | 1501 Lera, Weatherford, OK 73096-2669 | 2018-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316433170 | Weatherford Hospital Authority | Clinic/Center | 1315 N Washington, Weatherford, OK 73096 | 2018-07-05 |
| 1174030530 | Lacey Bailey | Case Manager/Care Coordinator | 101 E University Dr Apt B2, Weatherford, OK 73096 | 2018-01-08 |
| 1972962066 | Shayli Hill | Physical Therapist | 3730 Legacy Dr, Weatherford, OK 73096 | 2016-02-17 |
| 1396144622 | Xpress Wellness LLC | Family Medicine | 1303 N Washington, Weatherford, OK 73096 | 2014-08-22 |
| 1881942654 | Weatherford Dental Care Pllc | Dentist | 1325 N. Washington Street, Weatherford, OK 73096 | 2012-08-27 |
| 1326352204 | Weatherford Hospital Authority | General Acute Care Hospital | 3727 Legacy, Weatherford, OK 73096 | 2010-08-03 |
| 1316148505 | Janet Vega | Case Manager/Care Coordinator | 1413 Kase St Apt. 1, Weatherford, OK 73096 | 2007-05-29 |
| 1326259797 | Amy Michelle Estes IIi | Case Manager/Care Coordinator | 90 North 31st., Clinton, OK 73096 | 2007-05-25 |
| 1427260256 | Paul C. Tisdal, O.d., P.C. | Optometrist | 1545 N. Washington Ave, Weatherford, OK 73096 | 2007-05-04 |
| 1386786663 | William W Uraneck | Dentist | 617 E Tom Stafford, Weatherford, OK 73096 | 2007-02-13 |
| Find all providers in zip 73096 | ||||
| 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 |
|---|---|---|---|---|
| 1881244481 | Krystal Renea Gayer | Case Manager/Care Coordinator | 712 Highland Dr, Weatherford, OK 73096-6103 | 2019-09-16 |
| 1902381163 | Olga Beatriz Glapion | Case Manager/Care Coordinator | 600 W Arlington Ave Trlr 8, Weatherford, OK 73096-2873 | 2018-10-03 |
| 1568955318 | Cassandra Paige Moran | Case Manager/Care Coordinator | 1222 N Indiana St, Weatherford, OK 73096-2223 | 2018-06-07 |
| 1174030530 | Lacey Bailey | Case Manager/Care Coordinator | 101 E University Dr Apt B2, Weatherford, OK 73096 | 2018-01-08 |
| 1659807121 | Crista Butts | Case Manager/Care Coordinator | 1501 Lera, Weatherford, OK 73096-2669 | 2017-05-03 |
| 1710338157 | Colin Stallcup | Case Manager/Care Coordinator | 138 Ridgeline Dr, Weatherford, OK 73096-9223 | 2016-06-27 |
| 1316148505 | Janet Vega | Case Manager/Care Coordinator | 1413 Kase St Apt. 1, Weatherford, OK 73096 | 2007-05-29 |
| 1427656255 | Laramie Cheyenne Wright | Case Manager/Care Coordinator | 2250 N Airport Rd, Weatherford, OK 73096-3351 | 2020-10-14 |
| 1356955892 | Mikayla Cheyenne Catlett | Case Manager/Care Coordinator | 2250 N Airport Rd, Weatherford, OK 73096-3351 | 2020-09-02 |
| 1770193732 | Matthew Dwight Wilson | Case Manager/Care Coordinator | 2250 N Airport Rd, Weatherford, OK 73096-3351 | 2020-08-05 |
| Find all providers in WEATHERFORD | ||||
| City | WEATHERFORD |
| Zip Code | 73096 |
Please comment or provide details below to improve the information on SUMMER TEAHNA DAVENPORT.
| 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.