MRS. SHELLYANN ASHALEE CAMPBELL-LEDGISTER (NPI# 1770867046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770867046 |
| Entity Type | Individual |
| Full Name | MRS. SHELLYANN ASHALEE CAMPBELL-LEDGISTER |
| Credential | M.A. |
| Practice Address |
500 Linda Ave Hawthorne NY 10532-1313 |
| Mailing Address |
4036 Harper Ave Bronx NY 10466-2404 |
| Practice Telephone | 9147736787 |
| Practice Fax Number | 9147737535 |
| Mailing Telephone | 6469381466 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |
| 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 |
| Street Address |
500 LINDA AVE |
| City | HAWTHORNE |
| State | NY |
| Zip Code | 10532-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912108929 | Denise Michele Broadnax | Nurse Practitioner | 500 Linda Ave, Hawthorne, NY 10532-1313 | 2007-05-29 |
| 1609427988 | Moniefa Meiklejohn | Social Worker | 500 Linda Ave, Hawthorne, NY 10532-1313 | 2019-09-27 |
| 1669022042 | Dominique Charnel Avary | Social Worker | 500 Linda Ave, Hawthorne, NY 10532-1313 | 2019-09-17 |
| 1104470442 | Anabel Giladi | Art Therapist | 500 Linda Ave, Hawthorne, NY 10532-1313 | 2019-07-25 |
| 1992289458 | Daniel Pinter | Student in an Organized Health Care Education/Training Program | 500 Linda Ave, Hawthorne, NY 10532-1313 | 2018-09-20 |
| 1861982712 | Chonna Jihanna Finch | Registered Nurse | 500 Linda Ave, Hawthorne, NY 10532-1313 | 2018-05-16 |
| 1568950145 | Ashby Gaines | Social Worker | 500 Linda Ave, Hawthorne, NY 10532-1313 | 2018-04-29 |
| 1700395910 | Erika Biesemeier | Art Therapist | 500 Linda Ave, Hawthorne, NY 10532 | 2017-09-20 |
| 1306387998 | Diego Bauza | Registered Nurse | 500 Linda Ave, Goldsmith, Hawthorne, NY 10532-1313 | 2017-03-15 |
| 1205376662 | Bettina Vieten | Registered Nurse | 500 Linda Ave, Hawthorne, NY 10532-1313 | 2017-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447792924 | Avril Dunbar | Registered Nurse | 228-500 Linda Ave, Hawthorne, NY 10532 | 2016-11-15 |
| 1134572704 | Ronald Tomlinson Jr. | Licensed Practical Nurse | 228- 500 Linda Avenue, Hawthorne, NY 10532 | 2016-07-19 |
| 1831566843 | Noble A Thomas | Chiropractor | 153 Broadway Ste 1, Hawthorne, NY 10532 | 2015-08-25 |
| 1790169068 | Sheila Astorino | Case Manager/Care Coordinator | 281 Pythian Avenue, Hawthorne, NY 10532 | 2015-07-16 |
| 1962801381 | Edison Pena | Student in an Organized Health Care Education/Training Program | 2226 Linda Avenue, Hawthorne, NY 10532 | 2014-08-21 |
| 1093029720 | Kathleen B Shaps | Registered Nurse | 226 Linda Avenue, Hawthorne, NY 10532 | 2010-08-05 |
| 1457580839 | Tracey Leah Shannon | Nurse Practitioner | 19 Bradhurst Ave Ste 3850s, Hawthorne, NY 10532 | 2009-07-07 |
| 1033364930 | Aldo Joseph Porco Md | Psychiatry & Neurology | 500 Linda Ave., Hawthorne, NY 10532 | 2008-11-20 |
| 1164675443 | Joanne Mary Bortone | Occupational Therapist | 1 Skyline Drive Suite 298, Kidabilities, Hawthorne, NY 10532 | 2008-10-30 |
| 1306094420 | Jeffrey Scott Anderson | Counselor | 226 Linda Ave., Hawthorne, NY 10532 | 2008-09-03 |
| Find all providers in zip 10532 | ||||
| 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 |
|---|---|---|---|---|
| 1588134001 | Tulisa White | Case Manager/Care Coordinator | 14501 Cerise Ave Apt 12, Hawthorne, CA 90250-8596 | 2018-11-27 |
| 1992283907 | Sunday Renee Mayes | Case Manager/Care Coordinator | 2501 W El Segundo Blvd Ste B, Hawthorne, CA 90250-3317 | 2018-08-01 |
| 1053850321 | Deshellia Jones | Case Manager/Care Coordinator | 14100 Chadron Ave Apt 242, Hawthorne, CA 90250-8270 | 2017-02-19 |
| 1790169068 | Sheila Astorino | Case Manager/Care Coordinator | 281 Pythian Avenue, Hawthorne, NY 10532 | 2015-07-16 |
| 1104223734 | Patricia D. Smith | Case Manager/Care Coordinator | 11436 Hawthorne Blvd., #288, Hawthorne, CA 90250 | 2014-11-25 |
| 1194361568 | Brian Spindler | Case Manager/Care Coordinator | 40 Saw Mill River Rd, Hawthorne, NY 10532-1535 | 2019-11-20 |
| 1861034670 | Athena Helen Mambatha | Case Manager/Care Coordinator | 265 Saw Mill River Rd, Hawthorne, NY 10532-1509 | 2019-10-14 |
| 1326699091 | Raquel Morales | Case Manager/Care Coordinator | 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 | 2019-09-24 |
| 1114423753 | Julia Lechocinski | Case Manager/Care Coordinator | 265 Saw Mill River Rd, Hawthorne, NY 10532-1509 | 2018-04-03 |
| 1720511850 | Annetta Lenise Sparks | Case Manager/Care Coordinator | 11616 Hawthorne Blvd, Hawthorne, CA 90250-2366 | 2017-04-05 |
| Find all providers in HAWTHORNE | ||||
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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.