JUDI ANN SMITH (NPI# 1770872681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770872681 |
| Entity Type | Individual |
| Full Name | JUDI ANN SMITH |
| Credential | RN |
| Practice Address |
104 Savanna Pl Shawnee OK 74804-8922 |
| Practice Telephone | 9184249220 |
| Mailing Telephone | 9184249220 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R0043801 | OK | Nursing Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
104 SAVANNA PL |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-8922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| 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 |
|---|---|---|---|---|
| 1134753833 | Karley Rian English | Case Manager/Care Coordinator | 1204 N Market Ave, Shawnee, OK 74801-4924 | 2020-03-03 |
| 1194369090 | Jamie Hileman | Case Manager/Care Coordinator | 1829 N Louisa Ave, Shawnee, OK 74804-3627 | 2019-11-04 |
| 1225527278 | Lisa I Zientek | Case Manager/Care Coordinator | 108 Rene Pl, Shawnee, OK 74804-8980 | 2018-05-04 |
| 1083131437 | Calla Cashai Carolina | Case Manager/Care Coordinator | 712 W Wood St, Shawnee, OK 74801-4705 | 2017-08-26 |
| 1033650080 | Micaela R Yu | Case Manager/Care Coordinator | 2521 Bradford Ct, Shawnee, OK 74804-1837 | 2017-03-09 |
| 1225489818 | Billy Wayne Copeland | Case Manager/Care Coordinator | 2208 N Minnesota Ave, Shawnee, OK 74804-3029 | 2016-06-25 |
| 1508223314 | Jennifer Creecy | Case Manager/Care Coordinator | 1510 N Minnesota Ave, Shawnee, OK 74804-3841 | 2016-01-25 |
| 1144608563 | Troy Thomas Becker | Case Manager/Care Coordinator | 1900 Brownstone Way, Shawnee, OK 74804-1843 | 2015-05-18 |
| 1639568355 | Jeana Tiger | Case Manager/Care Coordinator | 33207 45th St, Shawnee, OK 74804-3423 | 2015-01-19 |
| 1952722704 | Janet Durbin | Case Manager/Care Coordinator | 1204 Monroe Dr, Shawnee, OK 74804-4139 | 2013-12-20 |
| Find all providers in SHAWNEE | ||||
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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.