SHANE BLAKE DUNCAN (NPI# 1811215288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811215288 |
| Entity Type | Individual |
| Full Name | SHANE BLAKE DUNCAN |
| Credential | BS |
| Practice Address |
202 S. Main Watts OK 74965-0332 |
| Mailing Address |
Po Box 332 Watts OK 74964-0332 |
| Practice Telephone | 9184224888 |
| Mailing Telephone | 9184224888 |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1104424886 | Shane Duncan | Physical Therapist | 1807 N Parham Rd, Richmond, VA 23229-4020 | 2020-10-14 |
| Street Address |
202 S. MAIN |
| City | WATTS |
| State | OK |
| Zip Code | 74965-0332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790348522 | Pain Management of Westville | Anesthesiology | 419 S Williams Avenue, Westville, OK 74965 | 2019-04-17 |
| 1689176398 | Molly Elizabeth Murphey | Nurse Practitioner | 605 Buffington Rd, Westville, OK 74965 | 2018-03-08 |
| 1639688237 | Twila W Coates | Case Manager/Care Coordinator | 1000 Taft Street, Westville, OK 74965 | 2017-09-26 |
| 1487195376 | Pam Thurber | Technician, Other | 500 N Chincapin, Westville, OK 74965 | 2017-03-13 |
| 1134577570 | Misty Brown | Technician, Other | 500 West Chincapin, Westville, OK 74965 | 2016-05-26 |
| 1073960738 | Melanie Green | Technician, Other | 500 W Chincapin, Westville, OK 74965 | 2016-05-23 |
| 1497102149 | Dalaina Kristin Smart | Technician, Other | 500 W. Chincapin St., Westville, OK 74965 | 2016-05-23 |
| 1720349327 | Jennie Pruitt | Counselor | 747 Highway 59 Ste 4, Westville, OK 74965 | 2012-05-31 |
| 1306168844 | Amy Rusk | Counselor | 747 Hwy 59 #4, Westville, OK 74965 | 2010-02-25 |
| 1043493992 | Community Physicians Group | Family Medicine | 419 S Williams, Westville, OK 74965 | 2007-12-14 |
| Find all providers in zip 74965 | ||||
| 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 |
|---|---|---|---|---|
| 1649556283 | Patricia Rich | Case Manager/Care Coordinator | 3rd Cemetary Rd, Watts, OK 74964 | 2011-10-27 |
| 1992023311 | Samantha Cox | Case Manager/Care Coordinator | 202 S Main St., Watts, OK 74964-0332 | 2010-05-10 |
| 1760512305 | Jessica Monique Hernandez | Case Manager/Care Coordinator | 10221 Compton Ave Ste 104, Watts, CA 90002-2805 | 2007-03-06 |
| 1245591676 | Davion Mauldin | Case Manager/Care Coordinator | 10221 Compton Ave, Suite 104, Watts, CA 90002-2802 | 2012-06-01 |
| 1689950214 | Joyce Metzger | Case Manager/Care Coordinator | 3rd Cemetary Rd, Watts, OK 74964 | 2011-10-27 |
| 1841585585 | Christopher Darrel Stilwell | Case Manager/Care Coordinator | 202 South Main Street, Watts, OK 74964-0332 | 2011-06-10 |
| 1225356660 | Charles Vernon Rickey | Case Manager/Care Coordinator | 202 S. Main St., Watts, OK 74964-0332 | 2010-05-10 |
| 1164740593 | Jonathon Collin Carter | Case Manager/Care Coordinator | 202 S. Main St., Watts, OK 74964-0332 | 2010-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437134 | Anisah S Beasley | Case Manager/Care Coordinator | 24797 S Sh-66, Claremore, OK 74019 | 2020-11-06 |
| 1508467994 | Yenth Matilde Chaidez | Case Manager/Care Coordinator | 10409 Casa Linda, Oklahoma City, OK 73139-5510 | 2020-11-03 |
| 1093316655 | Shaylee Renee Freeman | Case Manager/Care Coordinator | 25285 S Hackamore Rd E, Claremore, OK 74019-2558 | 2020-11-02 |
| 1407456114 | Nicole Roberts | Case Manager/Care Coordinator | 2505 E Hartford Ave Apt 10, Ponca City, OK 74604-3009 | 2020-10-30 |
| 1598365553 | Sherman Julian Riddle | Case Manager/Care Coordinator | 100 W Main St # 4, Pawhuska, OK 74056-4149 | 2020-10-29 |
| 1760082523 | Alimot Shadia L Karim | Case Manager/Care Coordinator | 1330 N Classen Blvd Ste 314, Oklahoma City, OK 73106-6834 | 2020-10-29 |
| 1922608942 | Madison Brianne Boyd | Case Manager/Care Coordinator | 801 Park St, Chelsea, OK 74016-1426 | 2020-10-28 |
| 1376143669 | Taylor Austin Finch | Case Manager/Care Coordinator | 3500 S Peoria Ave, Tulsa, OK 74105-2529 | 2020-10-27 |
| 1336749852 | Reshanna Leshae Childs-russell | Case Manager/Care Coordinator | 10505 Windway Ave, Oklahoma City, OK 73162-8001 | 2020-10-26 |
| 1679172381 | Leah Rebecca Linton | Case Manager/Care Coordinator | 518 W Park St, Tecumseh, OK 74873-3027 | 2020-10-22 |
| 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.