SHANE BLAKE DUNCAN


Address: 202 S. Main, Watts, OK 74965-0332
Phone: 9184224888

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers SHANE DUNCAN

NPI Name Taxonomy Address Enumeration
1104424886 Shane Duncan Physical Therapist 1807 N Parham Rd, Richmond, VA 23229-4020 2020-10-14

Office Location

Street Address 202 S. MAIN
City WATTS
State OK
Zip Code 74965-0332

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City WATTS
Zip Code 74965

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Dataset Information

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.

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