JA'DETRICK STEWART (NPI# 1851763536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851763536 |
| Entity Type | Individual |
| Full Name | JA'DETRICK STEWART |
| Practice Address |
3018 Old Minden Rd Ste 1117 Bossier City LA 71112-2497 |
| Practice Telephone | 3187461935 |
| Mailing Telephone | 3187461935 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2019-05-29 |
| 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 |
| Street Address |
3018 OLD MINDEN RD STE 1117 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71112-2497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790751642 | Connie Hale | Psychiatry & Neurology | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2006-02-28 |
| 1649877184 | Valarie Smith | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-10-07 |
| 1811594336 | Jesse Dalton | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-10-07 |
| 1851905244 | Susan Mclean | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-09-02 |
| 1952910523 | Jeffery Chatman | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-07-29 |
| 1942819537 | Alexia Gistard | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-07-29 |
| 1043829633 | Mary Manuel | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-07-29 |
| 1487278271 | Rachel Alvarez | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-06-08 |
| 1184248247 | Karasha Harris | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-06-04 |
| 1104440262 | Reginald Smith | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154810349 | Brittany Ariel Boone | Case Manager/Care Coordinator | 2323 Old Minden Rd Ste 500, Bossier City, LA 71112 | 2018-05-03 |
| 1396254520 | Abartllc | Non-emergency Medical Transport (VAN) | 400 John Wesley Blvd Apt 195, Bossier City, LA 71112 | 2017-09-19 |
| 1124547708 | Kendra Webster | Counselor | 3018 Old Minden Rd. Ste 1200, Bossier City, LA 71112 | 2017-09-14 |
| 1851818009 | Latonya Renee' Williams | Case Manager/Care Coordinator | 5383 Bluebell Dr, Bossier City, LA 71112 | 2017-08-28 |
| 1578084299 | Christian Sledge | Counselor | 1011 Princeton Ave, Bossier City, LA 71112 | 2017-07-03 |
| 1861925240 | Kyanna Williams Cosby | Counselor | 4009 Parkway Dr, Bossier City, LA 71112 | 2017-04-04 |
| 1962858191 | Jemeel Latrice Webb | Case Manager/Care Coordinator | 1787 Southview Drive, Bossier City, LA 71112 | 2016-05-06 |
| 1174986244 | Jaquitua Russell | Case Manager/Care Coordinator | 5005 Longstreet Pl Unit 1, Bossier City, LA 71112 | 2016-04-05 |
| 1528423175 | Deanna Lorraine Edwards | Contractor | 4007 Parkway Dr, Bossier City, LA 71112 | 2015-12-28 |
| 1700258605 | Derrick Thomas | Counselor | 2601 Hoyer St, Bossier City, LA 71112 | 2015-10-30 |
| Find all providers in zip 71112 | ||||
| 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 |
|---|---|---|---|---|
| 1851998652 | Jennifer Leigh Grigsby | Case Manager/Care Coordinator | 2826 Misty Ln Apt 130, Bossier City, LA 71111-3253 | 2020-10-05 |
| 1124637517 | Dawn Marie Vaughan | Case Manager/Care Coordinator | 1231 Olwen Dr, Bossier City, LA 71111-2734 | 2020-07-30 |
| 1912545492 | Kenya Nelson | Case Manager/Care Coordinator | 2564 Downs Cir, Bossier City, LA 71111-5117 | 2019-12-16 |
| 1568000354 | Khayla Quave Pugh | Case Manager/Care Coordinator | 5512 Kristen Ave, Bossier City, LA 71112-4821 | 2019-12-12 |
| 1821632837 | Sherry Alfreda Carter | Case Manager/Care Coordinator | 422 Half Moon Ln, Bossier City, LA 71111-5570 | 2019-11-01 |
| 1881242287 | Jasmine Norris | Case Manager/Care Coordinator | 5005 Longstreet Pl Unit 31, Bossier City, LA 71112-4718 | 2019-08-28 |
| 1922661321 | Bonnie Prescott | Case Manager/Care Coordinator | 4629 Voss Dr, Bossier City, LA 71111-2744 | 2019-04-21 |
| 1043774441 | Ursula Luckett | Case Manager/Care Coordinator | 6014 Whitney Dr, Bossier City, LA 71111-5757 | 2019-01-30 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1538636618 | Deloris Stinson Surles | Case Manager/Care Coordinator | 2303 Stockwell Rd, Bossier City, LA 71111-5706 | 2018-10-26 |
| Find all providers in BOSSIER CITY | ||||
| City | BOSSIER CITY |
| Zip Code | 71112 |
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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.