MR. DERRYL IVAN DUNN SR. (NPI# 1871092619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871092619 |
| Entity Type | Individual |
| Full Name | MR. DERRYL IVAN DUNN SR. |
| Practice Address |
1 Ormond Blvd Ste B La Place LA 70068-3760 |
| Practice Telephone | 9852242998 |
| Practice Fax Number | 9852242995 |
| Mailing Telephone | 9852242998 |
| Mailing Fax Number | 5042242995 |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1 ORMOND BLVD STE B |
| City | LA PLACE |
| State | LA |
| Zip Code | 70068-3760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598159667 | Sedarius Gray | Case Manager/Care Coordinator | 1 Ormond Blvd Ste B, La Place, LA 70068 | 2015-03-26 |
| 1457828931 | Jasmine Young | Community Health Worker | 1 Ormond Blvd Ste B, La Place, LA 70068-3760 | 2018-11-01 |
| 1245722487 | Milton Leonard Crosby Jr. | Counselor | 1 Ormond Blvd Ste B, La Place, LA 70068 | 2018-06-04 |
| 1104334259 | Kimberly Dickerson | Case Manager/Care Coordinator | 1 Ormond Blvd Ste B, La Place, LA 70068 | 2018-01-10 |
| 1538688791 | Melanie Nicole James | Case Manager/Care Coordinator | 1 Ormond Blvd Ste B, La Place, LA 70068 | 2017-09-19 |
| 1245756915 | Sarah Elizabeth Oatis | Counselor | 1 Ormond Blvd Ste B, La Place, LA 70068 | 2017-08-15 |
| 1851839187 | Koyakesa Williams | Case Manager/Care Coordinator | 1 Ormond Blvd Ste B, La Place, LA 70068 | 2017-02-07 |
| 1326581646 | Lori Ann Butler | Case Manager/Care Coordinator | 1 Ormond Blvd Ste B, La Place, LA 70068 | 2016-11-18 |
| 1548717002 | Merlin Alexis | Counselor | 1 Ormond Blvd Ste B, La Place, LA 70068 | 2016-09-01 |
| 1982157095 | Bridgette Magee | Case Manager/Care Coordinator | 1 Ormond Blvd Ste B, La Place, LA 70068 | 2016-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831743962 | Herzel Enterprises, LLC | Speech-Language Pathologist | 2136 Colonial Dr., Laplace, LA 70068 | 2019-07-26 |
| 1225695752 | Roger Guerin | Nurse Practitioner | River Place Behavioral Hospital, 500 Rue De Sante Rd., Laplace, LA 70068 | 2019-05-21 |
| 1578079661 | William Paul Gomla | Pharmacist | 932 Carrollwood Ave., Laplace, LA 70068 | 2017-12-27 |
| 1770001497 | Danesha Anthony | Case Manager/Care Coordinator | 1820 English Colony Dr, La Place, LA 70068 | 2017-09-01 |
| 1679091649 | Shade Shamarion Collins | Counselor | 51 Country Club Drove, Laplace, LA 70068 | 2017-08-30 |
| 1306375746 | Aniya Kesean Burl | Counselor | 2425 Williamsburg Dr, Laplace, LA 70068 | 2017-06-08 |
| 1073042412 | Dominique L Mcgehee | Counselor | 2168 Carmel Valley Drive, Laplace, LA 70068 | 2017-06-08 |
| 1700310901 | Malchiel Smith | Social Worker | 3205 Us-51, Laplace, LA 70068 | 2017-04-13 |
| 1265965966 | Shitara Sanders | Counselor | 3205 Highway 51, Suite C, Laplace, LA 70068 | 2017-04-10 |
| 1841730181 | Southern Care Connection, LLC | Home Health | 1101 W Airline Hwy, Suite J, Laplace, LA 70068 | 2017-03-06 |
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| 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 |
|---|---|---|---|---|
| 1174148670 | Destiny Nash | Case Manager/Care Coordinator | 3205 New Highway 51, La Place, LA 70068-6513 | 2020-06-10 |
| 1730711359 | Jessica Danielle Porter | Case Manager/Care Coordinator | 421 W Airline Hwy Ste F, La Place, LA 70068-3820 | 2020-02-11 |
| 1346870839 | Ici Tytiana Parks | Case Manager/Care Coordinator | 113 Pennbrooke Dr, La Place, LA 70068-1733 | 2020-01-23 |
| 1609426238 | Sharlene Tracy Wyre | Case Manager/Care Coordinator | 308 Oak Point Dr, La Place, LA 70068-7124 | 2019-09-16 |
| 1124686795 | Monae Dajonek Johnson | Case Manager/Care Coordinator | 816 Windsor St, La Place, LA 70068-5259 | 2019-05-30 |
| 1669938908 | Vanessa Marketter Dunn | Case Manager/Care Coordinator | 2104 Carmel Valley Dr, La Place, LA 70068-1814 | 2019-02-12 |
| 1023582632 | Kandis Caston | Case Manager/Care Coordinator | 382 Fairway Dr Apt 26, La Place, LA 70068-1921 | 2019-01-16 |
| 1881164259 | Penny Jones Hall | Case Manager/Care Coordinator | 2200 Van Arpel Dr, La Place, LA 70068-6341 | 2018-11-28 |
| 1902374473 | Kenneth Deruise | Case Manager/Care Coordinator | 2248 Country Club Dr, La Place, LA 70068-1818 | 2018-11-02 |
| 1699254102 | Leah Teresa Williams | Case Manager/Care Coordinator | 406 Coles Ldg, La Place, LA 70068-2955 | 2018-08-07 |
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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.