MS. RENEE MALONE WHITESIDE (NPI# 1871105767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871105767 |
| Entity Type | Individual |
| Full Name | MS. RENEE MALONE WHITESIDE |
| Practice Address |
3737 Lander Rd Pepper Pike OH 44124-5712 |
| Practice Telephone | 2168498976 |
| Mailing Telephone | 2168498976 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
3737 LANDER RD |
| City | PEPPER PIKE |
| State | OH |
| Zip Code | 44124-5712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023129350 | Tracey Roman Mckiernan | Social Worker | 3737 Lander Rd, Pepper Pike, OH 44124-5712 | 2006-08-31 |
| 1265031983 | Katlyn Suzanne White | Social Worker | 3737 Lander Rd, Pepper Pike, OH 44124-5712 | 2020-10-23 |
| 1194324988 | Nina Elise Visconti | Case Manager/Care Coordinator | 3737 Lander Rd, Pepper Pike, OH 44124-5712 | 2020-10-22 |
| 1588261648 | Taylor Min Wan Yong | Social Worker | 3737 Lander Rd, Pepper Pike, OH 44124-5712 | 2020-10-02 |
| 1265049621 | Samantha Madej | Social Worker | 3737 Lander Rd, Pepper Pike, OH 44124-5712 | 2020-09-29 |
| 1194332999 | Brittany Spicer | Case Manager/Care Coordinator | 3737 Lander Rd, Pepper Pike, OH 44124-5712 | 2020-09-25 |
| 1386250405 | Brooke Catlin | Social Worker | 3737 Lander Rd, Pepper Pike, OH 44124-5712 | 2020-09-23 |
| 1578170601 | Hannah Grace Carbrey | Case Manager/Care Coordinator | 3737 Lander Rd, Pepper Pike, OH 44124-5712 | 2020-09-23 |
| 1891300182 | Lana Marie Khaddam | Counselor | 3737 Lander Rd, Pepper Pike, OH 44124-5712 | 2020-09-13 |
| 1588279061 | Paris R Brasill | Social Worker | 3737 Lander Rd, Pepper Pike, OH 44124-5712 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470509 | Marian Rae Barton | Physician Assistant | 6092 Mayfield Rd, Mayfield Heights, OH 44124 | 2019-07-25 |
| 1831669860 | Tameka D. Weaver | Home Health Aide | 1408 Golden Gate Blvd, Mayfield Hts, OH 44124 | 2018-12-03 |
| 1508371238 | Jamila Shafawn Hardy | Counselor | 1320 Washington Blvd, Cleveland, OH 44124 | 2017-12-04 |
| 1134664899 | Sergio Watson | Licensed Practical Nurse | 1131 Irene Rd, Lyndhurst, OH 44124 | 2017-01-04 |
| 1164894424 | Carrie Lynn Rodick | Registered Nurse | 1212 Blanchester, Lyndhurst, OH 44124 | 2015-10-27 |
| 1205205804 | Mary Rose Moore | Nurse Practitioner | 1443 Richmond Road, Lyndhurst, OH 44124 | 2015-09-24 |
| 1154717551 | Hongfei Di | Family Medicine | 5187 Mayfield Rd Ste 102, Lyndhurst, OH 44124 | 2015-04-13 |
| 1558753376 | Taj Amjad Khan | Pediatrics | 32810 Creekside Drive, Pepper Pike, OH 44124 | 2015-03-03 |
| 1902297195 | Marcellus Gliha | Hearing Instrument Specialist | 1438 S.o.m. Center Rd, #101, Mayfield Heights, OH 44124 | 2015-02-10 |
| 1194122051 | Doug Blecher | Counselor | 5512 Kilbourne Dr, Cleveland, OH 44124 | 2014-11-20 |
| Find all providers in zip 44124 | ||||
| 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 |
|---|---|---|---|---|
| 1194324988 | Nina Elise Visconti | Case Manager/Care Coordinator | 3737 Lander Rd, Pepper Pike, OH 44124-5712 | 2020-10-22 |
| 1194332999 | Brittany Spicer | Case Manager/Care Coordinator | 3737 Lander Rd, Pepper Pike, OH 44124-5712 | 2020-09-25 |
| 1578170601 | Hannah Grace Carbrey | Case Manager/Care Coordinator | 3737 Lander Rd, Pepper Pike, OH 44124-5712 | 2020-09-23 |
| 1639784143 | Christine M. Spencer | Case Manager/Care Coordinator | 3737 Lander Rd, Pepper Pike, OH 44124-5712 | 2020-09-11 |
| 1215542998 | Abria Sherelle Robinson | Case Manager/Care Coordinator | 3737 Lander Rd, Pepper Pike, OH 44124-5712 | 2020-09-10 |
| 1750999256 | Jamika Yvonne King | Case Manager/Care Coordinator | 3737 Lander Rd, Pepper Pike, OH 44124-5712 | 2020-07-21 |
| 1871129254 | Ayriann Benifield | Case Manager/Care Coordinator | 3737 Lander Rd, Pepper Pike, OH 44124-5712 | 2020-03-18 |
| 1881228070 | Taylor Lawna Williams | Case Manager/Care Coordinator | 3737 Lander Rd, Pepper Pike, OH 44124-5712 | 2020-02-26 |
| 1730739541 | Lauren Michelle Richuisa | Case Manager/Care Coordinator | 3737 Lander Rd, Pepper Pike, OH 44124-5712 | 2019-09-13 |
| 1790334969 | Joanne Mercer | Case Manager/Care Coordinator | 29125 Chagrin Blvd, Pepper Pike, OH 44122-4412 | 2019-09-10 |
| Find all providers in PEPPER PIKE | ||||
| City | PEPPER PIKE |
| Zip Code | 44124 |
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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.