MISS EVETTE M CLAYTON (NPI# 1881179000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881179000 |
| Entity Type | Individual |
| Full Name | MISS EVETTE M CLAYTON |
| Credential | SERVICE FACILITATOR |
| Practice Address |
3618 Huckstep Rd Brodnax VA 23920-3029 |
| Practice Telephone | 4346320937 |
| Practice Fax Number | 4346320937 |
| Mailing Telephone | 4346320937 |
| Mailing Fax Number | 4346320937 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 0257468725 | 05 |
| Street Address |
3618 HUCKSTEP RD |
| City | BRODNAX |
| State | VA |
| Zip Code | 23920-3029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104387323 | Anthony L Coleman | Non-emergency Medical Transport (VAN) | 3575 Pleasant Grove Rd, Brodnax, VA 23920 | 2019-03-29 |
| 1295202893 | Saint Stanley Clary | Driver | 2293 Brodnax Road, Brodnax, VA 23920 | 2018-11-01 |
| 1023517430 | Shelandice Rainey | Non-emergency Medical Transport (VAN) | 2 Pine Hill Ct, Brodnax, VA 23920 | 2018-02-12 |
| 1730563073 | Darla L Purefoy | Private Vehicle | 419 West Thomas St, Brodnax, VA 23920 | 2015-07-16 |
| 1821632886 | Mario Jaquan Easter | Non-emergency Medical Transport (VAN) | 5644 Boydton Plank Rd, Brodnax, VA 23920-2156 | 2019-11-03 |
| 1952827685 | Travis Boyd | Driver | 720 Brodnax Rd, Brodnax, VA 23920-2809 | 2017-08-15 |
| 1649761743 | Boyd Transportation, LLC | Non-emergency Medical Transport (VAN) | 720 Brodnax Rd, Brodnax, VA 23920-2809 | 2018-05-23 |
| 1144744780 | Georgica Rynesha Baskerville | Driver | 2683 Brodnax Rd, Brodnax, VA 23920-2821 | 2017-07-26 |
| 1881118438 | Rosa Stith | Private Vehicle | 2683 Brodnax Rd, Brodnax, VA 23920-2821 | 2017-07-26 |
| 1194249300 | Shakora Alexander | Driver | 11738 Robinson Ferry Rd, Brodnax, VA 23920-3203 | 2017-07-29 |
| Find all providers in zip 23920 | ||||
| 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 |
|---|---|---|---|---|
| 1558961102 | Melanie Welzel | Case Manager/Care Coordinator | 500 Hull St Apt 314, Richmond, VA 23224-4348 | 2020-10-31 |
| 1639776974 | Ayana Capri Esau | Case Manager/Care Coordinator | 414 Taft Dr, Portsmouth, VA 23701-4160 | 2020-10-08 |
| 1023625811 | Tianca Harris | Case Manager/Care Coordinator | 6511 Glebe Point Rd, Chesterfield, VA 23838-6167 | 2020-09-26 |
| 1730794256 | Lucy Hill Services | Case Manager/Care Coordinator | 3 Drew Ct, Palmyra, VA 22963-2700 | 2020-09-11 |
| 1477177129 | Catherine Darlene Taylor | Case Manager/Care Coordinator | 165 Belle Hollow Rd, Chilhowie, VA 24319-5575 | 2020-05-28 |
| 1821627308 | Graced LLC | Case Manager/Care Coordinator | 1101 Kruper Ave Apt A, Hopewell, VA 23860-6030 | 2020-04-06 |
| 1376179929 | Monique M Hower | Case Manager/Care Coordinator | 15611 Boydton Plank Rd, Dinwiddie, VA 23841-2543 | 2020-03-16 |
| 1184259517 | Sulma Stevens | Case Manager/Care Coordinator | 221 Farley Cir Apt 302, Winchester, VA 22601-6251 | 2020-03-05 |
| 1205469814 | Raymon Ward | Case Manager/Care Coordinator | 3813 Old Post Rd, Richmond, VA 23234-2023 | 2020-02-21 |
| 1386275758 | Jamie Vest | Case Manager/Care Coordinator | 207 14th St Nw Apt 21, Charlottesville, VA 22903-2739 | 2020-02-04 |
| 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.