KEYUNDRA GRANT (NPI# 1902369804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902369804 |
| Entity Type | Individual |
| Full Name | KEYUNDRA GRANT |
| Practice Address |
601 Homer Rd Minden LA 71055-2909 |
| Mailing Address |
103 4th St Jonesboro LA 71251-3346 |
| Practice Telephone | 3183716707 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-06-17 |
| 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 |
601 HOMER RD |
| City | MINDEN |
| State | LA |
| Zip Code | 71055-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922344621 | Changing Behavior Services of Minden LLC | Counselor | 601 Homer Rd, Minden, LA 71055-2909 | 2012-12-27 |
| 1972158483 | Deanza M. Andrews | Case Manager/Care Coordinator | 601 Homer Rd, Minden, LA 71055-2909 | 2019-08-02 |
| 1699239103 | Darcelle Deruise | Case Manager/Care Coordinator | 601 Homer Rd, Minden, LA 71055-2909 | 2019-01-29 |
| 1528522034 | Barbara Doyle | Case Manager/Care Coordinator | 601 Homer Rd, Minden, LA 71055-2909 | 2019-01-29 |
| 1689148959 | Domonique Patterson | Case Manager/Care Coordinator | 601 Homer Rd, Minden, LA 71055-2909 | 2019-01-18 |
| 1386116481 | Adriana Dechelle Cooper | Case Manager/Care Coordinator | 601 Homer Rd, Minden, LA 71055-2909 | 2018-12-30 |
| 1174098701 | Jennifer Dickinson | Case Manager/Care Coordinator | 601 Homer Rd, Minden, LA 71055-2909 | 2018-10-10 |
| 1649767880 | Amber Flournoy | Counselor | 601 Homer Rd, Minden, LA 71055 | 2018-04-13 |
| 1033612171 | Sketea Walker | Counselor | 601 Homer Rd, Minden, LA 71055 | 2018-03-15 |
| 1003320250 | Andre Hampton | Counselor | 601 Homer Rd, Minden, LA 71055 | 2017-11-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911339 | Walter Matheny II | Nurse Practitioner | 216 W Union Street Ste A Minden, Minden, LA 71055 | 2020-10-27 |
| 1194331579 | Minden Family Pharmacy LLC | Pharmacy | 120 Homer Rd, Minden, LA 71055 | 2020-09-21 |
| 1003469479 | Premier Family Clinic | Nurse Practitioner | 102 Office Park Dr., Minden, LA 71055 | 2019-07-24 |
| 1952803389 | Regina Flournoy | Case Manager/Care Coordinator | 561 Angi Rd, Minden, LA 71055 | 2018-03-01 |
| 1902322233 | New Concept Development Center | Clinic/Center | 15365 Hwy 80, Minden, LA 71055 | 2017-08-18 |
| 1396269304 | Tashalana Walker | Counselor | 601 Homer Rd., Minden, LA 71055 | 2017-08-01 |
| 1992227029 | Kathryn Anne Landreneau | Nurse Practitioner | 101 Murrell St Ste 2, Minden, LA 71055 | 2017-07-11 |
| 1639699937 | Shykiia Hawkins | Counselor | 409 Meadowview Drive, Minden, LA 71055 | 2017-06-27 |
| 1053851147 | Shatoria Moore | Case Manager/Care Coordinator | 305 Homer Rd, Minden, LA 71055 | 2017-03-08 |
| 1821547258 | Sheretha Harrison | Counselor | 1008 Brenda Cir, Minden, LA 71055 | 2016-09-27 |
| Find all providers in zip 71055 | ||||
| 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 |
|---|---|---|---|---|
| 1659932408 | Mikel Key | Case Manager/Care Coordinator | 330 Pine St, Minden, LA 71055-3118 | 2019-06-24 |
| 1952803389 | Regina Flournoy | Case Manager/Care Coordinator | 561 Angi Rd, Minden, LA 71055 | 2018-03-01 |
| 1053851147 | Shatoria Moore | Case Manager/Care Coordinator | 305 Homer Rd, Minden, LA 71055 | 2017-03-08 |
| 1164045415 | Danyell S Gipson | Case Manager/Care Coordinator | 1110 Homer Rd, Minden, LA 71055-3028 | 2020-05-21 |
| 1619507290 | Erolinda Pacheco Duarte | Case Manager/Care Coordinator | 2560 Business Pkwy Ste B, Minden, NV 89423-8961 | 2020-01-22 |
| 1316582570 | Tabatha Smith | Case Manager/Care Coordinator | 1110 Homer Rd, Minden, LA 71055-3028 | 2019-11-12 |
| 1972158483 | Deanza M. Andrews | Case Manager/Care Coordinator | 601 Homer Rd, Minden, LA 71055-2909 | 2019-08-02 |
| 1699239103 | Darcelle Deruise | Case Manager/Care Coordinator | 601 Homer Rd, Minden, LA 71055-2909 | 2019-01-29 |
| 1528522034 | Barbara Doyle | Case Manager/Care Coordinator | 601 Homer Rd, Minden, LA 71055-2909 | 2019-01-29 |
| 1689148959 | Domonique Patterson | Case Manager/Care Coordinator | 601 Homer Rd, Minden, LA 71055-2909 | 2019-01-18 |
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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.