MACHA J ROSS (NPI# 1962530535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962530535 |
| Entity Type | Individual |
| Full Name | MACHA J ROSS |
| Credential | LPN |
| Practice Address |
1330 N Main St Tennessee Ridge TN 37178-4003 |
| Practice Telephone | 9317213337 |
| Practice Fax Number | 9317213308 |
| Mailing Telephone | 9317213337 |
| Mailing Fax Number | 9317213308 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | NURSING LICENSE | LPN0000049909 | 01 |
| Street Address |
1330 N MAIN ST |
| City | TENNESSEE RIDGE |
| State | TN |
| Zip Code | 37178-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912035130 | Robert Mullikin | Case Manager/Care Coordinator | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2007-03-01 |
| 1205436649 | Riley A Holmes | Counselor | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2020-10-26 |
| 1598379810 | Andrea Leigh Henson | Technician | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2020-09-03 |
| 1174140065 | Olivia Faith Sims | Counselor | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2020-06-26 |
| 1184244956 | Madison Caruthers | Counselor | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2020-04-22 |
| 1316572258 | Jodi Lynn Smith | Counselor | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2020-03-11 |
| 1164084265 | Nicholas Michael Wood | Technician | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2019-06-28 |
| 1629536966 | Shelby Dority | Counselor | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2019-03-06 |
| 1548725211 | Susan Linn Woood | Technician | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2019-02-06 |
| 1912477357 | Steven Melvin Childers | Technician | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2018-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467072223 | Kendel Paige Crump | Counselor | 1330 North Main Street, Tennessee Ridge, TN 37178 | 2020-04-22 |
| 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 |
|---|---|---|---|---|
| 1912035130 | Robert Mullikin | Case Manager/Care Coordinator | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606755 | Kathy Ann Miller | Case Manager/Care Coordinator | 296 Colony Ln Nw, Cleveland, TN 37312-6411 | 2020-10-14 |
| 1124635941 | Faye G Grubb | Case Manager/Care Coordinator | 338 Headrickview Dr, Maryville, TN 37804-3878 | 2020-09-25 |
| 1255945283 | Vanessa Elaine Davis | Case Manager/Care Coordinator | 2215 Amherst Rd, Knoxville, TN 37921-4902 | 2020-09-08 |
| 1003449166 | Jonathan Hill | Case Manager/Care Coordinator | 310 W 3rd North St Bldg 1, Morristown, TN 37814-4038 | 2020-02-18 |
| 1982246773 | Solutionology Health | Case Manager/Care Coordinator | 3174 Lower Lick Creek Rd, Linden, TN 37096-5314 | 2019-10-13 |
| 1427699537 | Tytiauna Ruffin | Case Manager/Care Coordinator | 3006 Lake Brook Blvd # 1, Knoxville, TN 37909-1137 | 2019-10-01 |
| 1053967356 | Lindsi Blair | Case Manager/Care Coordinator | 601 Arthur St, Knoxville, TN 37921-6406 | 2019-08-13 |
| 1316590201 | James Eugene Jones | Case Manager/Care Coordinator | 312 Brandiwood Ct, Old Hickory, TN 37138-4219 | 2019-07-19 |
| 1891253225 | Jessica L White | Case Manager/Care Coordinator | 600 Arthur St # A, Knoxville, TN 37921-6405 | 2019-03-05 |
| 1972060010 | Gloria Ensign-o'neal | Case Manager/Care Coordinator | 3741 Southbend Dr, Murfreesboro, TN 37128-5100 | 2019-02-25 |
| Find all providers with the same taxonomy | ||||
| City | TENNESSEE RIDGE |
| Zip Code | 37178 |
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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.