SHARENA META MALLETT (NPI# 1972011401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972011401 |
| Entity Type | Individual |
| Full Name | SHARENA META MALLETT |
| Practice Address |
1084 S Main St Ste A Bowling Green OH 43402-4740 |
| Practice Telephone | 4193524624 |
| Practice Fax Number | 4193541774 |
| Mailing Telephone | 4193524624 |
| Mailing Fax Number | 4193541774 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |
| 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 |
| Street Address |
1084 S MAIN ST STE A |
| City | BOWLING GREEN |
| State | OH |
| Zip Code | 43402-4740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760864060 | Catherine Crawford | Counselor | 1084 S Main St Ste A, Bowling Green, OH 43402-4740 | 2015-06-23 |
| 1871149641 | Wendy Fuller | Counselor | 1084 S Main St Ste A, Bowling Green, OH 43402-4740 | 2019-08-16 |
| 1427514892 | Shannon Wilhelm | Registered Nurse | 1084 S Main St Ste A, Bowling Green, OH 43402-4740 | 2019-02-11 |
| 1356852107 | Margaret Aileen Overley | Counselor | 1084 S Main St Ste A, Bowling Green, OH 43402-4740 | 2017-10-19 |
| 1083096390 | Patrick Leon Davis | Case Manager/Care Coordinator | 1084 S Main St Ste A, Bowling Green, OH 43402-4740 | 2015-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592017 | Danielle Urbaniak | Pharmacist | 722-740 South Main St, Bowling Green, OH 43402 | 2019-08-08 |
| 1013485648 | Julie Marie Knapp | Counselor | 219 South Church Street, Bowling Green, OH 43402 | 2018-11-13 |
| 1477065274 | Elizabeth Marie Leber | Social Worker | 1045 Klotz Rd., Bowling Green, OH 43402 | 2017-11-02 |
| 1558871913 | Genoa Healthcare, LLC | Pharmacy | 1010 N Prospect St Ste 56, Bowling Green, OH 43402 | 2017-10-11 |
| 1093224933 | Kevin Wagner | Contractor | 19644 Hull Prairie Rd, Bowling Green, OH 43402 | 2017-09-22 |
| 1487102273 | Mary Ann Bostdorff | Registered Nurse | 1011 North Prospect St., Bowling Green, OH 43402 | 2016-09-21 |
| 1174927354 | Kristy Siegle | Counselor | 1010 North Prospect, Bowling Green, OH 43402 | 2014-10-16 |
| 1366846560 | Timothy M Burkart | Pharmacist | 1840 E. Gypsy Lane Rd, (wood County Health Department), Bowling Green, OH 43402 | 2014-10-16 |
| 1144629411 | Ledeithra Denise Mckinney | Speech-Language Pathologist | 1921 East Gypsy Lane Rd., Bowling Green, OH 43402 | 2014-08-22 |
| 1558701607 | Mark Joseph Kleeberger | Physical Therapy Assistant | 1180 N Main St, Bowling Green, OH 43402 | 2013-07-02 |
| Find all providers in zip 43402 | ||||
| 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 |
|---|---|---|---|---|
| 1518591908 | Sabrina Lee Stapp | Case Manager/Care Coordinator | 1500 Parkside Dr, Bowling Green, KY 42101-2756 | 2020-02-25 |
| 1437581535 | Linda Wray Wilson | Case Manager/Care Coordinator | 18095 Harding Dr, Bowling Green, VA 22427-2213 | 2013-07-31 |
| 1023393998 | Steven Cheatham | Case Manager/Care Coordinator | 729 Glen Lily Rd, Bowling Green, KY 42101-2733 | 2011-10-11 |
| 1356500276 | Elizabeth Gail Lock | Case Manager/Care Coordinator | 60 Bush Ct, Bowling Green, KY 42104-7816 | 2008-06-05 |
| 1861681256 | Lee Humphrey | Case Manager/Care Coordinator | 380 Suwannee Trail, Bowling Green, KY 42103 | 2007-10-22 |
| 1174715700 | Valerie Renee Jones | Case Manager/Care Coordinator | 1008 Homestead Ct, Bowling Green, KY 42104-4121 | 2007-08-17 |
| 1013109016 | Kay Mackenzie | Case Manager/Care Coordinator | 1502 Westen St, Suite 1, Bowling Green, KY 42104-5804 | 2007-08-14 |
| 1740498039 | Nancy Lou Akins | Case Manager/Care Coordinator | 3435 Garrett Hollow Rd, Bowling Green, KY 42101-6554 | 2007-05-18 |
| 1467571059 | Crystal Love | Case Manager/Care Coordinator | 853 Peachtree Ln, Bowling Green, KY 42103-7052 | 2007-03-28 |
| 1881210789 | Rachel Carroll | Case Manager/Care Coordinator | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2020-06-17 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 43402 |
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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.