KELLI SAMANTHA HENDERSON BA
NPI 1194003392
Case Manager/Care Coordinator in Gautier, MS
- Individual
- Female
- Case Manager/Care Coordinator
About KELLI HENDERSON
This page provides the complete NPI Profile along with additional information for Kelli Henderson, a provider established in Gautier, Mississippi with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1194003392 assigned on July 2011. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1194003392 Verify this NPI
- Provider Name
- KELLI SAMANTHA HENDERSON BA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3407 SHAMROCK CT GAUTIER, MS 39553
- Location Phone
- (228) 497-0690
- Location Fax
- (228) 497-1363
- Mailing Address
- 3407 SHAMROCK CT GAUTIER, MS 39553
- Mailing Phone
- (228) 497-0690
- Mailing Fax
- (228) 497-1363
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-22-2011
- Last Update Date
- 07-22-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Case Manager/Care Coordinator
- Taxonomy Code
- 171M00000X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00018214 | MEDICAID (05) | MS |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GAUTIER, MS 39553
GAUTIER, MS 39553
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194003392, enumerated as an "individual" on July 22, 2011.
The provider is located at 3407 SHAMROCK CT GAUTIER, MS 39553 and the phone number is (228) 497-0690.
Case Manager/Care Coordinator with taxonomy code 171M00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
