QUINTAVIA VARSHAUN WOOTEN B.A.
NPI 1649655903
Case Manager/Care Coordinator in Gautier, MS

Q: What is Quintavia Wooten's NPI number?

The NPI number for Quintavia Wooten is 1649655903. It was assigned to this individual provider in the NPPES registry on July 28, 2015. The provider is also known as Quintavia Varshaun Jones B.A..

Q: What is Quintavia Wooten's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Quintavia Wooten was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 28, 2015

3407 SHAMROCK CT, GAUTIER, MS 39553(228) 497-0690 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Quintavia Varshaun Wooten B.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUINTAVIA VARSHAUN WOOTEN B.A. (NPI 1649655903) is an individual case manager/care coordinator provider in Gautier, Mississippi and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1649655903

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameQUINTAVIA VARSHAUN WOOTENCredential: B.A.

Location Address3407 SHAMROCK CTGautier, MS 39553-5337

Mailing Address3407 Shamrock CtGautier, MS 39553-5337 · (228) 497-0690

Phone(228) 497-0690

Sole ProprietorNo

Enumeration DateJuly 28, 2015

✔ NPI 1649655903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

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.

3407 SHAMROCK CT, Gautier, MS 39553

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Other Names 1

Former Name (1)Quintavia Varshaun Jones B.a.

Other Identifiers 1

Medicaid00018214MS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. PEGGY LYNN FENDLEY M.ED.

Counselor (Mental Health)