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MRS. KEATON BUMGARDNER
NPI 1699171355
Case Manager/Care Coordinator in Port Huron, MI

Active since November 07, 2014
3111 ELECTRIC AVE, PORT HURON, MI 48060(810) 985-8900 Get Directions Write a Review

NPPES record last updated: November 7, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Keaton Bumgardner NPPES

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

MRS. KEATON BUMGARDNER (NPI 1699171355) is an individual case manager/care coordinator provider in Port Huron, Michigan, licensed in Michigan (6802088261) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1699171355
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMRS. KEATON BUMGARDNER
Location Address3111 ELECTRIC AVEPort Huron, MI 48060-8127
Mailing Address3499 Metcalf RdFort Gratiot, MI 48059-2567 · (810) 300-9598
Phone(810) 985-8900
Sole ProprietorNo
Enumeration DateNovember 7, 2014
✔ NPI 1699171355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in MI · 6802088261
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.
3111 ELECTRIC AVE, Port Huron, MI 48060
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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.

MRS. MARY E CROTEAU R.N.,B.S.N.
Registered Nurse
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
HEATHER STEWART LMSW
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
MICAELA ANNE CHAMPINE
Peer Specialist
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
CALLIE GUNN
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
JACQUELINE RENEE NICHOLS
Technician/Technologist
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
SHELBY RENEE GRAHAM
Case Manager/Care Coordinator
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
BRIAN FANION LMSW
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
JORDAN FRONTIERO B.S
Peer Specialist
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 966-3739

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keaton Bumgardner's NPI number?

The NPI number for Keaton Bumgardner is 1699171355. It was assigned to this individual provider in the NPPES registry on November 7, 2014.

Where is Keaton Bumgardner located?

Keaton Bumgardner practices at 3111 Electric Ave, Port Huron, MI 48060. The listed phone number is (810) 985-8900.

What is Keaton Bumgardner's specialty?

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

When was this NPI record last updated?

The NPPES record for Keaton Bumgardner was last updated on November 7, 2014. 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.