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MS. KENYETTA MYSHAWN COLEMAN ADMINISTRATOR NPI 1265012637


NPI Information

NPI: 1265012637
Provider Name: MS. KENYETTA MYSHAWN COLEMAN, ADMINISTRATOR
Classification: Case Manager/Care Coordinator - 171M00000X
Entity Type: Individual
Address:
16087 MEADOWOOD AVE
SOUTHFIELD, MI
ZIP 48076
Phone: (248) 467-1142
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MS. Kenyetta Myshawn Coleman, ADMINISTRATOR is a case manager care coordinator in Southfield, MI. The provider is 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. MS. Kenyetta Myshawn Coleman, ADMINISTRATOR NPI is 1265012637. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16087 MEADOWOOD AVE
SOUTHFIELD, MI
ZIP 48076-739
Phone: (248) 467-1142

The enumeration date for this NPI number is 4/10/2021 and was last updated on 4/2/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171M00000XCase Manager/Care CoordinatorAS630405536MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000000000MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.