KIMBERLY WASHBURN (NPI# 1013549088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013549088 |
| Entity Type | Individual |
| Full Name | KIMBERLY WASHBURN |
| Credential | CCSS |
| Practice Address |
43g Pinsbaari Dr Pueblo of Acoma NM 87034-1001 |
| Mailing Address |
Po Box 333 Pueblo of Acoma NM 87034-0333 |
| Practice Telephone | 5055525145 |
| Practice Fax Number | 5055525196 |
| Mailing Telephone | 5055525145 |
| Mailing Fax Number | 5055525196 |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619481629 | Kimberly Denae Washburn | Social Worker | 1100 Sandy Duncan Dr, Taylorville, IL 62568 | 2017-11-29 |
| 1841565876 | Kimberly Ann Washburn | Specialist/Technologist, Other | 220 Lamar Smith Dr, Newnan, GA 30263-4086 | 2012-03-08 |
| 1841756269 | Kimberly A Washburn | Social Worker | 2014 Vandalia St, Collinsville, IL 62234-4848 | 2019-02-11 |
| 1639315948 | Kimberly Ann Washburn | Obstetrics & Gynecology | 5300 S Sutter Dr, Ste 11, Show Low, AZ 85901-8050 | 2008-12-17 |
| Street Address |
43G PINSBAARI DR |
| City | PUEBLO OF ACOMA |
| State | NM |
| Zip Code | 87034-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535192 | Troy Stephen Weeldreyer | Social Worker | 45 Pinsbaari Dr, Acoma, NM 87034 | 2020-07-16 |
| 1306486857 | Mallery Chino | Case Manager/Care Coordinator | 47 Pinsbarri Drive, Acoma, NM 87034 | 2020-01-13 |
| 1700340841 | Thomas Simon Vallo | Case Manager/Care Coordinator | 45 Pinbaari Drive, Acoma, NM 87034 | 2019-01-23 |
| 1649777053 | Amanda Jean Garcia | Counselor | 99b Sunrise Rd, Pueblo of Acoma, NM 87034 | 2018-04-11 |
| 1356850754 | Korey B Still | Dentist | 80 B Veterans Blvd., Acoma, NM 87034 | 2017-09-28 |
| 1508395278 | Shelby Bobelu | Social Worker | 45 Pinsbarri Dr., Acoma, NM 87034 | 2017-06-07 |
| 1558817270 | Amanda Lucario | Technician, Other | 1253 Haaku Road, Acoma, NM 87034 | 2016-09-01 |
| 1073961355 | Rhayna Dannielle Walizer | Social Worker | 45 Pinsbarri Dr, Acoma, NM 87034 | 2016-05-27 |
| 1417305715 | Everett Chavez | Counselor | 45 Pinsbaari, Acoma, NM 87034 | 2016-05-26 |
| 1952758047 | Lonnie Lewis | Counselor | 33 Pinsbaari Drive, Acoma, NM 87034 | 2016-05-18 |
| Find all providers in zip 87034 | ||||
| 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 |
|---|---|---|---|---|
| 1104466481 | Lynn Lewis | Case Manager/Care Coordinator | 47 Pinsbarri Drive, Pueblo of Acoma, NM 87034 | 2020-01-14 |
| 1194389916 | Michelle Ann Lowden | Case Manager/Care Coordinator | 45 Pinsbaari Drive, Pueblo of Acoma, NM 87603 | 2019-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072211 | Reflections | Case Manager/Care Coordinator | 352 Soothing Meadows Dr Ne, Rio Rancho, NM 87144-4106 | 2020-10-31 |
| 1770181869 | Thomas Spencer Baldinger | Case Manager/Care Coordinator | 880b Chicoma Vis, Santa Fe, NM 87507-7671 | 2020-10-12 |
| 1346847985 | Selinda Turner | Case Manager/Care Coordinator | 3620 Wyoming Blvd Ne Ste 102d, Albuquerque, NM 87111-3286 | 2020-10-06 |
| 1205452943 | Channda Bernadette Mitchell | Case Manager/Care Coordinator | 2301 Yale Blvd Se Ste F, Albuquerque, NM 87106-4228 | 2020-06-18 |
| 1124643085 | Clarissa Duran | Case Manager/Care Coordinator | 2011 Industrial Park Rd, Espanola, NM 87532-3710 | 2020-06-16 |
| 1134744980 | Verna Jean Thomas | Case Manager/Care Coordinator | 2318 Boyd Ave, Gallup, NM 87301-4888 | 2020-06-08 |
| 1922635804 | Laura Murphy | Case Manager/Care Coordinator | 502 W Cordova Rd, Santa Fe, NM 87505-1820 | 2020-03-23 |
| 1235764127 | Tanya Jacqueline Ruiz | Case Manager/Care Coordinator | 1000 Hudson St, Silver City, NM 88061 | 2020-03-11 |
| 1831723899 | Randall Zuni | Case Manager/Care Coordinator | 650 Vandenbosch Pkwy, Gallup, NM 87301-5508 | 2020-02-28 |
| 1306486857 | Mallery Chino | Case Manager/Care Coordinator | 47 Pinsbarri Drive, Acoma, NM 87034 | 2020-01-13 |
| Find all providers with the same taxonomy | ||||
| City | PUEBLO OF ACOMA |
| Zip Code | 87034 |
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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.