JACOB MICHAEL GONZALES (NPI# 1023415304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023415304 |
| Entity Type | Individual |
| Full Name | JACOB MICHAEL GONZALES |
| Credential | B.A. |
| Practice Address |
100 Cherry St Se Grand Rapids MI 49503-4526 |
| Mailing Address |
1101 Fuller Ave Se Grand Rapids MI 49506-3246 |
| Practice Telephone | 6166958200 |
| Practice Fax Number | 6169405362 |
| Mailing Telephone | 6169658200 |
| Mailing Fax Number | 6169405362 |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1851771257 | Jacob Ray Gonzales | Emergency Medicine | 4800 Alberta Ave, El Paso, TX 79905-2709 | 2015-06-02 |
| 1700111556 | Jacob M Gonzales | Pharmacist | 811 Paseo Del Pueblo Sur, Taos, NM 87571 | 2009-10-13 |
| Street Address |
100 CHERRY ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-4526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033182894 | Mary P Chelsky | Optometrist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2006-02-10 |
| 1043837925 | Mawada Osman | Optometrist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2020-06-26 |
| 1922637651 | Dominic Reihl | Student in an Organized Health Care Education/Training Program | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2020-04-04 |
| 1578108155 | Susan Jean Hutson | Dental Assistant | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-11-07 |
| 1639711013 | Kelsey Renee Butcher | Registered Nurse | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-10-17 |
| 1912551219 | Mallory Anderson | Dental Hygienist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-07-25 |
| 1669025888 | Rachel Owen | Nurse Practitioner | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-07-17 |
| 1255993481 | Nicholae Brown | Dentist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-07-09 |
| 1659931020 | Maria E Sicco | Optometrist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-06-18 |
| 1245894385 | Allison Lynn-yung Vankampen | Social Worker | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| 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 |
|---|---|---|---|---|
| 1144837618 | Lisa Glover | Case Manager/Care Coordinator | 1977 Radcliff Ave Se, Grand Rapids, MI 49506-5140 | 2020-09-28 |
| 1861001273 | Erica Curry Van Ee | Case Manager/Care Coordinator | 600 Broadway Ave Nw Apt 224, Grand Rapids, MI 49504-7316 | 2020-07-31 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1861048811 | Jenelle Marie Dixon | Case Manager/Care Coordinator | 1228 Dunham St Se, Grand Rapids, MI 49506-2630 | 2019-08-15 |
| 1730747700 | Renee Kimberly Howard | Case Manager/Care Coordinator | 939 Mayhew Wood Dr Se, Grand Rapids, MI 49507-3609 | 2019-06-04 |
| 1710543806 | Shannon Marie Blourne | Case Manager/Care Coordinator | 814 Alpine Ave Nw, Grand Rapids, MI 49504-4410 | 2019-05-14 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1508371758 | Vanessa Woodard | Case Manager/Care Coordinator | 1939 S. Division Ave., Grand Rapids, MI 49507 | 2017-12-11 |
| 1407386352 | Keri Megan Laporte-montero | Case Manager/Care Coordinator | 434 Sweet St Ne, Grand Rapids, MI 49505-4762 | 2017-06-14 |
| 1396111241 | Kirsten Elizabeth Tanui | Case Manager/Care Coordinator | 2606 Eastern Ave Se, Grand Rapids, MI 49507-3605 | 2015-08-14 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on JACOB MICHAEL GONZALES.
| 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.