SHANE KHAKI (NPI# 1023547544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023547544 |
| Entity Type | Individual |
| Full Name | SHANE KHAKI |
| Practice Address |
14350 Se Eastgate Way Bellevue WA 98007-6458 |
| Practice Telephone | 2064778069 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | WA | Other Service Providers | |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
14350 SE EASTGATE WAY |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98007-6458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407961113 | Susan Thiel | Dietitian, Registered | 14350 Se Eastgate Way, Bellevue, WA 98007-6458 | 2006-08-20 |
| 1922610393 | King County Finance | Clinic/Center | 14350 Se Eastgate Way, Bellevue, WA 98007-6458 | 2020-08-18 |
| 1164935565 | Christi Michelle Storbo | Dental Hygienist | 14350 Se Eastgate Way, Bellevue, WA 98007-6458 | 2017-11-08 |
| 1962929950 | Caitlin Young | Registered Nurse | 14350 Se Eastgate Way, Bellevue, WA 98007-6458 | 2017-08-29 |
| 1104346352 | Berhane Makonnen | Social Worker | 14350 Se Eastgate Way, Bellevue, WA 98007-6458 | 2017-06-20 |
| 1174052203 | Mariann Aurelia Schmitt | Registered Nurse | 14350 Se Eastgate Way, Bellevue, WA 98007-6458 | 2017-06-12 |
| 1407384720 | Johanna E Kellogg | Case Manager/Care Coordinator | 14350 Se Eastgate Way, Bellevue, WA 98007-6458 | 2017-05-31 |
| 1760918023 | Gloria Jean Barberie | Registered Nurse | 14350 Se Eastgate Way, Bellevue, WA 98007-6458 | 2017-05-05 |
| 1710297510 | Johanna Elizabeth Hanft | Dietitian, Registered | 14350 Se Eastgate Way, Bellevue, WA 98007-6458 | 2010-10-14 |
| 1740590835 | Jenna Laurel Newbrey | Dietitian, Registered | 14350 Se Eastgate Way, Bellevue, WA 98007-6458 | 2010-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204947 | Janet Delgado | Interpreter | 3000 Landerholm Cir Se, Bellevue, WA 98007 | 2020-10-29 |
| 1467092643 | Stephanie Schaal | Counselor | 15395 Se 30th Place Ste 120, Bellevue, WA 98007 | 2020-01-15 |
| 1740824358 | Alison Elizabeth Campbell | Massage Therapist | 14575 Ne Bel Red Rd Ste 100, Bellevue, WA 98007 | 2019-11-06 |
| 1275188021 | Pacific Coast Health Care, Pllc | Internal Medicine | Mission Healthcare At Bellevue, 2424 156th Avenue Ne, Bellevue, WA 98007 | 2019-08-08 |
| 1417475054 | Terasak Roeksbutr | Dietitian, Registered | 109 146th Ave Se, Bellevue, WA 98007 | 2017-09-04 |
| 1083130934 | Po-lung Wu | Acupuncturist | 693 156th Ave Se, Bellevue, WA 98007 | 2017-08-22 |
| 1689117319 | Audrey K. Tatt D.d.s. P.l.l.c. | Dentist | 15419 Ne 20th St. #206, Bellevue, WA 98007 | 2016-11-29 |
| 1952751836 | Mona Ebrahimi | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st, Rainbow Creek, Bellevue, WA 98007 | 2016-06-21 |
| 1578939302 | Walgreen | Student in an Organized Health Care Education/Training Program | 15220 156th Ne, Bellevue, WA 98007 | 2015-08-17 |
| 1750767406 | Anar Veliyev | Physical Therapist | 14828 Ne 12th St, Bellevue, WA 98007 | 2015-08-05 |
| Find all providers in zip 98007 | ||||
| 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 |
|---|---|---|---|---|
| 1538785993 | Connie Utley | Case Manager/Care Coordinator | 106 E Mission Ave, Bellevue, NE 68005-5201 | 2020-06-22 |
| 1275705766 | Donald Dale Jones Jr. | Case Manager/Care Coordinator | 227 Bellevue Way Ne, #70, Bellevue, WA 98004-5721 | 2008-03-25 |
| 1508484361 | Erin Carter | Case Manager/Care Coordinator | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2020-07-08 |
| 1679032718 | Aeden O'neil-dunne | Case Manager/Care Coordinator | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2019-03-18 |
| 1831660885 | Yesenia Villegas Nogeda | Case Manager/Care Coordinator | 1811 156th Ave Ne Ste 2, Bellevue, WA 98007-4344 | 2018-12-16 |
| 1609341155 | Warren Barlow | Case Manager/Care Coordinator | 3805 108th Ave Ne, Bellevue, WA 98004-7613 | 2018-10-11 |
| 1831664317 | Alexandra Vinson | Case Manager/Care Coordinator | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2018-10-10 |
| 1467927095 | Hannah Sherwood | Case Manager/Care Coordinator | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2018-10-10 |
| 1902371602 | Terrell Tucker Flood | Case Manager/Care Coordinator | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2018-10-09 |
| 1467927442 | Fe Schneider | Case Manager/Care Coordinator | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2018-10-05 |
| Find all providers in BELLEVUE | ||||
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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.