BETHANY ANNE JOHNSON (NPI# 1053892133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053892133 |
| Entity Type | Individual |
| Full Name | BETHANY ANNE JOHNSON |
| Practice Address |
1560 Capalina Rd San Marcos CA 92069-1288 |
| Practice Telephone | 7607442104 |
| Mailing Telephone | 7607442104 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| 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 |
|---|---|---|---|---|
| 1619417235 | Bethany Johnson | Behavioral Analyst | 647 13th Ave E Ste A, West Fargo, ND 58078-3328 | 2017-03-01 |
| 1043692254 | Bethany Johnson | Home Health Aide | 981 Deer Chase Court, Stone Mountain, GA 30088 | 2015-06-24 |
| 1871925990 | Bethany Anne Johnson | Counselor | 3050 S. National Ave, 104, Springfield, MO 65804-4807 | 2013-07-31 |
| 1356621569 | Bethany K Johnson | Midwife | 1210 Clark Springs Dr, Keller, TX 76248-3642 | 2011-08-18 |
| 1295956803 | Bethany Johnson | Occupational Therapy Assistant | 2705 Se G Street, Suite 1, Bentonville, AR 72712 | 2007-05-01 |
| 1376171835 | Bethany Noel Johnson | Counselor | 231 E Main St, Lexington, OH 44904-1353 | 2020-03-31 |
| 1427682020 | Bethany Johnson | Speech-Language Pathologist | 525 W Oakland Ave Ste 205, Johnson City, TN 37604-1673 | 2020-02-24 |
| 1144868357 | Bethany Ann Johnson | Counselor | 631 S 1st St, Dekalb, IL 60115-4117 | 2019-12-18 |
| 1841859287 | Bethany Lynne Johnson | Pediatrics | Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2019-06-10 |
| 1861968554 | Bethany Ann Johnson | Case Manager/Care Coordinator | 807 E Washington St Ste 150, Medina, OH 44256-3339 | 2018-10-19 |
| Street Address |
1560 CAPALINA RD |
| City | SAN MARCOS |
| State | CA |
| Zip Code | 92069-1288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376566455 | Kevin Paul Feig | Internal Medicine | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2006-07-26 |
| 1902414063 | Tasha Larae Smith | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2020-07-15 |
| 1568088441 | Torey Elizabeth Leck | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2020-06-17 |
| 1841832086 | Oscar Lopez Guevara | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2019-10-09 |
| 1467014191 | Yidda Jazmin Mancinas | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2019-07-02 |
| 1982163994 | Robert Lyons | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2019-03-19 |
| 1932673928 | Jamie Lynn Lesage | Licensed Vocational Nurse | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2019-01-14 |
| 1679056816 | Josee Harris | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2018-09-13 |
| 1659857985 | Kathleen Mary Delmastro | Licensed Vocational Nurse | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2018-07-19 |
| 1811483738 | Derrick Lee Magee | Licensed Vocational Nurse | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2018-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364071 | Doreatha Yvonne Gandy-edmundson | Social Worker | 112 North Centre City Parkway, Unit 103, San Marcos, CA 92069 | 2020-04-13 |
| 1588150296 | Martha Gallo | Adult Companion | 1227 Armorlite Dr Apt 102, San Marcos, CA 92069 | 2018-07-05 |
| 1508357765 | Jensen Moore | Chiropractor | 370 Mulberry Dr Ste C, San Marcos, CA 92069 | 2018-05-23 |
| 1457870156 | Brandie Janette Limon-nava | Counselor | 751 Rancheros Dr Suite 5, San Marcos, CA 92069 | 2017-09-13 |
| 1336436872 | Vivek Solanki | Dentist | 197 Woodland Pkwy #100, Mission Hills Family Dental, San Marcos, CA 92069 | 2011-07-05 |
| 1558689448 | Jessie Janette Hiatt | Marriage & Family Therapist | 330 Rancheros Dr Ste 218, San Marcos, CA 92069 | 2010-05-17 |
| 1407174113 | Daniel Reinke | Counselor | 1560 Capalina Road, San Marcos, CA 92069 | 2010-05-06 |
| 1902130842 | Tiara Christine Esani | Physician Assistant | 277 Rancheros Drive, Suite 100, San Marcos, CA 92069 | 2009-09-24 |
| 1124220926 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 997 Woodland Pkwy, San Marcos, CA 92069 | 2007-06-04 |
| 1275755845 | Davoudi Dds Inc. | Dentist | 979 Woodland Parkway, Suite 100, San Marcos, CA 92069 | 2007-05-03 |
| Find all providers in zip 92069 | ||||
| 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 |
|---|---|---|---|---|
| 1154548055 | Concepcion Cantu | Case Manager/Care Coordinator | 401 Broadway St Ste A, San Marcos, TX 78666-7771 | 2007-04-20 |
| 1700921129 | Ashley Henderson Barrett | Case Manager/Care Coordinator | 540 Staples Rd, San Marcos, TX 78666-1406 | 2007-02-21 |
| 1669071767 | Saskya Paola Caicedo | Case Manager/Care Coordinator | 365 S Rancho Santa Fe Rd Ste 100, San Marcos, CA 92078-2338 | 2020-10-20 |
| 1730796939 | Brandy Itiyah Suzan Williams | Case Manager/Care Coordinator | 325 Buena Creek Rd, San Marcos, CA 92069-9679 | 2020-09-30 |
| 1851907612 | Marquessa Marie Castorena | Case Manager/Care Coordinator | 365 S Rancho Santa Fe Rd, San Marcos, CA 92078-2338 | 2020-09-17 |
| 1154937860 | Michelle Paige Hoffman | Case Manager/Care Coordinator | 325 Buena Creek Rd, San Marcos, CA 92069-9679 | 2020-09-17 |
| 1396364626 | Jaimie Y Lezama | Case Manager/Care Coordinator | 325 Buena Creek Rd, San Marcos, CA 92069-9679 | 2020-04-16 |
| 1942829890 | Elsa Laura Rodriguez | Case Manager/Care Coordinator | 325 Buena Creek Rd, San Marcos, CA 92069-9679 | 2020-04-10 |
| 1750911251 | Kaitlyn Oates | Case Manager/Care Coordinator | 365 S Rancho Santa Fe Rd, San Marcos, CA 92078-2338 | 2020-01-23 |
| 1386282580 | Yasmin Yadira Bedoy Carrillo | Case Manager/Care Coordinator | 365 S Rancho Santa Fe Rd Ste 100, San Marcos, CA 92078-2338 | 2019-12-18 |
| Find all providers in SAN MARCOS | ||||
| City | SAN MARCOS |
| Zip Code | 92069 |
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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.