COURTNEY SMITH (NPI# 1083222822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083222822 |
| Entity Type | Individual |
| Full Name | COURTNEY SMITH |
| Practice Address |
170 Wilkerson Ave Ste C&d Perris CA 92570-2200 |
| Practice Telephone | 8664815361 |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |
| 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 |
|---|---|---|---|---|
| 1548872963 | Courtney Marie Iaquinto Smith | Registered Nurse | 22 Se 11th Ave Apt 103, Portland, OR 97214-1392 | 2020-08-18 |
| 1427674647 | Courtney Smith | Student in an Organized Health Care Education/Training Program | 359 N Garden St, Alpena, MI 49707-3235 | 2020-06-23 |
| 1336768761 | Courtney Skye Smith | Speech-Language Pathologist | 132 Opal Ave, Newport Beach, CA 92662-1031 | 2020-04-15 |
| 1508409889 | Courtney Alexandria Smith | Midwife | 1417 Nw 54th St Ste 264, Seattle, WA 98107-3571 | 2019-10-19 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1649745837 | Courtney Jean Smith | Counselor | 257 Cedar St, Roseville, CA 95678-2539 | 2018-10-04 |
| 1609350123 | Courtney Smith | Behavior Technician | 9340 Gillette St., Lenexa, KS 66215 | 2018-09-20 |
| 1245719178 | Courtney Smith | Acupuncturist | 3140 Commonwealth Ave Ste B, Alexandria, VA 22305-2712 | 2018-08-10 |
| 1699252221 | Courtney Taylor Smith | Pharmacist | 4595 N 635 W, Huntington, IN 46750-8982 | 2018-07-26 |
| 1275028474 | Courtney Rae Smith | Specialist/Technologist | 146 Bill Davis Rd, Franktown, CO 80116-8900 | 2018-06-29 |
| Street Address |
170 WILKERSON AVE STE C&D |
| City | PERRIS |
| State | CA |
| Zip Code | 92570-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427158039 | Steven Russell Steinberg | Social Worker | 170 Wilkerson Ave Ste C&d, Perris, CA 92570-2200 | 2006-09-24 |
| 1487262200 | Cinthya Denisse Luis | Case Manager/Care Coordinator | 170 Wilkerson Ave Ste C&d, Perris, CA 92570-2200 | 2020-07-17 |
| 1003434366 | Kimara Melissa Simms | Marriage & Family Therapist | 170 Wilkerson Ave Ste C&d, Perris, CA 92570-2200 | 2020-07-13 |
| 1154960615 | Laurie A Hatton | Peer Specialist | 170 Wilkerson Ave Ste C&d, Perris, CA 92570-2200 | 2020-01-02 |
| 1982046371 | Lucille Crowder | Counselor | 170 Wilkerson Ave Ste C&d, Perris, CA 92570-2200 | 2013-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659861185 | Derriea Mcglothern | Specialist/Technologist | 23126 Rider St, Perris, CA 92570 | 2018-05-10 |
| 1790235109 | Jeromy Ford | Counselor | 226 W. 4th St, Perris, CA 92570 | 2016-10-10 |
| 1699196485 | Taniya Sweeney | Community/Behavioral Health | 413 South B Strret, Perris, CA 92570 | 2013-12-20 |
| 1790091718 | Josh B Neal | Counselor | 827 Georgiana Ct, Perris, CA 92570 | 2010-08-27 |
| 1427370915 | Riverside Recovery Resources | Clinic/Center | 13911 Perris Blvd, Perris, CA 92570 | 2010-02-24 |
| 1144471939 | Three Angels Medical Professional Corporation | Internal Medicine | 180 East 4th St, Suite B and C, Perris, CA 92570 | 2008-10-10 |
| 1205091790 | Jill None Demos | Counselor | 24050 Christmas Tree Lane, Perris, CA 92570 | 2008-07-23 |
| 1598929341 | Jacqueline Anne Rockwell | Counselor | 555 Perris Blvd, Peris, CA 92570 | 2008-07-10 |
| 1053584128 | Perris Union High School District | Local Education Agency (LEA) | 755-b North A Street, Perris, CA 92570 | 2008-04-09 |
| 1477735215 | Christianne Nelson | Case Management | 308 E San Jacinto Avenue, Perris, CA 92570 | 2007-12-04 |
| Find all providers in zip 92570 | ||||
| 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 |
|---|---|---|---|---|
| 1720696503 | Bernadette Mendoza | Case Manager/Care Coordinator | 170 Wilkerson Ave Ste Candd, Perris, CA 92570-2200 | 2020-07-17 |
| 1801330188 | Maria Huerta | Case Manager/Care Coordinator | 1688 N Perris Blvd Ste L6-l11, Perris, CA 92571-4709 | 2016-12-06 |
| 1720438500 | Ledilla Campbell | Case Manager/Care Coordinator | 3807 Carnelian Ct, Perris, CA 92570-7291 | 2016-06-13 |
| 1255785861 | Teresa Leon | Case Manager/Care Coordinator | 1688 N Perris Bldv, Suite L6-11, Perris, CA 92571 | 2016-04-20 |
| 1295126548 | Rosie Pope | Case Manager/Care Coordinator | 1688 N Perris Blvd # L711, Perris, CA 92571-4709 | 2015-02-09 |
| 1134546617 | Fernando Luis Moulton | Case Manager/Care Coordinator | 1688 Perris Blvd, Suite L6-11, Perris, CA 92571 | 2014-03-24 |
| 1992130223 | Beverly Christian | Case Manager/Care Coordinator | 1688 N Perris Blvd Ste L1, Perris, CA 92571-4701 | 2013-09-05 |
| 1336498112 | Areli Ramirez Gonzalez | Case Manager/Care Coordinator | 528 Fair Park Way, Perris, CA 92570-3470 | 2012-09-07 |
| 1710009790 | Enedina Avena | Case Manager/Care Coordinator | 1688 N Perris Blvd Ste L7-11, Perris, CA 92571-4709 | 2007-04-03 |
| 1265504492 | Bertha Catalina Merino | Case Manager/Care Coordinator | 1688 N Perris Blvd Ste L7-l11, Perris, CA 92571-4709 | 2006-11-14 |
| Find all providers in PERRIS | ||||
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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.