TREY JODOZI (NPI# 1114443108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114443108 |
| Entity Type | Individual |
| Full Name | TREY JODOZI |
| Practice Address |
905 N Gurley Ave Gillette WY 82716-2109 |
| Practice Telephone | (307) 686-0669 |
| Mailing Telephone | 3076860669 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 830230126 | 05 |
| Street Address |
905 N GURLEY AVE |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063890341 | Scott Clem | Residential Treatment Facility, Emotionally Disturbed Children | 905 N Gurley Ave, Gillette, WY 82716-2109 | 2015-05-07 |
| 1154948040 | Kiley Myers | Social Worker | 905 N Gurley Ave, Gillette, WY 82716-2109 | 2020-06-26 |
| 1750941464 | Jessica Sue Jaycox | Social Worker | 905 N Gurley Ave, Gillette, WY 82716-2109 | 2019-06-14 |
| 1679047922 | Amy Darlene Weber | Counselor | 905 N Gurley Ave, Gillette, WY 82716-2109 | 2019-01-18 |
| 1336640606 | Erin Urbanoski | Social Worker | 905 N Gurley Ave, Gillette, WY 82716-2109 | 2018-02-22 |
| 1780183970 | Jennifer Gauthier Felion | Counselor | 905 N Gurley Ave, Gillette, WY 82716 | 2018-02-02 |
| 1154829414 | Karla Jo Rosario | Case Manager/Care Coordinator | 905 N Gurley Ave, Gillette, WY 82716-2109 | 2018-01-31 |
| 1902316573 | Amber Friedlan | Counselor | 905 N Gurley Ave, Gillette, WY 82716-2109 | 2017-10-09 |
| 1811424500 | Johnny Neal II | Case Manager/Care Coordinator | 905 N Gurley Ave, Gillette, WY 82716-2109 | 2017-05-12 |
| 1467990879 | Taylor Fleming | Community/Behavioral Health | 905 N Gurley Ave, Gillette, WY 82716-2109 | 2017-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822387 | Diana Lynn Ohman | Dietitian, Registered | 709 West Eighth Street, Suite 4, Gillette, WY 82716 | 2017-10-13 |
| 1821457821 | Courage To Change Counseling LLC | Community/Behavioral Health | 113 S. Gillette Ave, Gillette, WY 82716 | 2016-02-18 |
| 1003290594 | Kris Huber | Community/Behavioral Health | 905 Gurley Ave, Gillette, WY 82716 | 2015-07-14 |
| 1649516857 | Shirley L Haley | Nurse Practitioner | 1304 West 4th Street, Gillette, WY 82716 | 2012-12-14 |
| 1174867188 | Rebecca J Mader | Registered Nurse | 501 South Burma Ave., Gillette, WY 82716 | 2012-11-15 |
| 1568728228 | Kerry Elizabeth Warner | Registered Nurse | 201 S Burma Ave, Gillette, WY 82716 | 2012-04-07 |
| 1720363351 | Julie Ann Faldalen | Licensed Practical Nurse | 501 South Burma, Gillette, WY 82716 | 2011-10-14 |
| 1083937486 | Clear Creek Counseling LLC | Counselor | 801 E. 4th St., Suite 24, Gillette, WY 82716 | 2010-03-12 |
| 1821241423 | Dianna L Knox | Counselor | 500 S Burma Ave, Gillette, WY 82716 | 2008-10-28 |
| 1588826887 | Scott R Hunter | Chiropractor | 439 Prairie View Place Ste D, Dr S R Hunter, Gillette, WY 82716 | 2008-06-27 |
| Find all providers in zip 82716 | ||||
| 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 |
|---|---|---|---|---|
| 1306485354 | Stacy Lynn Duvall | Case Manager/Care Coordinator | 102 W Valley Dr, Gillette, WY 82716-2857 | 2019-12-21 |
| 1275187445 | Melody D Jordan | Case Manager/Care Coordinator | 4515 Radio Rd, Gillette, WY 82718-8263 | 2019-07-26 |
| 1538627260 | Desiree Scott | Case Manager/Care Coordinator | 1868 Hill Valley Rd, Gillette, WY 82716-9746 | 2019-03-12 |
| 1518425586 | Dottie Lynn Rankin | Case Manager/Care Coordinator | 1706 Harvest Moon Dr, Gillette, WY 82718-7879 | 2019-03-07 |
| 1326502808 | Mercedez Lynn Harper | Case Manager/Care Coordinator | 404 Prairieview Dr, Gillette, WY 82716-4917 | 2019-01-29 |
| 1326514654 | Chrissy Michael Deavor | Case Manager/Care Coordinator | 1700 W Warlow Dr Apt 309, Gillette, WY 82716-2586 | 2018-10-14 |
| 1780166868 | Deanna Kay Johnson | Case Manager/Care Coordinator | 7701 Chukar Dr, Gillette, WY 82718-7118 | 2018-09-05 |
| 1982198982 | Kerena Luann Jacquot | Case Manager/Care Coordinator | 68 Five Finger Peaks Rd, Gillette, WY 82716-9196 | 2018-06-21 |
| 1396238952 | Brandi Marie Grande-mathews | Case Manager/Care Coordinator | 906 W Granite St, Gillette, WY 82718-5250 | 2018-06-08 |
| 1285088005 | The West Village - Youth Ranch | Case Manager/Care Coordinator | 203 Carey Ave, # 5, Gillette, WY 82716-3813 | 2016-04-18 |
| Find all providers in GILLETTE | ||||
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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.