STEPHANIE E WILLIS (NPI# 1124372990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124372990 |
| Entity Type | Individual |
| Full Name | STEPHANIE E WILLIS |
| Practice Address |
460 Quincy Ave Quincy MA 02169-8130 |
| Practice Telephone | 6178471950 |
| Practice Fax Number | 6177741490 |
| Mailing Telephone | 6178471950 |
| Mailing Fax Number | 6177741490 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |
| 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 |
|---|---|---|---|---|
| 1952733354 | Stephanie Mendez Willis | Speech-Language Pathologist | 2050 Covey Dr, Auburn, AL 36879-5410 | 2013-08-07 |
| 1982871414 | Stephanie Willis | Counselor | 1448 N Milwaukee Ave Ste 205, Chicago, IL 60622-9225 | 2008-05-14 |
| 1720616873 | Stephanie Ann Willis | Registered Nurse | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2020-04-01 |
| 1720554678 | Stephanie Willis | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-10-18 |
| 1043713811 | Stephanie Nikeya Willis | Social Worker | 2600 W 9th St, Chester, PA 19013-2040 | 2018-03-17 |
| 1093198368 | Stephanie Willis | Internal Medicine | 13067 N Telecom Pkwy, Temple Terrace, FL 33637-0926 | 2015-07-06 |
| 1316349350 | Stephanie Willis | Nurse Practitioner | 6621 Fannin St, Houston, TX 77030-2358 | 2014-09-22 |
| 1811224199 | Stephanie Ann Willis | Nurse Anesthetist, Certified Registered | 5230 Centre Ave, Pittsburgh, PA 15232-1304 | 2009-11-07 |
| Street Address |
460 QUINCY AVE |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-8130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407884059 | The Commonwealth of Massachusetts | Psychiatric Hospital | 460 Quincy Ave, Quincy, MA 02169-8130 | 2006-06-30 |
| 1285235200 | Veneza Monteiro | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-11-05 |
| 1821605429 | Christopher Peter Wallack I | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-09-28 |
| 1689285561 | Angela Wang | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-08-13 |
| 1336767813 | Priscilla Gouldbourne | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-07-10 |
| 1083231351 | Christine Leigh Dipaolo | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-07-02 |
| 1245853860 | Sally Ann Potkay | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-05-19 |
| 1669093456 | Ashley Sullivan | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-05-03 |
| 1003448457 | Tom F Chappuis Jr. | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-02-04 |
| 1528699154 | Theresa Lepore | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| 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 |
|---|---|---|---|---|
| 1568951580 | Elizabeth Susan Brunton | Case Manager/Care Coordinator | 41187 Purdy Ln, Quincy, CA 95971-9193 | 2018-05-04 |
| 1740782168 | Luis Rubalcava-cunan | Case Manager/Care Coordinator | 270 County Hospital Rd., Suite 109, Quincy, CA 95971 | 2018-03-01 |
| 1356742605 | Desiree Dawn Russell | Case Manager/Care Coordinator | 9 Overlook Rd, Quincy, MA 02169-2315 | 2014-09-05 |
| 1154695336 | Michelle Grawe | Case Manager/Care Coordinator | 3621 Overlook Dr, Quincy, IL 62305-8193 | 2012-03-06 |
| 1346562790 | Rhonda Lynne Wayson | Case Manager/Care Coordinator | 6 Quincy Junction Rd, Quincy, CA 95971-9112 | 2010-02-25 |
| 1952568172 | Staci R Lapointe | Case Manager/Care Coordinator | 8-10 Hancock Court, Quincy, MA 02169 | 2008-05-16 |
| 1679750038 | Kara Lynn Hoener | Case Manager/Care Coordinator | 1229 1/2 Kentucky St, Quincy, IL 62301-4215 | 2008-01-29 |
| 1679698377 | Regional Office of Education | Case Manager/Care Coordinator | 510 Maine St, Suite 615, Quincy, IL 62301-3903 | 2007-03-20 |
| 1558978171 | Jessica R Mcgill | Case Manager/Care Coordinator | 270 County Hospital Rd Ste 109, Quincy, CA 95971-9173 | 2020-09-28 |
| 1679186126 | Posh Support Services | Case Manager/Care Coordinator | 4355 High Bridge Rd, Quincy, FL 32351-6128 | 2020-08-25 |
| Find all providers in QUINCY | ||||
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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.