MS. SHANNON MARIE NOELANI LANDGRAF (NPI# 1124387493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124387493 |
| Entity Type | Individual |
| Full Name | MS. SHANNON MARIE NOELANI LANDGRAF |
| Practice Address |
460 Kilauea Avenue Suite 101 Hilo HI 96720-3084 |
| Practice Telephone | 8089349405 |
| Practice Fax Number | 8089749189 |
| Mailing Telephone | 8089349405 |
| Mailing Fax Number | 8089749189 |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2012-05-08 |
| 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 |
|---|---|---|---|---|
| 1568926921 | Shannon Landgraf | Speech-Language Pathologist | 3884 Nobel Dr, San Diego, CA 92122-5700 | 2019-01-29 |
| 1861968299 | Shannon P Landgraf | Physical Therapist | 12468 Saint Charles Rock Rd, Bridgeton, MO 63044-2506 | 2018-10-24 |
| Street Address |
460 KILAUEA AVENUE SUITE 101 |
| City | HILO |
| State | HI |
| Zip Code | 96720-3084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| 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 |
|---|---|---|---|---|
| 1073872230 | Walaka K Kaneakua | Case Manager/Care Coordinator | 460 Kilauea Ave, Hilo, HI 96720 | 2012-05-09 |
| 1164780722 | Denise Lynn Carreira | Case Manager/Care Coordinator | 460 Kilauea Ave Ste 101, Hilo, HI 96720-3084 | 2012-05-01 |
| 1104950500 | Derek Paglinawan | Case Manager/Care Coordinator | 1045b Kilauea Ave, Hilo, HI 96720-4201 | 2007-03-15 |
| 1942335674 | Ferdinand Viernes | Case Manager/Care Coordinator | 138 Kinoole St, Hilo, HI 96720-2816 | 2007-02-22 |
| 1669507380 | Melanie Santos | Case Manager/Care Coordinator | 1045 Kilauea Ave, Hilo, HI 96720-4201 | 2007-02-22 |
| 1902452121 | Joseph Devasto | Case Manager/Care Coordinator | 1045 Kilauea Ave Ste A, Hilo, HI 96720-4291 | 2019-08-13 |
| 1407215551 | Danielle Nicole Mendoza | Case Manager/Care Coordinator | 214 Waianuenue Ave Ste 209, Hilo, HI 96720-2489 | 2016-02-17 |
| 1083084602 | Laura A Rader | Case Manager/Care Coordinator | 1045 Kilauea Ave, #a, Hilo, HI 96720-4291 | 2015-09-25 |
| 1811395429 | Bridget Kromrey | Case Manager/Care Coordinator | 1045 Kilauea Ave, #a, Hilo, HI 96720-4291 | 2014-12-12 |
| 1457764003 | Kathryn Benjamin | Case Manager/Care Coordinator | 1045 Kilauea Ave, #a, Hilo, HI 96720-4291 | 2014-06-10 |
| Find all providers in HILO | ||||
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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.