MRS. MARLISE C HUCKABEY (NPI# 1144776626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144776626 |
| Entity Type | Individual |
| Full Name | MRS. MARLISE C HUCKABEY |
| Credential | LVN |
| Practice Address |
41002 County Center Dr Ste 320 Temecula CA 92591-6027 |
| Mailing Address |
31743 Poppy St Winchester CA 92596-8748 |
| Practice Telephone | 9516006355 |
| Mailing Telephone | 9518525514 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | VN209162 | CA | Other Service Providers |
| Street Address |
41002 COUNTY CENTER DR STE 320 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92591-6027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598804981 | Victoria Stapp White | Marriage & Family Therapist | 41002 County Center Dr Ste 320, Youth Hospitalization Intervention Program - Ruhs, Temecula, CA 92591-6027 | 2007-02-05 |
| 1972155182 | Brittany Nicole Saunders | Licensed Vocational Nurse | 41002 County Center Dr Ste 320, Temecula, CA 92591-6027 | 2019-07-09 |
| 1134691306 | Vanessa Lopez Gutierrez | Peer Specialist | 41002 County Center Dr Ste 320, Temecula, CA 92591-6027 | 2018-12-27 |
| 1831610583 | Dori Denay Sotelo | Counselor | 41002 County Center Dr Ste 320, Temecula, CA 92591-6027 | 2017-07-03 |
| 1467904268 | Evelyn Patricia Rivera | Counselor | 41002 County Center Dr Ste 320, Temecula, CA 92591-6027 | 2016-10-27 |
| 1689076457 | Josephine Bogdon | Marriage & Family Therapist | 41002 County Center Dr Ste 320, Temecula, CA 92591-6027 | 2014-09-23 |
| 1831504620 | Christina Scialoia | Counselor | 41002 County Center Dr Ste 320, Temecula, CA 92591-6027 | 2014-06-30 |
| 1982966230 | Cynthia Renae Rumford-jones | Counselor | 41002 County Center Dr Ste 320, Temecula, CA 92591-6027 | 2012-06-12 |
| 1376812727 | Anna Marge Andrews | Counselor | 41002 County Center Dr Ste 320, Temecula, CA 92591-6027 | 2011-12-14 |
| 1437447638 | Gabriel Isaac Olvera | Counselor | 41002 County Center Dr Ste 320, Temecula, CA 92591-6027 | 2011-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978961 | Kendall Leeanne Mattix | Behavior Technician | 26720 Ynez Court, Temecula, CA 92591 | 2019-12-02 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1356830426 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 40780 Winchester Rd, Temecula, CA 92591 | 2018-05-04 |
| 1780196428 | Shirley K Wade | Case Manager/Care Coordinator | 40925 County Circle Drive, Temecula, CA 92591 | 2017-11-03 |
| 1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
| 1386166395 | Jonathan James Creech | Optometrist | 41257 Magarita Road, Suite B 103, Temecula, CA 92591 | 2017-07-11 |
| 1730600743 | Rachel Michele Brannigan | Specialist/Technologist | 39522 Seraphina Rd, Temecula, CA 92591 | 2017-06-29 |
| 1457890303 | Kala Chrisilis Earley | Specialist/Technologist | 29004 Bridgehampton Rd, Temecula, CA 92591 | 2017-02-13 |
| 1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
| Find all providers in zip 92591 | ||||
| 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 |
|---|---|---|---|---|
| 1780196428 | Shirley K Wade | Case Manager/Care Coordinator | 40925 County Circle Drive, Temecula, CA 92591 | 2017-11-03 |
| 1467098301 | Karen Smith | Case Manager/Care Coordinator | 40925 County Center Dr Ste 200, Temecula, CA 92591-6037 | 2019-11-26 |
| 1790297489 | Jessica Roselle Ibarra | Case Manager/Care Coordinator | 40925 County Center Dr, Temecula, CA 92591-6054 | 2017-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275935 | Grecia Leticia Garcia | Case Manager/Care Coordinator | 1830 Rodgers Rd Apt F, Hanford, CA 93230-1930 | 2020-11-03 |
| 1679173835 | Cristina Palacios-gomez | Case Manager/Care Coordinator | 1834 E Lester Ave, Fresno, CA 93720-1963 | 2020-10-27 |
| 1417557653 | Jeannine Arnetta Nash | Case Manager/Care Coordinator | 7614 Lemon Ave Ste C, Lemon Grove, CA 91945-1619 | 2020-10-27 |
| 1932709359 | Vue Moua | Case Manager/Care Coordinator | 4812 Conzelman Way, Elk Grove, CA 95757-2508 | 2020-10-26 |
| 1932709458 | Andre Howard | Case Manager/Care Coordinator | 2281 Hurley Way Apt 10, Sacramento, CA 95825-2337 | 2020-10-26 |
| 1194324020 | Project Raised | Case Manager/Care Coordinator | 3839 Amanda St, Unit 133, West Covina, CA 91792-2759 | 2020-10-21 |
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1750989240 | David John Schmidt-cook | Case Manager/Care Coordinator | 5580 Foothill Rd, Rocklin, CA 95677-3316 | 2020-10-15 |
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1841897675 | Madeline Hannah Starkenburg | Case Manager/Care Coordinator | 11559 Claridge Dr, Rch Cucamonga, CA 91730-7246 | 2020-10-05 |
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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.