KRYSTLE SHEREE DANRIDGE (NPI# 1184015950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184015950 |
| Entity Type | Individual |
| Full Name | KRYSTLE SHEREE DANRIDGE |
| Practice Address |
1601 Quesada Ave San Francisco CA 94124-2334 |
| Mailing Address |
1442 Revere Ave San Francisco CA 94124-2758 |
| Practice Telephone | 4158225977 |
| Practice Fax Number | 4156711042 |
| Mailing Telephone | 4158225977 |
| Mailing Fax Number | 4156711042 |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |
| 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 |
| Street Address |
1601 QUESADA AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94124-2334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548300551 | Jelani, Inc | Substance Abuse Rehabilitation Facility | 1601 Quesada Ave, San Francisco, CA 94124-2334 | 2007-02-07 |
| 1093240012 | Jelani, Inc | Substance Abuse Rehabilitation Facility | 1601 Quesada Ave, San Francisco, CA 94124-2334 | 2017-04-27 |
| 1083161848 | Michael Grant Sr. | Substance Abuse Rehabilitation Facility | 1601 Quesada Ave, San Francisco, CA 94124-2334 | 2016-09-08 |
| 1780137299 | Adonia Middleton | Counselor | 1601 Quesada Ave, San Francisco, CA 94124-2334 | 2016-08-01 |
| 1447680814 | Elizabeth Cook | Specialist | 1601 Quesada Ave, San Francisco, CA 94124-2334 | 2013-11-20 |
| 1407172646 | Fatina Crawford | Counselor | 1601 Quesada Ave, San Francisco, CA 94124-2334 | 2010-04-13 |
| 1073849584 | Judith A Freeman | Counselor | 1601 Quesada Ave, San Francisco, CA 94124-2334 | 2009-10-19 |
| 1194937755 | Phebe Williams | Counselor | 1601 Quesada Ave, San Francisco, CA 94124-2334 | 2007-05-04 |
| 1912033580 | Wendy Rose Butler | Counselor | 1601 Quesada Ave, San Francisco, CA 94124-2334 | 2007-02-26 |
| 1881739134 | Colleen Jeffers | Counselor | 1601 Quesada Ave, San Francisco, CA 94124-2334 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922597525 | Valeria Elizabeth Diaz | Technician, Other | 1227 Revere Ave, San Francisco, CA 94124 | 2018-05-09 |
| 1164929915 | Derrick Tuckerson | Registered Nurse | 3801 3rd Street #5j93, Suite 200, San Fransisco, CA 94124 | 2018-04-09 |
| 1518469766 | Skycoast Mobility, LLC | Non-emergency Medical Transport (VAN) | 1485 Bayshore Blvd., Suite #320a, San Francisco, CA 94124 | 2018-03-04 |
| 1811419484 | Kayla Leininger | Counselor | 3801 3rd St., 400, San Francisco, CA 94124 | 2017-07-14 |
| 1508240953 | Suzanne Wen | Dentist | 1938 Donner Ave, San Francisco, CA 94124 | 2015-07-15 |
| 1518362201 | Southeast Health Clinic, Department of Public Health | Clinic/Center | 2401 Keith Ave, San Francisco, CA 94124 | 2014-10-24 |
| 1629489299 | Bayview Hunter Point Foundation | Community/Behavioral Health | 1075 Leconte Street, San Francisco, CA 94124 | 2014-05-16 |
| 1558797936 | Mickey Diner Stein | Student in an Organized Health Care Education/Training Program | 3801 Third Street, Suite 400, San Francisco, CA 94124 | 2013-09-18 |
| 1164797916 | Ronnie Muniz | Counselor | 5015 Third Street, San Francisco, CA 94124 | 2012-03-13 |
| 1265717144 | Marq'uis Amari-hakeem Reid | Counselor | 1625 Carroll Avenue, San Francisco, CA 94124 | 2011-10-11 |
| Find all providers in zip 94124 | ||||
| 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 |
|---|---|---|---|---|
| 1124685169 | Joseph William Jasser, M.d., Medical Corporation | Case Manager/Care Coordinator | 505 Montgomery St Fl 11, San Francisco, CA 94111-2585 | 2019-05-24 |
| 1053784132 | Annie Pham | Case Manager/Care Coordinator | 562 37th Ave Apt 2, San Francisco, CA 94121-2656 | 2015-11-11 |
| 1235532102 | Maureen Rees | Case Manager/Care Coordinator | 201 Third Street, 7th Floor, San Francisco, CA 94103 | 2014-10-06 |
| 1821341215 | Reymundo Espinoza | Case Manager/Care Coordinator | 445 Hampshire St, San Francisco, CA 94110-1416 | 2012-10-22 |
| 1689921173 | Susan Au | Case Manager/Care Coordinator | 30 Mason St, Apt 702, San Francisco, CA 94102-2899 | 2012-08-14 |
| 1336495316 | Sierra Simone Anderson Ross IIi | Case Manager/Care Coordinator | 472 Turk St, San Francisco, CA 94102-3330 | 2012-07-27 |
| 1871866079 | Kelly Castel | Case Manager/Care Coordinator | 333 Valencia St Ste 240, 415-503-1046 Main Number, San Francisco, CA 94103-3547 | 2012-02-17 |
| 1861771933 | Patricia O'connor | Case Manager/Care Coordinator | 201 3rd St Fl 7, San Francisco, CA 94103-3146 | 2011-08-08 |
| 1114153012 | Van David Portlock | Case Manager/Care Coordinator | 730 Eddy St, Room 204, San Francisco, CA 94109-7846 | 2009-06-05 |
| 1760618805 | Linda Kay Duncan | Case Manager/Care Coordinator | 730 Eddy St Apt 205, San Francisco, CA 94109-7847 | 2009-06-03 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94124 |
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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.