SALLY SMITH (NPI# 1205144631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205144631 |
| Entity Type | Individual |
| Full Name | SALLY SMITH |
| Practice Address |
201 Carmen Ln Santa Maria CA 93458-7722 |
| Practice Telephone | 8053481850 |
| Mailing Telephone | 8053481850 |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |
| 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 |
|---|---|---|---|
| CA | CARES RES NORTH | 1952589228 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502505 | Sally Smith | Counselor | 4525 Southcreek Rd, Moore, OK 73165-7359 | 2020-06-08 |
| 1861981193 | Sally Anne Smith | Nurse Practitioner | 51a Calle Gurule, Santa Fe, NM 87505-1413 | 2018-05-02 |
| 1104971746 | Sally Jean Smith | Pediatrics | 3639 Harbor Blvd Ste 106, Ventura, CA 93001-4276 | 2007-01-24 |
| 1386705564 | Sally A Smith | Social Worker | 150 Bw Thomas Dr, Ste 125, Ft Mill, SC 29708 | 2006-12-12 |
| 1861025710 | Sally Nan Smith | Physical Therapy Assistant | 1638 Vz County Road 1803, Grand Saline, TX 75140-3494 | 2020-02-19 |
| 1174165195 | Sally Nissa Smith | Social Worker | 8140 Dream St Ste D, Florence, KY 41042-7532 | 2019-10-10 |
| 1194200204 | Sally Smith | Counselor | 3300 Canal St Ste 120, New Orleans, LA 70119-6246 | 2018-09-25 |
| 1952896748 | Sally Emma Smith | Surgery | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2018-06-25 |
| 1215427075 | Sally Ann Smith | Licensed Vocational Nurse | 8318 Jones Maltsberger Rd Ste 121, San Antonio, TX 78216-6552 | 2018-05-16 |
| 1760921571 | Sally Smith | Counselor | 145 Main St, Lakeville, MA 02347-1621 | 2017-02-14 |
| Street Address |
201 CARMEN LN |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93458-7722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790206761 | Recovery Point Acute Care | Family Medicine | 104b W Morrison Ave, Santa Maria, CA 93458 | 2017-06-29 |
| 1669912986 | Terry Jauregui | Behavior Technician | 1908 Vallet Vista, Santa Maria, CA 93458 | 2017-03-06 |
| 1770960692 | Anka Behavioral Health Incorporated | Community Based Residential Treatment Facility, Mental Illness | 212 West Carmen Lane, Santa Maria, CA 93458 | 2015-04-29 |
| 1447663299 | Dan Reynolds | Case Manager/Care Coordinator | 117 W. Tunnel Street, Santa Maria, CA 93458 | 2014-06-10 |
| 1043640824 | Good Samaritan Shelter | Counselor | 403 W Morrison Ave, Santa Maria, CA 93458 | 2013-11-15 |
| 1114281003 | Angelica Guadalupe Enriquez | Counselor | 1908 N. Western Ave, Santa Maria, CA 93458 | 2012-06-26 |
| 1225307036 | Krista Nicole Delia | Counselor | 2443 Ebony St., Santa Maria, CA 93458 | 2011-12-22 |
| 1528374774 | Jeff Robert Jeffery | Counselor | 117 S. Benwiley Avenue, Santa Maria, CA 93458 | 2010-08-25 |
| 1528295367 | Dena Marshelle Reed | Counselor | 401-b W. Morrison Ave., Santa Maria, CA 93458 | 2009-06-19 |
| 1114177326 | Suzanne Brooke Vierling | Counselor | 7321 S. Lincoln, Santa Maria, CA 93458 | 2008-09-24 |
| Find all providers in zip 93458 | ||||
| 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 |
|---|---|---|---|---|
| 1447663299 | Dan Reynolds | Case Manager/Care Coordinator | 117 W. Tunnel Street, Santa Maria, CA 93458 | 2014-06-10 |
| 1154557965 | Mark Tompkins | Case Manager/Care Coordinator | 117 W. Tunnel St., Santa Maria, CA 93454 | 2009-06-08 |
| 1760627384 | Julie Caraza | Case Manager/Care Coordinator | 1508 S Barbara St, Santa Maria, CA 93458-7110 | 2008-12-10 |
| 1912154675 | Cynthia Camacho | Case Manager/Care Coordinator | 819 W Church St, Santa Maria, CA 93458-4265 | 2008-08-25 |
| 1285802132 | Jean Hobbs | Case Manager/Care Coordinator | 2445 A St, Santa Maria, CA 93455-1401 | 2008-02-13 |
| 1386837201 | Sharon Van Dyke | Case Manager/Care Coordinator | 715 Doeskin Trl, Santa Maria, CA 93455-6020 | 2007-08-23 |
| 1063605988 | John Park | Case Manager/Care Coordinator | 600 Union Ave Apt B, Santa Maria, CA 93455-5327 | 2007-08-23 |
| 1770621005 | Cindy V Lopez | Case Manager/Care Coordinator | 319 Gilea Ct, Santa Maria, CA 93455-1382 | 2007-02-01 |
| 1043822695 | Yaneli Madai Bailon | Case Manager/Care Coordinator | 124 Carmen Ln Ste A, Santa Maria, CA 93458-7768 | 2020-08-17 |
| 1083230411 | Georgina Ayala | Case Manager/Care Coordinator | 124 Carmen Ln Ste A, Santa Maria, CA 93458-7768 | 2020-06-22 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93458 |
Please comment or provide details below to improve the information on SALLY SMITH.
| 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.