JEDIDIAH LIGUORI KISSANE (NPI# 1205493780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205493780 |
| Entity Type | Individual |
| Full Name | JEDIDIAH LIGUORI KISSANE |
| Practice Address |
421 Montgomery St Ste 1000a Syracuse NY 13202-2982 |
| Mailing Address |
302 Dewittshire Rd S Syracuse NY 13214-2212 |
| Practice Telephone | 3154353230 |
| Mailing Telephone | 3155599827 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Gender Code | M |
| 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 |
421 MONTGOMERY ST STE 1000A |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13202-2982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255804456 | Lisa Blachford | Registered Nurse | 421 Montgomery St Room 80, Syracuse, NY 13202 | 2019-01-10 |
| 1851873640 | Syracuse Community Health Center, Inc. | Case Management | 819 South Salina Street, Syracuse, NY 13202 | 2018-08-29 |
| 1245739713 | Telibra Lloyd | Counselor | 375 W Onondaga St Suite 10, Syracuse, NY 13202 | 2018-02-09 |
| 1326574534 | Wendell Covell | Social Worker | 50 Presidential Plaza, Jefferson Tower Suite Ll05, Syracuse, NY 13202 | 2017-05-08 |
| 1083165005 | Candy Herbert | Counselor | 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 | 2016-10-14 |
| 1427429760 | Joshua Caryl | Counselor | 319 East Water Street, Syracuse, NY 13202 | 2015-10-13 |
| 1093140956 | Jennifer B Mccaffrey | Nurse Practitioner | 421 Montgomery Street Room 80, Onondaga County Health Dept. Bureau of Disease Control, Syracuse, NY 13202 | 2013-09-11 |
| 1336581552 | Emily Renee Haggerty | Hospitalist | 500 Harrison St, 1705a, Syracuse, NY 13202 | 2013-07-30 |
| 1134470933 | Tanya Marie Harlec Mcguire | Genetic Counselor, MS | 90 Presdential Plaza Uhcc 3rd Fl., Regional Perinatal Center Suny Upstate Medical Ctr, Syracuse, NY 13202 | 2012-09-20 |
| 1104176320 | Mary Jo Maestri | Genetic Counselor, MS | 90 Presidential Plaza Uhcc- Perinatal Ceter, University Hospital/upstate Medical Center, Syracuse, NY 13202 | 2012-09-14 |
| Find all providers in zip 13202 | ||||
| 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 |
|---|---|---|---|---|
| 1235492620 | Emily E Dancks | Case Manager/Care Coordinator | 302 Strathmore Dr, Syracuse, NY 13207-1552 | 2012-06-20 |
| 1871854158 | Katherine Mackey Smith | Case Manager/Care Coordinator | 140 Kensington Pl, Syracuse, NY 13210-3010 | 2012-06-04 |
| 1457612814 | Laura Stockin | Case Manager/Care Coordinator | 326 Onondaga Ter, Syracuse, NY 13207-1443 | 2012-06-01 |
| 1184984858 | Jessica Danielle Spencer | Case Manager/Care Coordinator | 304 Meadow Rd, Syracuse, NY 13219-2308 | 2012-05-29 |
| 1245590157 | Timothy John Alberts | Case Manager/Care Coordinator | 111 Chaumont Dr, Syracuse, NY 13209-2230 | 2012-05-24 |
| 1629338652 | Marci Gondek | Case Manager/Care Coordinator | 681 E Seneca Tpke, Apt A24, Syracuse, NY 13205-2616 | 2012-05-23 |
| 1841550324 | Joann Maria Manfredi | Case Manager/Care Coordinator | 501 E Fayette St Ste 2, Syracuse, NY 13202-1953 | 2012-05-18 |
| 1205195906 | Amy Pilacky | Case Manager/Care Coordinator | 501 E Fayette St Ste B, Syracuse, NY 13202-1953 | 2012-05-15 |
| 1780838177 | Deborah Yvonne Bull | Case Manager/Care Coordinator | 501 E Fayette St, Syracuse, NY 13202-1953 | 2008-11-11 |
| 1710024120 | Toomey Residential and Community Services Corp. | Case Manager/Care Coordinator | 733 Euclid Ave, Syracuse, NY 13210-2538 | 2007-02-01 |
| Find all providers in SYRACUSE | ||||
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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.