MS. KELLY JO BOMBARDIERE (NPI# 1215361969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215361969 |
| Entity Type | Individual |
| Full Name | MS. KELLY JO BOMBARDIERE |
| Practice Address |
1101 6th Ave N Nashville TN 37208-2650 |
| Mailing Address |
1805 Club Pkwy Nashville TN 37221-1944 |
| Practice Telephone | 6154604100 |
| Mailing Telephone | 8504281656 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |
| 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 |
1101 6TH AVE N |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37208-2650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033252820 | Marvin Bradley Nunn | Psychologist | 1101 6th Ave N, Nashville, TN 37208-2650 | 2007-02-14 |
| 1124495882 | Centerstone of Tennessee | Community/Behavioral Health | 1101 6th Ave N, Nashville, TN 37208-2650 | 2015-08-28 |
| 1689063760 | Jo Susan Offutt-blackaby | Clinical Nurse Specialist | 1101 6th Ave N, Nashville, TN 37208-2650 | 2015-01-13 |
| 1063837854 | Heather Anne Kamper | Social Worker | 1101 6th Ave N, Nashville, TN 37208-2650 | 2014-03-03 |
| 1811318991 | Anya Snyder | Nurse Practitioner | 1101 6th Ave N, Nashville, TN 37208-2650 | 2013-12-17 |
| 1902237746 | John Davis | Counselor | 1101 6th Ave N, Nashville, TN 37208-2650 | 2013-12-04 |
| 1215375720 | Christy Michelle Cleland | Community Health Worker | 1101 6th Ave N, Nashville, TN 37208-2650 | 2013-06-06 |
| 1225374325 | Lance Dyson | Community Health Worker | 1101 6th Ave N, Nashville, TN 37208-2650 | 2012-12-17 |
| 1366790164 | Lindsey Erin Overhalser | Community Health Worker | 1101 6th Ave N, Nashville, TN 37208-2650 | 2012-08-27 |
| 1831447697 | Advantage Behavioral Health | Health Maintenance Organization | 1101 6th Ave N, Nashville, TN 37208-2650 | 2012-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199210 | Michele M Collins | Student in an Organized Health Care Education/Training Program | 1005 Dr D B Todd Jr, 3rd Floor Gpr Clinic, Nashville, TN 37208 | 2020-06-19 |
| 1730700105 | Prince Eleeh | Student in an Organized Health Care Education/Training Program | Department of Psychiatry, Meharry Medical College, 1005 Dr. D. B. Todd, Jr. Blvd., Nashville, TN 37208 | 2020-04-27 |
| 1750900411 | James Curtis Roberson IIi | Student in an Organized Health Care Education/Training Program | 1005 Dr. D.b. Todd Jr, Boulevard, Nashville, TN 37208 | 2020-04-13 |
| 1184252322 | Sandip Chaugai | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd, Jr. Blvd, Nashville, TN 37208 | 2020-04-01 |
| 1366070542 | Bukola Adeyinka Olagbende | Student in an Organized Health Care Education/Training Program | 1005 Dr. D.b. Todd, Jr. Blvd, Nashville, Tn, Nashville, TN 37208 | 2020-04-01 |
| 1821651704 | Vielka Oglivie | Social Worker | 1005 Dr. D.b. Todd, Jr Blvd, Nashville, TN 37208 | 2019-04-17 |
| 1154882702 | Ajua Fondong Azingala | Student in an Organized Health Care Education/Training Program | 1005 Dr D B Todd Jr. Blvd, Nashville, TN 37208 | 2019-03-27 |
| 1437619749 | Dockmias Kassahun Demeke | Student in an Organized Health Care Education/Training Program | 1005 Dr D.b. Todd Jr Boulevard, Nashville, TN 37208 | 2019-03-22 |
| 1225598717 | Ekemini Ima Orok | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd Jr., Blvd., Nashville, TN 37208 | 2019-03-21 |
| 1861952608 | Andrea Giselle Lozano | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd, Jr. Boulevard, Nashville, TN 37208 | 2019-03-20 |
| Find all providers in zip 37208 | ||||
| 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 |
|---|---|---|---|---|
| 1033766316 | Kaydra Ayers | Case Manager/Care Coordinator | 508 N. 2nd Street, Nashville, AR 71852 | 2019-08-21 |
| 1407387228 | Melinda Bates | Case Manager/Care Coordinator | 5008 Illinois Ave, Apt. B, Nashville, TN 37209-2108 | 2017-03-23 |
| 1669919916 | Emily Gottlick | Case Manager/Care Coordinator | 820 Erin Ln, Nashville, TN 37221-2216 | 2017-01-25 |
| 1861936361 | Ricky Herron | Case Manager/Care Coordinator | 2333 Rosa L Parks Blvd Apt 305, Nashville, TN 37228-1242 | 2016-12-19 |
| 1003364704 | Mohamud Ali | Case Manager/Care Coordinator | 1926b Laurinda Dr, Nashville, TN 37217-1313 | 2016-09-12 |
| 1043661333 | Scott Haggadone | Case Manager/Care Coordinator | 2041 Stokes Ln, Nashville, TN 37215-1519 | 2016-06-28 |
| 1649607698 | Monique Hodison | Case Manager/Care Coordinator | 216 Oak Grove Dr, Nashville, TN 37217-1231 | 2013-10-06 |
| 1033559562 | Jill Pransky | Case Manager/Care Coordinator | 5101 Linbar Dr Apt J110, Nashville, TN 37211-5097 | 2013-06-28 |
| 1366737538 | Dwayne Camper | Case Manager/Care Coordinator | 7424 Tarmac Way, Nashville, TN 37211-0209 | 2011-06-15 |
| 1023328739 | Kelly Ann Folk | Case Manager/Care Coordinator | 230 Venture Cirlce, Nashville, TN 37228 | 2010-10-15 |
| Find all providers in NASHVILLE | ||||
Please comment or provide details below to improve the information on MS. KELLY JO BOMBARDIERE.
| 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.