KIRSTEN N WALLACE (NPI# 1215549555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215549555 |
| Entity Type | Individual |
| Full Name | KIRSTEN N WALLACE |
| Credential | N/A |
| Practice Address |
1505 N Florida St Covington LA 70433-1544 |
| Practice Telephone | 9857816080 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| 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 |
|---|---|---|---|
| LA | 171M00000X | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619187200 | Kirsten Ann Wallace | Physical Therapist | 5300 N Independence Ave, Suite 100, Oklahoma City, OK 73112-5556 | 2007-05-23 |
| Street Address |
1505 N FLORIDA ST |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518230804 | Danielle Wood Mistretta | Counselor | 1505 N Florida St, Covington, LA 70433-1544 | 2012-02-16 |
| 1336748284 | Zachariah Givens | Case Manager/Care Coordinator | 1505 N Florida St, Covington, LA 70433-1544 | 2020-10-21 |
| 1528692399 | Dondra Hills | Case Manager/Care Coordinator | 1505 N Florida St, Covington, LA 70433-1544 | 2020-03-02 |
| 1073075305 | Dana Elaine Boihem | Case Manager/Care Coordinator | 1505 N Florida St, Covington, LA 70433-1544 | 2019-04-04 |
| 1205317112 | Barbara Anne Strain | Counselor | 1505 N Florida St, Covington, LA 70433-1544 | 2018-08-28 |
| 1902309370 | Start Corporation | Clinic/Center | 1505 N Florida St, Covington, LA 70433-1544 | 2018-03-13 |
| 1447752449 | Erica Elaine Robinson | Case Manager/Care Coordinator | 1505 N Florida St, Covington, LA 70433-1544 | 2018-03-06 |
| 1356893143 | Cassidy Fischer Palmisano | Counselor | 1505 N Florida St, Covington, LA 70433-1544 | 2016-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| 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 |
|---|---|---|---|---|
| 1952911190 | Arianne Riley | Case Manager/Care Coordinator | 418 W 9th St, Covington, KY 41011-2145 | 2020-08-03 |
| 1013557263 | Deneacer Massop | Case Manager/Care Coordinator | 80 Brandon Dr, Covington, GA 30016-3333 | 2020-01-15 |
| 1013565605 | Katrina Williams | Case Manager/Care Coordinator | 220 Meadowidge Dr, Covington, GA 30016 | 2019-08-28 |
| 1063067858 | Kevin Orlando Banegas | Case Manager/Care Coordinator | 1729 Orchard Dr, Covington, LA 70435-6041 | 2019-08-08 |
| 1417466400 | Kenneth Micheal Townsend | Case Manager/Care Coordinator | 19295 N 3rd St Ste 2, Covington, LA 70433-8897 | 2017-09-22 |
| 1326574781 | Erica C Delaune | Case Manager/Care Coordinator | 75153 Crestview Hills Loop, Covington, LA 70435-5678 | 2017-05-04 |
| 1700282035 | Danielle Darby | Case Manager/Care Coordinator | 3236 Highway 278, Covington, GA 30014-2402 | 2014-11-13 |
| 1467890582 | Ann Muehlenkamp Knochelmann | Case Manager/Care Coordinator | 604 Brandtly Ridge Dr, Covington, KY 41015-4230 | 2013-06-11 |
| 1194095216 | Ayme Mogle Meehan | Case Manager/Care Coordinator | 46 Begonia Dr, Covington, LA 70433-9102 | 2012-01-05 |
| 1881862159 | Ardena Johnson | Case Manager/Care Coordinator | 60 Lightwood Dr, Covington, GA 30016 | 2008-02-20 |
| Find all providers in COVINGTON | ||||
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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.