BETHANY JANE SKOLNIK (NPI# 1215596572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215596572 |
| Entity Type | Individual |
| Full Name | BETHANY JANE SKOLNIK |
| Practice Address |
4986 N Adams Rd Ste D Rochester MI 48306-5017 |
| Practice Telephone | 2484754701 |
| Mailing Telephone | 2484754701 |
| Mailing Fax Number | 2484755777 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704270610 | MI | Nursing Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE | 4704270610 | 01 |
| Street Address |
4986 N ADAMS RD STE D |
| City | ROCHESTER |
| State | MI |
| Zip Code | 48306-5017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053791756 | Megan Gottsleben | Health Educator | 4986 N Adams Rd Ste D, Rochester, MI 48306-5017 | 2015-06-08 |
| 1154888741 | Brittany Dake | Registered Nurse | 4986 N Adams Rd Ste D, Rochester, MI 48306-5017 | 2019-03-01 |
| 1871078527 | Andrew Kurecka | Health Educator | 4986 N Adams Rd Ste D, Rochester, MI 48306-5017 | 2018-09-28 |
| 1912488230 | Margaret Lyons | Registered Nurse | 4986 N Adams Rd Ste D, Rochester, MI 48306 | 2018-08-24 |
| 1972082568 | Denise Raye Aldred-gonzalez | Registered Nurse | 4986 N Adams Rd Ste D, Rochester, MI 48306-5017 | 2018-08-14 |
| 1265911580 | Karen Becker | Registered Nurse | 4986 N Adams Rd Ste D, Rochester, MI 48306-5017 | 2018-08-08 |
| 1912404872 | Sruthi Sreedhar | Health Educator | 4986 N Adams Rd Ste D, Rochester, MI 48306-5017 | 2018-04-09 |
| 1821594284 | Teresa Choate | Health Educator | 4986 N Adams Rd Ste D, Rochester, MI 48306-5017 | 2018-04-04 |
| 1720584113 | Christina M Pourcho | Health Educator | 4986 N Adams Rd Ste D, Rochester, MI 48306-5017 | 2018-04-04 |
| 1982102703 | Jeanne Ann Drouillard | Registered Nurse | 4986 N Adams Rd Ste D, Rochester, MI 48306-5017 | 2018-01-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750887188 | Richard Beck | Health Educator | 4986 N Adams Rd Suite D, Rochester, MI 48306 | 2018-04-04 |
| 1245733484 | Christopher C Smith | Registered Nurse | 2451 Westwood Dr, Rochester Hills, MI 48306 | 2018-03-14 |
| 1598268096 | Janet Miller Kniahymycky | Counselor | 3680 Edinborough Drive, Rochester Hills, MI 48306 | 2018-03-12 |
| 1477076750 | Laura Beth Leblanc | Dietitian, Registered | 4859 Freer Street, Rochester, MI 48306 | 2017-07-19 |
| 1477909141 | Danielle Monette | Technician, Other | 1918 Watson Circle, Rochester, MI 48306 | 2016-05-11 |
| 1881053254 | Autumn Fick | Social Worker | 3901 Beaubein Blvd, Children's Hospital of Mi, Detroit, MI 48306 | 2016-02-15 |
| 1538569959 | Margaret Smyth | Registered Nurse | 4986 Adams Rd, Suite D, Rochester, MI 48306 | 2014-09-04 |
| 1730433178 | Kendall Rose Lalko | Dietitian, Registered | 4986 Adams Road, Rochester, MI 48306 | 2012-11-07 |
| 1558691378 | Juliet Rachal Cumming | Residential Treatment Facility, Physical Disabilities | 2728 Partridge Dr., Rochester, MI 48306 | 2009-12-29 |
| 1073780300 | Cynthia Jean Gardiner | Pharmacist | 6970 N Rochester Rd, Rochester, MI 48306 | 2008-05-15 |
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| 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 |
|---|---|---|---|---|
| 1871124750 | Lilibeth Elisa Lopez | Case Manager/Care Coordinator | 214 Clifford Ave, Rochester, NY 14621-5304 | 2020-01-30 |
| 1487294666 | Bercia Saltibus | Case Manager/Care Coordinator | 832 W. Main St, Rochester, NY 14613 | 2020-01-15 |
| 1023656535 | Efrain Jose Rivera | Case Manager/Care Coordinator | 160 Northaven Ter, Rochester, NY 14621-5518 | 2019-12-16 |
| 1265090716 | Mary Phyllis Mcelligott | Case Manager/Care Coordinator | 175 N Clinton Ave, Rochester, NY 14604-1109 | 2019-05-30 |
| 1164989471 | Jennifer J De Jesus | Case Manager/Care Coordinator | 111 Westfall Rd Rm 938, Rochester, NY 14620-4647 | 2019-02-22 |
| 1770066474 | Frederick Ghent | Case Manager/Care Coordinator | 1860 Buffalo Rd, Rochester, NY 14624-1551 | 2018-09-10 |
| 1538660923 | Sarah Ann Zawistowski | Case Manager/Care Coordinator | 111 Westfall Rd Fl 9, Rochester, NY 14620-4647 | 2018-02-22 |
| 1770091852 | Brittany Richards | Case Manager/Care Coordinator | 1860 Buffalo Road, Rochester, NY 14624 | 2018-01-11 |
| 1316391295 | Henry Papierski IIi | Case Manager/Care Coordinator | 61 Penhurst Rd, Rochester, NY 14610-2746 | 2016-04-18 |
| 1699191445 | Sarah Hepler | Case Manager/Care Coordinator | 16 Merwin Ave, Rochester, NY 14609-6713 | 2014-03-17 |
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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.