KELLY PETERS (NPI# 1245699370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245699370 |
| Entity Type | Individual |
| Full Name | KELLY PETERS |
| Practice Address |
4585 Sw 185th Ave Aloha OR 97078-1557 |
| Practice Telephone | 5034596898 |
| Mailing Telephone | 5034596898 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174754261 | Kelly A Peters | Speech-Language Pathologist | 1579 E 85th Ave, Merrillville, IN 46410-8901 | 2009-08-06 |
| 1861423303 | Kelly Ann Peters | Occupational Therapist | 9346 Oak Ave, Waconia, MN 55387 | 2006-07-05 |
| 1225091788 | Kelly Ann Peters | Physician Assistant | 10103 Ridgegate Pkwy 312, Lone Tree, CO 80124-5525 | 2006-04-07 |
| 1417430935 | Kelly Lee Peters | Nurse Practitioner | 4311 Wesley St, Greenville, TX 75401-5639 | 2018-09-11 |
| 1740778117 | Kelly Peters | Behavioral Analyst | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2018-05-01 |
| 1982060265 | Kelly Peters | Registered Nurse | 6205 Dominion Dr, Madison, WI 53718-3124 | 2016-01-03 |
| 1407236581 | Kelly Peters | Counselor | 6060 Ridge Ave, Suite 210, Philadelphia, PA 19128-1657 | 2015-06-04 |
| 1144666793 | Kelly Peters | Physician Assistant | 4031 W Plano Pkwy, Suite 100, Plano, TX 75093-5619 | 2013-05-21 |
| 1003155987 | Kelly Peters | Occupational Therapist | 8 5th St Se, Watertown, SD 57201-3713 | 2013-02-12 |
| 1790041481 | Kelly Peters | Social Worker | 501 S Burma Ave, Gillette, WY 82716-3426 | 2012-04-06 |
| Street Address |
4585 SW 185TH AVE |
| City | ALOHA |
| State | OR |
| Zip Code | 97078-1557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730167982 | Sequoia Mental Health Services Inc | Community Based Residential Treatment Facility, Mental Illness | 4585 Sw 185th Ave, Aloha, OR 97007-1557 | 2006-01-06 |
| 1649888462 | Hailey Coleman | Social Worker | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-07-17 |
| 1598381857 | Ashley Marie Miller | Social Worker | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-06-23 |
| 1235751413 | Lynne Gallagher Nanson | Counselor | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-05-11 |
| 1518589795 | Heather Elizabeth Carey | Counselor | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-05-11 |
| 1376170399 | Alena Masumi Berkman | Peer Specialist | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-03-27 |
| 1144855198 | Erika Graves | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-03-10 |
| 1427683168 | Aaron Lee Moore | Peer Specialist | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-03-03 |
| 1790323350 | Jonathan Clarke | Counselor | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2019-12-13 |
| 1659928935 | Conner Alexander Gremillion | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2019-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598391054 | Slater Family Dental, PC | Dentist | 18540 Sw Vincent, Aloha, OR 97078 | 2020-03-17 |
| 1992284830 | Alejandra Concepcion Rosales Vargas | Behavioral Analyst | 4221 Sw 165th Ave, Beaverton, OR 97078 | 2018-08-10 |
| 1770642621 | Carol Ann Zamarra | Naturopath | 3835 Sw 185th Ave, Suite 200, Aloha, OR 97078 | 2006-12-07 |
| 1710910070 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 5975 Sw 185th Ave, Beaverton, OR 97078 | 2006-07-09 |
| 1508331091 | Robyn Masuen | Case Manager/Care Coordinator | 20695 Sw Kinnaman Rd, Aloha, OR 97078-1064 | 2018-10-10 |
| 1255841037 | Amy Ann Schmidt | Counselor | 20695 Sw Kinnaman Rd, Aloha, OR 97078-1064 | 2017-10-05 |
| 1699200311 | Leah Marie Kauffman | Counselor | 20695 Sw Kinnaman Rd, Aloha, OR 97078-1064 | 2017-05-01 |
| 1205236726 | Christopher Fife | Community Based Residential Treatment Facility, Mental Illness | 20695 Sw Kinnaman Rd, Aloha, OR 97078-1064 | 2014-09-03 |
| 1205387321 | Pei Wen Chiang | Specialist/Technologist, Other | 5150 Sw 209th Ave, Beaverton, OR 97078-1086 | 2016-10-24 |
| 1710512736 | Dominic Townsend | Case Manager/Care Coordinator | 18715 Sw Blanton St, Aloha, OR 97078-1234 | 2020-03-10 |
| Find all providers in zip 97078 | ||||
| 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 |
|---|---|---|---|---|
| 1710512736 | Dominic Townsend | Case Manager/Care Coordinator | 18715 Sw Blanton St, Aloha, OR 97078-1234 | 2020-03-10 |
| 1255738183 | Jennifer Kenedy | Case Manager/Care Coordinator | 4585 Sw 185th Avenue, Aloha, OR 97007 | 2014-11-20 |
| 1932520947 | Alicia Lopez | Case Manager/Care Coordinator | 6435 Sw Skiver Ct, Aloha, OR 97007-4223 | 2013-12-17 |
| 1992994453 | Lester Lewis | Case Manager/Care Coordinator | 17685 Sw Butternut Dr, Aloha, OR 97007-3930 | 2007-10-22 |
| 1144855198 | Erika Graves | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-03-10 |
| 1659928935 | Conner Alexander Gremillion | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2019-08-21 |
| 1205482940 | Jeremiah B Baker | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2019-08-16 |
| 1528614393 | Cheryl Ann Newman | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2019-08-16 |
| 1184181422 | Tamara Brown | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2019-02-22 |
| 1558825471 | Leah P Farris | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2019-01-24 |
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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.