EBONY MIXON (NPI# 1245882265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245882265 |
Entity Type | Individual |
Full Name | EBONY MIXON |
Practice Address |
9412 Big Horn Blvd Elk Grove CA 95758-1101 |
Practice Telephone | 9515257728 |
Mailing Telephone | 9515257728 |
Enumeration Date | 2019-07-10 |
Last Update Date | 2019-07-10 |
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 |
9412 BIG HORN BLVD |
City | ELK GROVE |
State | CA |
Zip Code | 95758-1101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770647414 | Laurie Marcine Barnes | Counselor | 9412 Big Horn Blvd, Elk Grove, CA 95758-1101 | 2006-12-20 |
1215542410 | Felicia Carina Yanez | Behavior Technician | 9412 Big Horn Blvd, Elk Grove, CA 95758-1101 | 2020-09-14 |
1336757434 | O'bryan M Dixon | Behavior Technician | 9412 Big Horn Blvd, Elk Grove, CA 95758-1101 | 2020-07-15 |
1942834338 | Maria Guadalupe Mendez | Behavior Technician | 9412 Big Horn Blvd, Elk Grove, CA 95758-1101 | 2020-02-25 |
1720620628 | Ashanty Bautista | Behavior Technician | 9412 Big Horn Blvd, Elk Grove, CA 95758-1101 | 2019-10-11 |
1134760531 | Lauren Eugenia Mendes | Assistant Behavior Analyst | 9412 Big Horn Blvd, Elk Grove, CA 95758-1101 | 2019-10-07 |
1003457573 | Oralia Harrison | Behavior Technician | 9412 Big Horn Blvd, Elk Grove, CA 95758-1101 | 2019-10-04 |
1710528690 | Gabriel Espinoza | Behavior Technician | 9412 Big Horn Blvd, Elk Grove, CA 95758-1101 | 2019-10-02 |
1356998512 | Laura Gabriela Murillo | Behavior Technician | 9412 Big Horn Blvd, Elk Grove, CA 95758-1101 | 2019-08-22 |
1659923860 | Tamar Flowers | Behavior Technician | 9412 Big Horn Blvd, Elk Grove, CA 95758-1101 | 2019-07-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982244208 | Obia Njoku | Nurse Practitioner | 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 | 2020-01-14 |
1992362362 | Kimberly Abrahamson | Student in an Organized Health Care Education/Training Program | 9412 Big Horn Dr #6, Elk Grove, CA 95758 | 2019-05-21 |
1447737333 | Elk Grove Rehab & Counseling Center | Counselor | 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 | 2018-07-24 |
1114424579 | Arielle Mize | Dietitian, Registered | 8161 Sheldon Road, #103, Elk Grove, CA 95758 | 2018-04-11 |
1154822609 | Eston Garcia | Behavior Technician | 2366 Martime Drive, Elk Grove, CA 95758 | 2018-02-21 |
1912406364 | Nicole Torneros | Behavior Technician | 2336 Maritime Drive, Elk Grove, CA 95758 | 2018-02-12 |
1134628712 | Northern California Vasectomy | Family Medicine | 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 | 2018-02-08 |
1083134399 | Uchechi Mbonu | Assisted Living Facility | 7019 Mcgill Court, Elk Grove, CA 95758 | 2017-06-27 |
1922557362 | Muhanad Aliakbar | Driver | 8275 Oakbriar Cir, Elk Grove, CA 95758 | 2016-09-27 |
1063868123 | Teresa Vinciguerra | Marriage & Family Therapist | 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 | 2016-05-09 |
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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 |
---|---|---|---|---|
1932709359 | Vue Moua | Case Manager/Care Coordinator | 4812 Conzelman Way, Elk Grove, CA 95757-2508 | 2020-10-26 |
1295351609 | Jawad Raif | Case Manager/Care Coordinator | 7701 Chappelle Way, Elk Grove, CA 95757-1678 | 2020-06-22 |
1316569593 | Takesha L Jackson | Case Manager/Care Coordinator | 9398 Rainbow Falls Way, Elk Grove, CA 95624-1262 | 2020-05-11 |
1598277246 | Eric Stone | Case Manager/Care Coordinator | 8912 Bear Park Ct, Elk Grove, CA 95758-6239 | 2017-11-02 |
1275082521 | Felicia Thomas | Case Manager/Care Coordinator | 9214 Fife Ranch Way, Elk Grove, CA 95624-3574 | 2016-09-28 |
1922551340 | Louie Lomibao | Case Manager/Care Coordinator | 9262 Louis St, Elk Grove, CA 95624-3586 | 2016-08-02 |
1093268716 | Gregorio Castellano Sabio X | Case Manager/Care Coordinator | 9204 Rainbow Creek Way, Elk Grove, CA 95624-4814 | 2016-07-28 |
1043630973 | Solomon A Smith | Case Manager/Care Coordinator | 5820 Fire Poppy Dr, Elk Grove, CA 95757-2848 | 2014-04-17 |
1134568223 | Onesimo Garcia | Case Manager/Care Coordinator | 8611 Elk Ridge Way, Elk Grove, CA 95624-2259 | 2013-06-21 |
1134303779 | Ravinder Singh | Case Manager/Care Coordinator | 6705 Peninsula Way, Elk Grove, CA 95758-6282 | 2007-12-18 |
Find all providers in ELK GROVE |
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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.