MRS. AMY DANIELLE CARLSON (NPI# 1255471074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255471074 |
| Entity Type | Individual |
| Full Name | MRS. AMY DANIELLE CARLSON |
| Practice Address |
1522 E State Route 36 Suite A Urbana OH 43078 |
| Mailing Address |
Po Box 817 West Liberty OH 43357-0817 |
| Practice Telephone | 9376535583 |
| Practice Fax Number | 9376534787 |
| Mailing Telephone | 9376535583 |
| Mailing Fax Number | 9376534787 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |
| 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 |
|---|---|---|---|---|
| 1003455478 | Amy Lou Carlson | Counselor | 10031 Nw 71st Ter, Parkville, MO 64152-2460 | 2020-01-02 |
| 1568817096 | Amy Lea Carlson | Specialist/Technologist, Other | 12820 Greenwood Forest Dr, Apt 519, Houston, TX 77066-1636 | 2016-05-03 |
| 1760861710 | Amy Beth Carlson | Dietitian, Registered | 4418 Cedar Ridge Trl, Houston, TX 77059-3116 | 2015-05-22 |
| 1841403896 | Amy Danielle Carlson | Physical Therapist | 32 Henderson St, Needham, MA 02492-2209 | 2007-05-07 |
| 1669004925 | Amy Carlson | Behavior Technician | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124-9370 | 2020-02-05 |
| 1013442649 | Amy L Carlson | Social Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2017-04-20 |
| 1598205577 | Amy Carlson | Counselor | 1015 37th Avenue Ct Unit 102, Greeley, CO 80634-2500 | 2017-02-24 |
| 1083072359 | Amy Grace Carlson | Physical Therapy Assistant | 1701 S 11th St, Kalamazoo, MI 49009-1775 | 2016-02-02 |
| 1922486307 | Amy Carlson | Physical Therapist | 5366 386th St Ne, North Branch, MN 55056-5833 | 2015-05-18 |
| 1871997536 | Amy Carlson | Audiologist | 1 Childrens Pl, 3s23, Saint Louis, MO 63110-1002 | 2014-10-09 |
| Street Address |
1522 E STATE ROUTE 36 SUITE A |
| City | URBANA |
| State | OH |
| Zip Code | 43078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588704308 | Diana C Baker | Case Manager/Care Coordinator | 1522 E State Route 36, Suite A, Urbana, OH 43078 | 2007-02-08 |
| 1710028659 | Linda Vernon | Case Manager/Care Coordinator | 1522 E State Route 36, Suite A, Urbana, OH 43078 | 2007-02-12 |
| 1821138637 | Jennifer D Hall Heminger | Counselor | 1522 E State Route 36, Suite A, Urbana, OH 43078 | 2007-02-08 |
| 1811037641 | Patricia Beavers | Case Manager/Care Coordinator | 1522 E State Route 36, Suite A, Urbana, OH 43078 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750851812 | Alicia Susanne Mcguire | Case Manager/Care Coordinator | 1522 West Us Highway 36, Suite A, Urbana, OH 43078 | 2018-12-03 |
| 1962998674 | Emily Holland | Counselor | 1522 East Us Rte 36, Suite A, Urbana, OH 43078 | 2018-07-05 |
| 1790235638 | Scott Kayatin | Chiropractor | 1598 E Us Highway 36, Urbana, OH 43078 | 2016-10-04 |
| 1053778522 | Holly Bowman | Specialist | 888 East Court Street, Urbana, OH 43078 | 2016-01-28 |
| 1932512142 | Amanda Myers | Nurse Practitioner | 204 Patrick Avenue, Urbana, OH 43078 | 2014-06-05 |
| 1700201290 | Laura Nichole Steele | Speech-Language Pathologist | 2200 Us 68, Urbana, OH 43078 | 2014-02-20 |
| 1255769394 | Kimberly A. G. Leichty | Counselor | 1522 East Us Rte 36, Suite A, Urbana, OH 43078 | 2013-10-29 |
| 1912249186 | Jessica Thomas | Licensed Practical Nurse | 520 E Water St, Urbana, OH 43078 | 2013-03-26 |
| 1699053884 | Terry Means | Social Worker | 1522 E Us Rte 36, Suite A, Urbana, OH 43078 | 2011-07-22 |
| 1619277860 | Vectren | Home Infusion | 7587 W St Rt 29, Urbana, OH 43078 | 2010-10-21 |
| Find all providers in zip 43078 | ||||
| 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 |
|---|---|---|---|---|
| 1750851812 | Alicia Susanne Mcguire | Case Manager/Care Coordinator | 1522 West Us Highway 36, Suite A, Urbana, OH 43078 | 2018-12-03 |
| 1962981704 | Lori Ann Legge | Case Manager/Care Coordinator | 1522 E Us Highway 36 Ste A, Urbana, OH 43078-9738 | 2018-08-13 |
| 1588704308 | Diana C Baker | Case Manager/Care Coordinator | 1522 E State Route 36, Suite A, Urbana, OH 43078 | 2007-02-08 |
| 1174094197 | Jeremy Alexander Smith | Case Manager/Care Coordinator | 102 E Main St Ste 403, Urbana, IL 61801-2744 | 2018-12-17 |
| 1245729425 | Angela Fritts | Case Manager/Care Coordinator | 1522 East Us Rte 36, Suite A, Urbana, OH 43078 | 2018-05-03 |
| 1174062020 | Carly Ann St. Clair | Case Manager/Care Coordinator | 1522 E Us Highway 36, Suite A, Urbana, OH 43078-9738 | 2017-02-13 |
| 1710028659 | Linda Vernon | Case Manager/Care Coordinator | 1522 E State Route 36, Suite A, Urbana, OH 43078 | 2007-02-12 |
| 1811037641 | Patricia Beavers | Case Manager/Care Coordinator | 1522 E State Route 36, Suite A, Urbana, OH 43078 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497888 | Kelly Nichole Mcintyre | Case Manager/Care Coordinator | 328 S Stadium Dr, Xenia, OH 45385-2161 | 2020-11-05 |
| 1285235580 | Andrea Temeka Hill | Case Manager/Care Coordinator | Boundless Behavioral Health, Worthington, OH 43085-3183 | 2020-11-03 |
| 1114528775 | Trinka Louise Glenn | Case Manager/Care Coordinator | 6400 E Broad St # F14, Columbus, OH 43213-2086 | 2020-11-02 |
| 1457951097 | James P Watkins Jr. | Case Manager/Care Coordinator | 955 Snowfall Spur Apt B, Akron, OH 44313-4966 | 2020-10-30 |
| 1548860588 | Corey Allison | Case Manager/Care Coordinator | 312 Glenmore Ave. Ste 14, Cincinnati, OH 45238 | 2020-10-29 |
| 1871193706 | Brooke Siggers | Case Manager/Care Coordinator | 829 S Gettysburg Ave # 45416, Dayton, OH 45417-3569 | 2020-10-29 |
| 1164022182 | George Atta Owusu | Case Manager/Care Coordinator | 407 Lemery Dr, Columbus, OH 43213-4482 | 2020-10-28 |
| 1669072815 | Brandon Thomas | Case Manager/Care Coordinator | 111 S Byrne Rd, Toledo, OH 43615-6212 | 2020-10-27 |
| 1497355952 | Allen Richardson | Case Manager/Care Coordinator | 3450 W. Central Ave., Ste 366e, Toledo, OH 43606-1416 | 2020-10-26 |
| 1780284216 | April Lee | Case Manager/Care Coordinator | 900 W South Boundary St Bldg 6, Perrysburg, OH 43551-5235 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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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.