CHASE KIYOSHI YAMAMOTO (NPI# 1275141236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275141236 |
| Entity Type | Individual |
| Full Name | CHASE KIYOSHI YAMAMOTO |
| Credential | CBRS |
| Practice Address |
6795 N Mineral Dr Coeur D Alene ID 83815-8700 |
| Mailing Address |
P.o.b.1387 Hayden ID 83835 |
| Practice Telephone | 2087694222 |
| Practice Fax Number | 8448037399 |
| Mailing Telephone | 2084150299 |
| Mailing Fax Number | 2086252070 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | DRIVERS LICENSE | AD005757R | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2025 W Park Pl, Coeur D Alene, ID 838142787 | 2086205210 | 8448073782 |
| 2201 N Ironwood Pl, Coeur D Alene, ID 838142670 | 2084150299 | 8448037399 |
| Street Address |
6795 N MINERAL DR |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83815-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023411121 | Kelly Rodkey | Case Manager/Care Coordinator | 6795 N Mineral Dr, Coeur D Alene, ID 83815-8700 | 2014-10-02 |
| 1043837016 | Madison Marie Floyd | Community Health Worker | 6795 N Mineral Dr, Coeur D Alene, ID 83815-8700 | 2020-06-25 |
| 1386279321 | Roderic Ringhand | Social Worker | 6795 N Mineral Dr, Coeur D Alene, ID 83815-8700 | 2020-03-10 |
| 1477191922 | Angela Murphy | Counselor | 6795 N Mineral Dr, Coeur D Alene, ID 83815-8700 | 2019-12-16 |
| 1902392673 | Dirne Health Centers Inc | Counselor | 6795 N Mineral Dr, Coeur D Alene, ID 83815 | 2018-07-06 |
| 1396274932 | Navara Reardon | Social Worker | 6795 N Mineral Dr, Coeur D Alene, ID 83815-8700 | 2017-06-07 |
| 1417498247 | Francis Detar | Nurse Practitioner | 6795 N Mineral Dr, Coeur D Alene, ID 83815-8700 | 2017-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790133163 | Christine Lee Stanton | Speech-Language Pathologist | 3825 N. Blalock Drive, Coeur D'alene, ID 83815 | 2016-05-26 |
| 1578921961 | Kayla Wearne | Speech-Language Pathologist | 917 W Canfield Avenue, Coeur D'alene, ID 83815 | 2016-02-01 |
| 1770954794 | William Strong | Speech-Language Pathologist | 3902 Broken Arrow Rd, Coeur D Alene, ID 83815 | 2015-10-16 |
| 1235517079 | Denny Bordeaux | Emergency Medical Technician, Paramedic | 7294 Downing Lane, Coeur D Alene, ID 83815 | 2015-05-13 |
| 1689075657 | Barbara Campbell | Pharmacist | W 201 Neider Rd., Coeur D'alene, ID 83815 | 2014-09-10 |
| 1710313671 | Sean Cooper | Pharmacist | W. 201 Neider Rd., Coeur D' Alene, ID 83815 | 2013-09-23 |
| 1275871329 | Lake City Dental | Dentist | 6176 Government Way, Coeur D'alene, ID 83815 | 2013-01-24 |
| 1881972701 | A Better Personal Care Inc | In Home Supportive Care | 3115 N Government Way Ste 2, Coeur D'alene, ID 83815 | 2011-07-26 |
| 1013206895 | Robert Sperry | Pharmacist | 41650 W Maricopacg Hwy., Maricopa, AZ 83815 | 2011-04-01 |
| 1629304670 | Marciea W. Buckley | Social Worker | 109 Harrison Ave, Coeur D' Alene, ID 83815 | 2009-10-27 |
| Find all providers in zip 83815 | ||||
| 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 |
|---|---|---|---|---|
| 1225433956 | Lori Petersen | Case Manager/Care Coordinator | 518 S 13th St, Coeur D Alene, ID 83814-3919 | 2014-10-23 |
| 1023411121 | Kelly Rodkey | Case Manager/Care Coordinator | 6795 N Mineral Dr, Coeur D Alene, ID 83815-8700 | 2014-10-02 |
| 1467796540 | Susan Marie Amaral | Case Manager/Care Coordinator | 2120 N Lakewood Dr Ste B, Coeur D Alene, ID 83814-2638 | 2012-11-15 |
| 1619195344 | Mental Wellness Clinic of Coeur D Alene | Case Manager/Care Coordinator | 500 N Government Way, Suite 100, Coeur D Alene, ID 83814-2913 | 2007-04-20 |
| 1437759123 | Gregg Marshall | Case Manager/Care Coordinator | 2025 W Park Pl Ste B, Coeur D Alene, ID 83814-2787 | 2020-10-30 |
| 1447736137 | Patricia Reichert | Case Manager/Care Coordinator | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-07-16 |
| 1689150377 | Amanda Herfurth | Case Manager/Care Coordinator | 2205 Ironwood Pl Ste B, Coeur D Alene, ID 83814-2487 | 2018-07-16 |
| 1336539725 | Lap Inc | Case Manager/Care Coordinator | 518 S 13th St, Coeur D Alene, ID 83814-3919 | 2015-01-23 |
| 1457696551 | North Idaho College | Case Manager/Care Coordinator | 2120 N Lakewood Dr Ste B, Coeur D Alene, ID 83814-2638 | 2012-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104453950 | Shane Robinson | Case Manager/Care Coordinator | 131 W Bridge St, Blackfoot, ID 83221-2704 | 2020-03-23 |
| 1386295517 | Diane Miller | Case Manager/Care Coordinator | 601 N San Juan Way, Boise, ID 83712-6524 | 2019-09-29 |
| 1932631207 | Sarah Louise Price | Case Manager/Care Coordinator | 1018 Briarwood Dr, Nampa, ID 83651-2115 | 2017-03-28 |
| 1184082638 | Sandi Francis | Case Manager/Care Coordinator | 1271 W Quinn Rd, Pocatello, ID 83202-2755 | 2016-01-29 |
| 1093180895 | Melissa Goeckner | Case Manager/Care Coordinator | 233 Gooding St. N, Twin Falls, ID 83301-6179 | 2015-12-04 |
| 1124492863 | Jessica Anne Logan | Case Manager/Care Coordinator | 1522 Michael St, Emmett, ID 83617-9442 | 2015-11-18 |
| 1184016610 | Danica Williams | Case Manager/Care Coordinator | 8644 Mason Lane, Bruneau, ID 89832 | 2015-02-20 |
| 1285997908 | Kimberly Ann Carruthers | Case Manager/Care Coordinator | 1991 S Doe Creek Way, Boise, ID 83709-8518 | 2012-06-18 |
| 1295093789 | Lylena Marie Self | Case Manager/Care Coordinator | 1720 N Westgate Dr Ste 1a, Boise, ID 83704-7164 | 2012-05-02 |
| 1760753578 | Khiale Nora Harvard | Case Manager/Care Coordinator | 811 12th Ave S, #2, Nampa, ID 83651-4656 | 2012-01-25 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83815 |
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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.