DIANE CICCARELLI (NPI# 1285758110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285758110 |
| Entity Type | Individual |
| Full Name | DIANE CICCARELLI |
| Credential | ED.D |
| Practice Address |
1225 Se Parakeet Ln Stuart FL 34994-3421 |
| Practice Telephone | 7727084883 |
| Practice Fax Number | 7722106834 |
| Mailing Telephone | 7727084883 |
| Mailing Fax Number | 7722106834 |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2017-04-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 681856196 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 681856198 | 05 | |
| FL | 681856196 | 05 | |
| FL | 681856168 | 05 |
| Street Address |
1225 SE PARAKEET LN |
| City | STUART |
| State | FL |
| Zip Code | 34994-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| 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 |
|---|---|---|---|---|
| 1518515998 | Evelyn Madison | Case Manager/Care Coordinator | 102 W Blue Ridge St, Stuart, VA 24171-1579 | 2019-08-29 |
| 1417501891 | Entrust Home Healthcare | Case Manager/Care Coordinator | 6535 Se Federal Hwy Apt 204, Stuart, FL 34997-8380 | 2019-07-24 |
| 1447729728 | Consuelo Copete | Case Manager/Care Coordinator | 1136 Se Astorwood Pl, Stuart, FL 34994-5732 | 2018-11-16 |
| 1982986402 | Jozey Jarie Begley | Case Manager/Care Coordinator | 5310 N 388 Rd, Stuart, OK 74570-4518 | 2011-09-10 |
| 1518257864 | Cindy Crayton | Case Manager/Care Coordinator | 4248 Se Cove Lake Cir, Stuart, FL 34997-4310 | 2011-04-07 |
| 1154627883 | Benjamin Francisco Gaspar | Case Manager/Care Coordinator | 4860 Se Salvatori Rd, Stuart, FL 34997-8245 | 2011-01-27 |
| 1457585325 | Mary W Higgins | Case Manager/Care Coordinator | 5340 Se Dell St, Stuart, FL 34997-8048 | 2009-05-07 |
| 1265680581 | Eliza Gomez Morris | Case Manager/Care Coordinator | 2924 Se Bamboo St, Stuart, FL 34997-7806 | 2008-08-28 |
| 1457897720 | Rosa Nieves Saenz | Case Manager/Care Coordinator | 1100 Se Federal Hwy, Stuart, FL 34994-3823 | 2017-01-11 |
| 1801274667 | Jennifer Critchlow | Case Manager/Care Coordinator | 1111 Se Federal Hwy, Stuart, FL 34994-3840 | 2015-05-13 |
| Find all providers in STUART | ||||
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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.