STACY GARRETT (NPI# 1306204565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306204565 |
| Entity Type | Individual |
| Full Name | STACY GARRETT |
| Other Name | STACY SHORT |
| Credential | B.S. |
| Practice Address |
1101 Ball Ave Ne Grand Rapids MI 49505-5904 |
| Practice Telephone | 6164566571 |
| Mailing Telephone | 6164566571 |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |
| 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 |
|---|---|---|---|---|
| 1245269018 | Stacy Garrett | Emergency Medicine | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-07-02 |
| Street Address |
1101 BALL AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942327440 | Kathryn Marie Siegenthaler | Social Worker | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2007-03-22 |
| 1649810441 | Hannah Elizabeth Crouch | Respite Care | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2020-01-09 |
| 1063057248 | Janelle Nichole Vaness | Peer Specialist | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2019-11-12 |
| 1316597222 | Meryn Jesse Creasman | Social Worker | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2019-09-13 |
| 1396394193 | Lauren Washburn | Psychologist | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2019-09-05 |
| 1346899002 | Brandon J Burgess | Student in an Organized Health Care Education/Training Program | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2019-09-05 |
| 1588212542 | Nicholas Masters | Student in an Organized Health Care Education/Training Program | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2019-09-03 |
| 1831664267 | Ernestine Delarosa | Specialist | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2018-10-12 |
| 1336621317 | Kendra Jean Weidenfeller | Counselor | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2018-09-05 |
| 1104303700 | Ricky Belton Jr. | Community Health Worker | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2018-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
| 1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
| 1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
| 1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
| 1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
| 1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
| 1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
| 1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
| 1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
| Find all providers in zip 49505 | ||||
| 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 |
|---|---|---|---|---|
| 1144837618 | Lisa Glover | Case Manager/Care Coordinator | 1977 Radcliff Ave Se, Grand Rapids, MI 49506-5140 | 2020-09-28 |
| 1861001273 | Erica Curry Van Ee | Case Manager/Care Coordinator | 600 Broadway Ave Nw Apt 224, Grand Rapids, MI 49504-7316 | 2020-07-31 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1861048811 | Jenelle Marie Dixon | Case Manager/Care Coordinator | 1228 Dunham St Se, Grand Rapids, MI 49506-2630 | 2019-08-15 |
| 1730747700 | Renee Kimberly Howard | Case Manager/Care Coordinator | 939 Mayhew Wood Dr Se, Grand Rapids, MI 49507-3609 | 2019-06-04 |
| 1710543806 | Shannon Marie Blourne | Case Manager/Care Coordinator | 814 Alpine Ave Nw, Grand Rapids, MI 49504-4410 | 2019-05-14 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1508371758 | Vanessa Woodard | Case Manager/Care Coordinator | 1939 S. Division Ave., Grand Rapids, MI 49507 | 2017-12-11 |
| 1407386352 | Keri Megan Laporte-montero | Case Manager/Care Coordinator | 434 Sweet St Ne, Grand Rapids, MI 49505-4762 | 2017-06-14 |
| 1396111241 | Kirsten Elizabeth Tanui | Case Manager/Care Coordinator | 2606 Eastern Ave Se, Grand Rapids, MI 49507-3605 | 2015-08-14 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
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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.