MRS. VICTORIA NICOLE SHAW (NPI# 1306375761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306375761 |
| Entity Type | Individual |
| Full Name | MRS. VICTORIA NICOLE SHAW |
| Practice Address |
101 E. Redlands Blvd. Suite 215 Redlands CA 92373 |
| Mailing Address |
101 E Redlands Blvd Ste 215 Redlands CA 92373-4724 |
| Practice Telephone | (909) 793-1078 |
| Practice Fax Number | 9093357330 |
| Mailing Telephone | 9097931078 |
| Mailing Fax Number | 9093357330 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972015956 | Victoria Shaw | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2017-10-30 |
| 1740611367 | Victoria Shaw | Counselor | 3 Hollyhock Rd, 2nd Floor, Wilton, CT 06897-4443 | 2013-12-07 |
| 1922327113 | Victoria W Shaw | Social Worker | 228 Linda Ave, Hawthorne, NY 10532-2050 | 2010-05-27 |
| 1427173582 | Victoria L Shaw | Nurse Practitioner | 1 Park West Blvd., Suite 200, Akron, OH 44320-4218 | 2007-03-20 |
| Street Address |
101 E. REDLANDS BLVD. SUITE 215 |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| 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 |
|---|---|---|---|---|
| 1669994596 | Briana Michelle Arevalo | Case Manager/Care Coordinator | 101 E Redlands Blvd Ste 277, Redlands, CA 92373-4721 | 2017-07-12 |
| 1174714422 | Leslie Essenwanger Cheramy | Case Manager/Care Coordinator | 802 W Colton Ave Ste C, Redlands, CA 92374-2905 | 2007-08-01 |
| 1801436191 | Laura De La Torre | Case Manager/Care Coordinator | 101 E Redlands Blvd Ste 215, Redlands, CA 92373-4724 | 2020-01-14 |
| 1265087688 | Ashley Lopez | Case Manager/Care Coordinator | 101 E Redlands Blvd Ste 215, Redlands, CA 92373-4724 | 2019-08-02 |
| 1437616067 | Elizabeth Gonzalez | Case Manager/Care Coordinator | 101 E Redlands Blvd Ste 215, Redlands, CA 92373-4724 | 2019-03-01 |
| 1568933729 | Jessica Elone Baeza | Case Manager/Care Coordinator | 101 E Redlands Blvd Ste 215, Redlands, CA 92373-4724 | 2018-12-16 |
| 1376065235 | Cassandra Losasso | Case Manager/Care Coordinator | 101 E Redlands Blvd, Redlands, CA 92373-4775 | 2017-07-12 |
| 1063942100 | Tamara Guzman | Case Manager/Care Coordinator | 101 E Redlands Blvd, Redlands, CA 92373-4775 | 2017-06-12 |
| 1740739341 | Kajung Hong | Case Manager/Care Coordinator | 26967 Beaumont Ave, Redlands, CA 92373-4360 | 2016-09-24 |
| 1083163836 | Danielle Eriksen | Case Manager/Care Coordinator | 1020 Coronado Dr, Redlands, CA 92374-6293 | 2016-09-21 |
| Find all providers in REDLANDS | ||||
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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.