MRS. THERESA LOUISE MATHISON (NPI# 1316160559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316160559 |
| Entity Type | Individual |
| Full Name | MRS. THERESA LOUISE MATHISON |
| Credential | BA |
| Practice Address |
1407 Saint Andrew St Ste 100 La Crosse WI 54603-2378 |
| Mailing Address |
1011 Main St La Crosse WI 54601-4132 |
| Practice Telephone | 6087855873 |
| Mailing Telephone | 6087847714 |
| Enumeration Date | 2007-04-10 |
| 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 | 6925-120 | WI | Other Service Providers |
| Street Address |
1407 SAINT ANDREW ST STE 100 |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54603-2378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225160492 | La Crosse County Cmo | Health Maintenance Organization | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2007-03-12 |
| 1881059129 | Tonya Lee Anderson | Registered Nurse | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2015-12-30 |
| 1144695537 | Amy Sackmaster | Case Manager/Care Coordinator | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2015-12-10 |
| 1871963199 | Evelyn Louis Haack | Registered Nurse | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2015-09-29 |
| 1538537329 | Debra Lieske | Registered Nurse | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2015-09-10 |
| 1548641905 | Scott Buschman | Case Manager/Care Coordinator | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2015-06-11 |
| 1750761037 | Anne Trepanier | Case Manager/Care Coordinator | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2015-06-02 |
| 1386037315 | Sherry Taylor | Case Manager/Care Coordinator | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2015-03-16 |
| 1861885360 | Tabitha Michelle Farr | Case Manager/Care Coordinator | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2015-03-09 |
| 1811386550 | Jessie Anderson | Case Manager/Care Coordinator | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2015-01-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215581855 | Sophia Buchda | Behavior Technician | 901 Caledonia Street, La Crosse, WI 54603 | 2019-08-01 |
| 1891142865 | Hha of Wisconsin, LLC | Home Health | 2400 Rose St Ste 14, La Crosse, WI 54603 | 2016-05-19 |
| 1225415540 | Alexander Blaschke | Podiatrist | 1009 Caledonia St, La Crosse, WI 54603 | 2015-05-06 |
| 1982986345 | Christopher W Hutchinson | Pharmacist | 2626 Rose Street, La Crosse, WI 54603 | 2011-09-12 |
| 1932284494 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | 3800 State Road 16, La Crosse, WI 54603 | 2006-10-25 |
| 1083618722 | Teddy Leonard Thompson | Family Medicine | 1526 Rose Street, La Crosse, WI 54603 | 2005-06-10 |
| 1518459155 | Alexis Ericson | Occupational Therapy Assistant | 901 Caledonia St, La Crosse, WI 54603 | 2018-05-30 |
| 1578925046 | Vicki Lynne Iverson | Registered Nurse | 1407 St. Andrew St., La Crosse, WI 54603 | 2016-03-24 |
| 1194158865 | John Patrick Smieja | Pharmacist | 2400 Rose St, La Crosse, WI 54603 | 2013-08-16 |
| 1275726663 | Jacqueline Berry Newcomb | Case Manager/Care Coordinator | 1407 St Andrew St, Suite 100 Lacrosse Co Human Services, La Crosse, WI 54603 | 2007-08-20 |
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| 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 |
|---|---|---|---|---|
| 1356615942 | Tou Yah | Case Manager/Care Coordinator | 2726 Harvey St, La Crosse, WI 54603-1635 | 2012-02-29 |
| 1083853394 | Sara L Kensmoe | Case Manager/Care Coordinator | 1407 Saint Andrew St Ste 1000, La Crosse, WI 54603-3301 | 2009-02-10 |
| 1740435577 | Lisa Louise Massman | Case Manager/Care Coordinator | 1407 St Andrews St, Ste 100, La Crosse, WI 54603-7981 | 2008-11-20 |
| 1851506240 | Margaret Ann Bell | Case Manager/Care Coordinator | 1407 St Andrew, La Crosse County Human Services, La Crosse, WI 54601-2378 | 2007-05-11 |
| 1568680585 | Melinda Marie Gelder | Case Manager/Care Coordinator | 1407 St Andrew Street Ste 100, La Crosse, WI 54603-2378 | 2007-04-23 |
| 1447477963 | Cindy A Bahls | Case Manager/Care Coordinator | 1407 St. Andrew Street, Suite 100, La Crosse, WI 54603-2378 | 2007-04-18 |
| 1770608192 | Aaron Jay Berg | Case Manager/Care Coordinator | 1407 Saint Andrew St, Ste 100, La Crosse, WI 54603-3301 | 2007-03-21 |
| 1699222687 | Lacey Jean Quale | Case Manager/Care Coordinator | 1407 Saint Andrew St, Suite 100, La Crosse, WI 54603-3301 | 2016-09-07 |
| 1841651296 | Eva Gleason | Case Manager/Care Coordinator | 1407 Saint Andrew St, La Crosse, WI 54603-3301 | 2016-03-14 |
| 1144695537 | Amy Sackmaster | Case Manager/Care Coordinator | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2015-12-10 |
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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.