MR. JEFFREY OTHNIEL NORDTVEDT (NPI# 1346664810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346664810 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY OTHNIEL NORDTVEDT |
| Practice Address |
2730 Sw Pacific Boulevard Albany OR 97321 |
| Mailing Address |
Po Box 100 Albany OR 97321-0031 |
| Practice Telephone | 5419673866 |
| Mailing Telephone | 5419673866 |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2019-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
2730 SW PACIFIC BOULEVARD |
| City | ALBANY |
| State | OR |
| Zip Code | 97321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100691 | Susanna Gallagher | Counselor | 2730 Sw Pacific Boulevard, Albany, OR 97321-9732 | 2019-08-22 |
| 1114579083 | Michelle Park | Counselor | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2019-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| 1639441256 | Jonathan J Yoder | Pharmacist | 1177 Waverly Drive, Albany, OR 97321 | 2012-01-27 |
| Find all providers in zip 97321 | ||||
| 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 |
|---|---|---|---|---|
| 1043853716 | Heidi Marie Davis | Case Manager/Care Coordinator | 635 3rd Ave Sw Unit 151, Albany, OR 97321-2625 | 2019-10-24 |
| 1649737180 | Susan B Steen | Case Manager/Care Coordinator | 1306 S Slappey Blvd Ste A, Albany, GA 31701-2635 | 2019-02-20 |
| 1245737774 | Deborah Lea Cordoba | Case Manager/Care Coordinator | 229 Danbury Lane, Albany, GA 31721-3172 | 2018-04-11 |
| 1093225286 | Frank Eugene Glover IIi | Case Manager/Care Coordinator | 4562 Lacosta Dr, Albany, GA 31721-9433 | 2017-10-02 |
| 1053831529 | Maria Foglia | Case Manager/Care Coordinator | 112 State St Rm 300, Albany, NY 12207-2034 | 2017-06-26 |
| 1184175457 | Sherrie Truelove | Case Manager/Care Coordinator | 2111 Juniper Dr, Albany, GA 31721-5239 | 2016-10-20 |
| 1598213944 | Samantha Elaine Akinnubi | Case Manager/Care Coordinator | 1737 Pineknoll Ln, Albany, GA 31707-3778 | 2016-09-14 |
| 1295189967 | Sue Rowland | Case Manager/Care Coordinator | 134 Silver Leaf Dr, Albany, GA 31721-7806 | 2016-04-19 |
| 1821400391 | Remika Christian | Case Manager/Care Coordinator | 2805 Partridge Dr, Apt A, Albany, GA 31721-6244 | 2014-06-02 |
| 1659717718 | Shelia Battle Mack | Case Manager/Care Coordinator | 718 Partridge Dr, Albany, GA 31707-3044 | 2013-05-16 |
| Find all providers in ALBANY | ||||
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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.