ANTOINETTE MARI WALWORTH (NPI# 1346681913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346681913 |
| Entity Type | Individual |
| Full Name | ANTOINETTE MARI WALWORTH |
| Credential | BSN |
| Practice Address |
219 7th St Evanston WY 82930-3537 |
| Practice Telephone | 3077890955 |
| Mailing Telephone | 3077890955 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | WY | Other Service Providers |
| Street Address |
219 7TH ST |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134626377 | Giuseppe Paucarpura | Case Management | 219 7th St, Evanston, WY 82930-3537 | 2018-04-12 |
| 1750888525 | Jami Ann Legault | Case Management | 219 7th St, Evanston, WY 82930-3537 | 2018-04-09 |
| 1760916977 | Brandie Lea Wood | Case Manager/Care Coordinator | 219 7th St, Evanston, WY 82930-3537 | 2017-04-13 |
| 1306297569 | April Lange | Case Management | 219 7th St, Evanston, WY 82930-3537 | 2016-06-28 |
| 1013372556 | Heather Elaine Williams | Case Management | 219 7th St, Evanston, WY 82930-3537 | 2015-12-29 |
| 1942675681 | Nicole Kallbacka | Case Management | 219 7th St, Evanston, WY 82930-3537 | 2015-12-07 |
| 1154790459 | Katherine Dent | Day Training, Developmentally Disabled Services | 219 7th St, Evanston, WY 82930-3537 | 2015-09-17 |
| 1043641632 | Pamela Mills | Case Manager/Care Coordinator | 219 7th St, Evanston, WY 82930-3537 | 2013-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| 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 |
|---|---|---|---|---|
| 1013514132 | Bre Ann Brit Reinbold | Case Manager/Care Coordinator | 800 Walton Ave, Evanston, WY 82930-3460 | 2020-10-01 |
| 1477024149 | Kortney Booth Clark | Case Manager/Care Coordinator | 322 Gannett Dr, Evanston, WY 82930-8722 | 2018-12-06 |
| 1912459942 | Chicago House and Social Service Agency | Case Manager/Care Coordinator | 1612 Grove St, Evanston, IL 60201-4058 | 2016-10-25 |
| 1861856395 | Aaron Trammell | Case Manager/Care Coordinator | 1909 W Center St, Evanston, WY 82930-3151 | 2016-04-11 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1619360252 | Kathie (kc) Cobb | Case Manager/Care Coordinator | 1425 Highway 150 South, Suite 2, Evanston, WY 82930-1642 | 2015-03-06 |
| 1689015117 | Helen Mae Murillo | Case Manager/Care Coordinator | 1101 Center St, Evanston, WY 82930-3383 | 2013-07-12 |
| 1487963575 | Lynda Kay Peace | Case Manager/Care Coordinator | 45 Straight and Narrow Dr, Evanston, WY 82930-4880 | 2010-10-07 |
| 1669785226 | Terry Roxanne Quillinan | Case Manager/Care Coordinator | 145 Aspen Grove Drive W, Evanston, WY 82930-4773 | 2010-07-23 |
| Find all providers in EVANSTON | ||||
Please comment or provide details below to improve the information on ANTOINETTE MARI WALWORTH.
| 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.