LEIA K DAVIS (NPI# 1356822258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356822258 |
| Entity Type | Individual |
| Full Name | LEIA K DAVIS |
| Practice Address |
200 Lilly Rd Ne Olympia WA 98506-5427 |
| Mailing Address |
1118 Legion Way Se Olympia WA 98501-1653 |
| Practice Telephone | 3609188336 |
| Mailing Telephone | 3607633209 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |
| 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 |
| Street Address |
200 LILLY RD NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124006150 | Julie A Dybbro | Nurse Practitioner | 200 Lilly Rd Ne, Suite B2, Olympia, WA 98506-5427 | 2006-01-09 |
| 1114441680 | Judith Ann Murray | Counselor | 200 Lilly Rd Ne, Northwest Resources Bldg C, Olympia, WA 98506 | 2017-07-27 |
| 1336698455 | Nichole E Eliason | Nutritionist | 200 Lilly Rd Ne, Bldg B, Olympia, WA 98506 | 2016-09-30 |
| 1730456971 | Pacific Surgical Weight Loss Center, Pllc | Specialist | 200 Lilly Rd Ne, Ste. C-2, Olympia, WA 98506 | 2011-11-16 |
| 1962785261 | Jordan Inteaus Morris | Counselor | 200 Lilly Rd Ne, Olympia, WA 98506-5427 | 2011-09-22 |
| 1396989851 | Michele N Harriage | Nurse Practitioner | 200 Lilly Rd Ne, Bldg 2, Olympia, WA 98506-5427 | 2009-04-28 |
| 1114196938 | Tracey Louise Chirgwin | Massage Therapist | 200 Lilly Rd Ne, B3, Olympia, WA 98506-5427 | 2008-02-26 |
| 1548466253 | Julie A Dybbro Arnp LLC | Nurse Practitioner | 200 Lilly Rd Ne, Ste B2, Olympia, WA 98506-5427 | 2007-06-21 |
| 1770790990 | Stephine A Heitkemper | Nurse Practitioner | 200 Lilly Rd Ne, Bldg 2, Olympia, WA 98506-5427 | 2007-05-17 |
| 1992841043 | Amber Campbell | Nurse Practitioner | 200 Lilly Rd Ne, Bldg B, Olympia, WA 98506-5427 | 2007-01-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
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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 |
|---|---|---|---|---|
| 1770114340 | Interfaith Works | Case Manager/Care Coordinator | 701 Franklin St Se, Olympia, WA 98501-1315 | 2020-01-31 |
| 1174722060 | Sigafoos & Witcher Counseling Services | Case Manager/Care Coordinator | 114 Capitol Way N, Olympia, WA 98501-1019 | 2007-07-12 |
| 1164999298 | Hollie Hutton | Case Manager/Care Coordinator | 711 State Ave Ne, Olympia, WA 98506-3984 | 2018-10-26 |
| 1760902704 | Nathan R Wilson | Case Manager/Care Coordinator | 3857 Martin Way E, Olympia, WA 98506-5268 | 2017-06-21 |
| 1669902540 | Muriel Patricia Codd | Case Manager/Care Coordinator | 3857 Martin Way E, Olympia, WA 98506-5268 | 2017-06-14 |
| 1275063166 | Kyle Estrella | Case Manager/Care Coordinator | 3855 Martin Way E, Olympia, WA 98506-5268 | 2017-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523737 | Christine Siebels-lindquist | Case Manager/Care Coordinator | 4039 9th Ave Ne, Seattle, WA 98105-6476 | 2020-09-17 |
| 1629683867 | Donneca Kelly | Case Manager/Care Coordinator | 2426 S 224th St Apt 104, Des Moines, WA 98198-6644 | 2020-09-14 |
| 1316551989 | Nicole Buckner | Case Manager/Care Coordinator | 1601 E Fourth Plain Blvd Bldg 5, Vancouver, WA 98661-3717 | 2020-09-01 |
| 1811507759 | Caring With Compassion Community | Case Manager/Care Coordinator | 20113 96th Ave E, Graham, WA 98338-8040 | 2020-08-05 |
| 1861016347 | Hahnah Ellington | Case Manager/Care Coordinator | 506 Hainsworth St, Wenatchee, WA 98801-3656 | 2020-06-01 |
| 1114549029 | Kathryn Larimore | Case Manager/Care Coordinator | 2100 24th Ave S Ste 250, Seattle, WA 98144-4644 | 2020-05-13 |
| 1184246688 | Mireya Ann Bahena | Case Manager/Care Coordinator | Catholic Charities of The Diocese of 145 S. Worthen St., Wenatchee, WA 98801 | 2020-05-07 |
| 1457972945 | Phyllis Lizetta Jordan | Case Manager/Care Coordinator | 721 Fawcett Ave Ste 101721s, Tacoma, WA 98402-5502 | 2020-05-06 |
| 1437785680 | Susan Thomas | Case Manager/Care Coordinator | 8727 W Highway 2, Spokane, WA 99224-9498 | 2020-03-19 |
| 1003440538 | Jennifer Cortes Lemus | Case Manager/Care Coordinator | 784 N Kentucky Ave, East Wenatchee, WA 98802-6061 | 2020-02-24 |
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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.