KELLY DAWN THOMPSON (NPI# 1376067231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376067231 |
| Entity Type | Individual |
| Full Name | KELLY DAWN THOMPSON |
| Practice Address |
1627 S Hargrave St Banning CA 92220-6169 |
| Practice Telephone | (951) 922-7300 |
| Mailing Telephone | 9519227300 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326681479 | Kelly Thompson | Art Therapist | 534 E Green Bay Ave, Saukville, WI 53080-2012 | 2019-10-22 |
| 1083177034 | Kelly Marie Thompson | Occupational Therapist | 401 S Gallaher View Rd Apt 210, Knoxville, TN 37919-5334 | 2019-04-08 |
| 1164822722 | Kelly Ann Thompson | Dentist | 2700 E Bridge St Ste 101, Brighton, CO 80601-2561 | 2014-09-01 |
| 1700201829 | Kelly D Thompson | Physician Assistant | 2296 Opitz Blvd Ste 230, Woodbridge, VA 22191-3345 | 2014-02-26 |
| 1689849242 | Kelly J Thompson | Driver | 1473 South St, Fowler, IL 62338-2362 | 2008-04-24 |
| 1306022041 | Kelly Elizabeth Thompson | Occupational Therapist | Department of Physical and Occupational Therapy, Mail Stop 8045, Pocatello, ID 83209-0001 | 2008-01-11 |
| 1790960565 | Kelly Jo Thompson | Registered Nurse | 8653 Sweetwater Ct, Powell, OH 43065-8364 | 2007-12-29 |
| 1750588349 | Kelly Colleen Thompson | Registered Nurse | 14004 Silver Firs Dr, Everett, WA 98208-9305 | 2007-06-28 |
| 1992840417 | Kelly Lynn Thompson | Social Worker | 6007 Folsom Blvd # 200, Sacramento, CA 95819-4613 | 2007-02-21 |
| 1801968151 | Kelly Starr Thompson | Occupational Therapist | 1306 Westshore Dr, Houston, TX 77094-3315 | 2006-11-14 |
| Street Address |
1627 S HARGRAVE ST |
| City | BANNING |
| State | CA |
| Zip Code | 92220-6169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033243324 | County of Riverside | Community/Behavioral Health | 1627 S Hargrave St, Banning, CA 92220 | 2007-03-16 |
| 1225654684 | Zelma Gail Lewis | Recreation Therapist | 1627 S Hargrave St, Banning, CA 92220-6169 | 2020-06-22 |
| 1871115105 | Ehizele Angel Usigbe | Counselor | 1627 S Hargrave St, Banning, CA 92220-6169 | 2020-05-08 |
| 1306486287 | Nicole Elizabeth Seebach | Marriage & Family Therapist | 1627 S Hargrave St, Banning, CA 92220-6169 | 2020-01-08 |
| 1215573662 | Bridget Delaney | Counselor | 1627 S Hargrave St, Banning, CA 92220-6169 | 2019-11-20 |
| 1013566322 | Shenie Brewer | Case Manager/Care Coordinator | 1627 S Hargrave St, Banning, CA 92220-6169 | 2019-09-09 |
| 1821645599 | Robert Brandon Miles | Social Worker | 1627 S Hargrave St, Banning, CA 92220-6169 | 2019-08-19 |
| 1699328641 | Ricardo J Pineda | Marriage & Family Therapist | 1627 S Hargrave St, Banning, CA 92220-6169 | 2019-07-18 |
| 1477012540 | Stephanie Cristerna-casillas | Counselor | 1627 S Hargrave St, Banning, CA 92220-6169 | 2019-03-18 |
| 1164992061 | Carmen Reyna | Social Worker | 1627 S Hargrave St, Banning, CA 92220-6169 | 2018-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056523 | Golden View Guest Home, Inc. | Assisted Living Facility | 5466 West Wilson, Banning, CA 92220 | 2019-07-31 |
| 1780246157 | Fjs Hearing Professionals | Hearing Instrument Specialist | 3559 W Ramsey Ave Suit C-2, Banning, CA 92220 | 2019-07-05 |
| 1790237832 | Jennifer De Geus | Counselor | 1627 Hargrave St., Banning, CA 92220 | 2016-10-25 |
| 1427447507 | Dalonna Blackwell | Counselor | 2781 W. Ramsey St., Banning, CA 92220 | 2015-01-13 |
| 1639575962 | Eunjung J. Jung Choi | Dentist | 300 S Highland Springs Ave Ste 2l, Banning, CA 92220 | 2014-11-13 |
| 1861810244 | Genevra Diana Glenn | Counselor | 2781 W Ramsey, Suite 1, Banning, CA 92220 | 2014-04-02 |
| 1841617420 | Kristen Lew | Internal Medicine | 6109 W.ramsey Street, Banning, CA 92220 | 2014-03-21 |
| 1588917884 | Jamison William Murphy | Military Health Care Provider | Uss Howard Ddg 83, Fpo, AP 92220 | 2012-10-24 |
| 1972871390 | John Hong | Pharmacist | 60 N Highlandsprings, Beaumont, CA 92220 | 2011-12-13 |
| 1679855936 | Lydia Session | Marriage & Family Therapist | 1627 S. Hargrave, Banning, CA 92220 | 2011-09-13 |
| Find all providers in zip 92220 | ||||
| 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 |
|---|---|---|---|---|
| 1780189266 | Michael Nicholas Oktay | Case Manager/Care Coordinator | 1193 Lyons Ct, Banning, CA 92220-6121 | 2018-03-27 |
| 1598305237 | Faith Kathryn Elizabeth La Bella | Case Manager/Care Coordinator | 1330 W Ramsey St, Banning, CA 92220-4477 | 2020-01-10 |
| 1013566322 | Shenie Brewer | Case Manager/Care Coordinator | 1627 S Hargrave St, Banning, CA 92220-6169 | 2019-09-09 |
| 1568954402 | John Leslie Simpson | Case Manager/Care Coordinator | 135 N Alessandro St, Banning, CA 92220-5545 | 2018-06-06 |
| 1881186633 | Micheal Rios | Case Manager/Care Coordinator | 135 N Alessandro St, Banning, CA 92220-5545 | 2018-06-06 |
| 1760974687 | Elizabeth Kean | Case Manager/Care Coordinator | 135 N Alessandro St, Banning, CA 92220-5545 | 2018-06-06 |
| 1376035212 | Hilda Favela | Case Manager/Care Coordinator | 135 N Alessandro St, Banning, CA 92220-5545 | 2018-06-06 |
| 1730532292 | James Cockerham | Case Manager/Care Coordinator | 4925 Singing Hills Dr, Banning, CA 92220-6635 | 2016-07-20 |
| 1235592999 | Jeanette Martinez | Case Manager/Care Coordinator | 1330 W Ramsey St, Banning, CA 92220 | 2016-03-31 |
| 1255794046 | Riverside County Mental Health Department | Case Manager/Care Coordinator | 1330 W Ramsey St, Banning, CA 92220 | 2016-03-30 |
| Find all providers in BANNING | ||||
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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.