MS. WANDA KAY MATHEWS (NPI# 1386844553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386844553 |
| Entity Type | Individual |
| Full Name | MS. WANDA KAY MATHEWS |
| Credential | RAS |
| Practice Address |
126 Ohio St Vallejo CA 94590-5049 |
| Practice Telephone | 7076442577 |
| Practice Fax Number | 7076445501 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |
| 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 |
126 OHIO ST |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-5049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114127388 | Bi-bett | Substance Abuse Rehabilitation Facility | 126 Ohio St, Vallejo, CA 94590-5049 | 2007-07-24 |
| 1801403142 | Solita Vashone Evans | Counselor | 126 Ohio St, Vallejo, CA 94590-5049 | 2020-09-30 |
| 1497395230 | Ashley Elizabeth Perry | Counselor | 126 Ohio St, Vallejo, CA 94590-5049 | 2020-01-09 |
| 1679019152 | Edna Marie White | Substance Abuse Rehabilitation Facility | 126 Ohio St, Vallejo, CA 94590-5049 | 2017-01-09 |
| 1922420298 | Shamia Recovery Center | Substance Abuse Rehabilitation Facility | 126 Ohio St, Vallejo, CA 94590-5049 | 2014-01-06 |
| 1174713887 | Rejeana Richey | Case Manager/Care Coordinator | 126 Ohio St, Vallejo, CA 94590-5049 | 2007-07-29 |
| 1629268339 | Karolyn Langston-haynes | Case Manager/Care Coordinator | 126 Ohio St, Vallejo, CA 94590-5049 | 2007-07-29 |
| 1922298637 | Brenda Kaye Bowens | Case Manager/Care Coordinator | 126 Ohio St, Vallejo, CA 94590-5049 | 2007-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| 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 |
|---|---|---|---|---|
| 1235305822 | Elsita Frezell Barnes | Case Manager/Care Coordinator | 750 Sereno Dr, Vallejo, CA 94589-2489 | 2008-05-02 |
| 1124203971 | Acintia Wright | Case Manager/Care Coordinator | 436 Georgia St Ste 101, Vallejo, CA 94590-6005 | 2007-12-28 |
| 1831302843 | Jaynette Monique Underhill | Case Manager/Care Coordinator | 140 Britannia Ct, Vallejo, CA 94591-7000 | 2007-05-07 |
| 1629139464 | Cephus Ronnell Fowler | Case Manager/Care Coordinator | 228 Broadway St, Vallejo, CA 94590-4519 | 2006-12-13 |
| 1467696898 | Jamie Yolanda Powell | Case Manager/Care Coordinator | 505 Santa Clara St, 3rd Floor, Vallejo, CA 94590-5922 | 2009-04-29 |
| 1235373895 | Rosa Sarai Gutierrez | Case Manager/Care Coordinator | 505 Santa Clara St, 3rd Floor, Vallejo, CA 94590-5922 | 2009-04-27 |
| 1609021252 | Francene Diane Craig | Case Manager/Care Coordinator | 1027 Alabama St, Vallejo, CA 94590-4511 | 2008-11-24 |
| 1336306877 | Josephine Jarrett | Case Manager/Care Coordinator | 505 Santa Clara St, 3rd Fl, Vallejo, CA 94590-5922 | 2008-05-21 |
| 1508033986 | Frederick Robert Aguinaldo Florendo | Case Manager/Care Coordinator | 505 Santa Clara St, 3rd Fl, Vallejo, CA 94590-5922 | 2008-05-14 |
| 1700052396 | Daniel Alphonse Lamons | Case Manager/Care Coordinator | 146 Rainier Ave, Room 43, Vallejo, CA 94589-1846 | 2008-05-02 |
| Find all providers in VALLEJO | ||||
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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.