BRANDI MARIE GRANDE-MATHEWS (NPI# 1396238952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396238952 |
| Entity Type | Individual |
| Full Name | BRANDI MARIE GRANDE-MATHEWS |
| Practice Address |
906 W Granite St Gillette WY 82718-5250 |
| Practice Telephone | 3076603827 |
| Mailing Telephone | 3076603827 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 000000000000 | 05 |
| Street Address |
906 W GRANITE ST |
| City | GILLETTE |
| State | WY |
| Zip Code | 82718-5250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912413964 | Kaylyn Brook Bahnson | Pharmacist | 2000 South Douglas Hwy Walgreens Pharmacy, Gillette, WY 82718 | 2017-12-28 |
| 1205373073 | Cheryl Trembath | Counselor | 201 West Lakeway Rd, Suite 1004, Gillette, WY 82718 | 2017-01-31 |
| 1043769078 | Employment Testing Services | Clinical Medical Laboratory | 3805 South Douglas Hwy, Unit 1, Gillette, WY 82718 | 2016-10-03 |
| 1750730339 | Caritas Mental Health LLC | Community/Behavioral Health | 5204 Raven St, Gillette, WY 82718 | 2016-06-06 |
| 1902298029 | Jena Cowen | Day Training, Developmentally Disabled Services | 5305 Cowen Drive, Gillette, WY 82718 | 2015-02-26 |
| 1720480635 | Brenda Kay Upton | Pharmacist | 2300 S Douglas Highway, Gillette, WY 82718 | 2014-09-23 |
| 1891127825 | Bighorn Dental Clinic PC | Dentist | 4403 Running W. Drive, Gillette, WY 82718 | 2013-08-01 |
| 1750726212 | High Desert Healthcare LLC | Clinic/Center | 1013 East Boxelder Rd, Suite 200, Gillette, WY 82718 | 2013-05-09 |
| 1225224231 | County of Campbell | Public Health or Welfare | 2301 South 4j Rd, Gillette, WY 82718 | 2007-09-24 |
| 1043424336 | Lowell R Amiotte II | Anesthesiology | 3100 W Lakeway Suite 3, Northern Plains Anesthesia Associates, Gillette, WY 82718 | 2007-05-09 |
| Find all providers in zip 82718 | ||||
| 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 |
|---|---|---|---|---|
| 1306485354 | Stacy Lynn Duvall | Case Manager/Care Coordinator | 102 W Valley Dr, Gillette, WY 82716-2857 | 2019-12-21 |
| 1275187445 | Melody D Jordan | Case Manager/Care Coordinator | 4515 Radio Rd, Gillette, WY 82718-8263 | 2019-07-26 |
| 1538627260 | Desiree Scott | Case Manager/Care Coordinator | 1868 Hill Valley Rd, Gillette, WY 82716-9746 | 2019-03-12 |
| 1518425586 | Dottie Lynn Rankin | Case Manager/Care Coordinator | 1706 Harvest Moon Dr, Gillette, WY 82718-7879 | 2019-03-07 |
| 1326502808 | Mercedez Lynn Harper | Case Manager/Care Coordinator | 404 Prairieview Dr, Gillette, WY 82716-4917 | 2019-01-29 |
| 1326514654 | Chrissy Michael Deavor | Case Manager/Care Coordinator | 1700 W Warlow Dr Apt 309, Gillette, WY 82716-2586 | 2018-10-14 |
| 1780166868 | Deanna Kay Johnson | Case Manager/Care Coordinator | 7701 Chukar Dr, Gillette, WY 82718-7118 | 2018-09-05 |
| 1982198982 | Kerena Luann Jacquot | Case Manager/Care Coordinator | 68 Five Finger Peaks Rd, Gillette, WY 82716-9196 | 2018-06-21 |
| 1285088005 | The West Village - Youth Ranch | Case Manager/Care Coordinator | 203 Carey Ave, # 5, Gillette, WY 82716-3813 | 2016-04-18 |
| 1598128993 | Wanda Noftsker | Case Manager/Care Coordinator | 4 N Ct, Gillette, WY 82716-9615 | 2016-04-01 |
| Find all providers in GILLETTE | ||||
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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.