BONNIE GERVAIS (NPI# 1417489915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417489915 |
Entity Type | Individual |
Full Name | BONNIE GERVAIS |
Credential | BS |
Practice Address |
163 Summer St Newport NH 03773-1208 |
Mailing Address |
9 Hanover St Ste 2 Lebanon NH 03766-1312 |
Practice Telephone | 6038631785 |
Mailing Telephone | 6034480126 |
Enumeration Date | 2017-04-03 |
Last Update Date | 2017-04-03 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | 3077550 | 05 |
Street Address |
163 SUMMER ST |
City | NEWPORT |
State | NH |
Zip Code | 03773-1208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720232325 | Frederick Emerson Moe | Case Manager/Care Coordinator | 163 Summer St, Newport, NH 03773-1208 | 2008-11-10 |
1275132425 | Peter Carroll | Case Manager/Care Coordinator | 163 Summer St, Newport, NH 03773-1208 | 2020-10-20 |
1023636040 | Megan Dunn | Case Manager/Care Coordinator | 163 Summer St, Newport, NH 03773-1208 | 2020-07-07 |
1366096224 | Angela Christine Palmer | Community Health Worker | 163 Summer St, Newport, NH 03773-1208 | 2019-07-30 |
1174030068 | Ellen Dickie Mcphetres | Registered Nurse | 163 Summer St, Newport, NH 03773-1208 | 2018-01-02 |
1902282148 | Amber Brooks | Community Health Worker | 163 Summer St, Newport, NH 03773-1208 | 2015-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881217404 | Susan Strebel | Registered Nurse | 21 School Street, Newport, NH 03773 | 2020-05-19 |
1871945089 | Lake Sunapee Community Health Services | Clinic/Center | 958 John Stark Highway, Newport, NH 03773 | 2016-07-12 |
1013294115 | Angel Heart Caregivers | Home Health | 331 East Mt Road, Newport, NH 03773 | 2011-11-03 |
1295024347 | Brenda Dorr | Pharmacist | 51 South Main Strret, Newport, NH 03773 | 2011-03-29 |
1801118203 | Susan Paul Maerlender | Counselor | 167 Summer Street, Newport, NH 03773 | 2010-02-26 |
1700099488 | Croydon School District | Local Education Agency (LEA) | 9 Depot Street, Newport, NH 03773 | 2007-05-08 |
1306951488 | Frank J Benenati, Dds | Dentist | 50 John Stark Highway, Sugar River Plaza, Newport, NH 03773 | 2006-08-20 |
1194746909 | Robert Campbell Bishop | Neuromusculoskeletal Medicine & OMM | 48 Belknap Avenue, Maxfield Clinic, Newport, NH 03773 | 2006-07-21 |
1184659443 | Richard Martin Holmes | Dentist | 9 Main Street, Suite #6, Newport, NH 03773 | 2006-07-12 |
1124066642 | Benjamin Holobowicz Jr. | Physician Assistant | 11 John Stark Hwy, Newport, NH 03773 | 2006-06-04 |
Find all providers in zip 03773 |
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 |
---|---|---|---|---|
1720232325 | Frederick Emerson Moe | Case Manager/Care Coordinator | 163 Summer St, Newport, NH 03773-1208 | 2008-11-10 |
1710196647 | Bobbi Lambert | Case Manager/Care Coordinator | 418 Beech St, Newport, AR 72112-3906 | 2007-05-21 |
1336271071 | Alice Louise Dalton | Case Manager/Care Coordinator | 215 Hedrick Drive, Newport, TN 37821 | 2007-03-09 |
1700918521 | Kristi Renee Hansel | Case Manager/Care Coordinator | 215 Hendrick Drive, Newport, TN 37821 | 2007-03-09 |
1114065083 | Deanna Dawn Browning | Case Manager/Care Coordinator | 1509 N Pecan St, Newport, AR 72112 | 2007-02-02 |
1790821510 | Thel Latitia Jackson-earls | Case Manager/Care Coordinator | 1507 Pecan Street, Newport, AR 72112-0571 | 2007-01-29 |
1275132425 | Peter Carroll | Case Manager/Care Coordinator | 163 Summer St, Newport, NH 03773-1208 | 2020-10-20 |
1407462427 | Jessie Harris | Case Manager/Care Coordinator | 210 Third St, Newport, AR 72112-3302 | 2020-09-16 |
1023636040 | Megan Dunn | Case Manager/Care Coordinator | 163 Summer St, Newport, NH 03773-1208 | 2020-07-07 |
1962038638 | Eddie Jackson | Case Manager/Care Coordinator | 210 Third St, Newport, AR 72112-3302 | 2020-03-13 |
Find all providers in NEWPORT |
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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.