BRIDGET SHORE (NPI# 1417492976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417492976 |
| Entity Type | Individual |
| Full Name | BRIDGET SHORE |
| Practice Address |
137 Belfry Hwy Cody WY 82414-9524 |
| Practice Telephone | 3075863725 |
| Mailing Telephone | 3075863725 |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255868626 | Bridget Anita Shore | Behavioral Analyst | 2050 Classique Ln, Tavares, FL 32778-5787 | 2017-05-17 |
| Street Address |
137 BELFRY HWY |
| City | CODY |
| State | WY |
| Zip Code | 82414-9524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033495627 | Maggi Jo Giraud | Counselor | 137 Belfry Hwy, Cody, WY 82414-9524 | 2011-10-26 |
| 1376053926 | Chelsea Dillahunty | Community Health Worker | 137 Belfry Hwy, Cody, WY 82414-9524 | 2017-10-10 |
| 1801306451 | Cynthia Wolf | Community Health Worker | 137 Belfry Hwy, Cody, WY 82414-9524 | 2017-10-10 |
| 1558889675 | Linda Brazney | Community Health Worker | 137 Belfry Hwy, Cody, WY 82414-9524 | 2017-09-08 |
| 1285150474 | Andrew L Dowling | Community Health Worker | 137 Belfry Hwy, Cody, WY 82414-9524 | 2017-08-18 |
| 1629593447 | Silvia Torres | Community Health Worker | 137 Belfry Hwy, Cody, WY 82414-9524 | 2017-08-14 |
| 1740703891 | Samantha J Benavides | Community Health Worker | 137 Belfry Hwy, Cody, WY 82414-9524 | 2017-07-20 |
| 1457874505 | Penny Pelfrey | Community Health Worker | 137 Belfry Hwy, Cody, WY 82414-9524 | 2017-07-20 |
| 1154841641 | Mildred Jacobs-shehan | Community Health Worker | 137 Belfry Hwy, Cody, WY 82414-9524 | 2017-06-26 |
| 1487189783 | Shannon Terry | Case Manager/Care Coordinator | 137 Belfry Hwy, Cody, WY 82414-9524 | 2017-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073969374 | Melody Griebel | Counselor | 3026 Hardpan Ave., Unit A, Cody, WY 82414 | 2016-05-05 |
| 1073856431 | Christopher David Rice | Orthopaedic Surgery | 720 Lindsay Ln Ste C, Cody, WY 82414 | 2013-04-03 |
| 1629322037 | William H. and Carrie Gottsche Foundation | Point of Service | 790 Lindsay Ln, Cody, WY 82414 | 2012-11-07 |
| 1831445162 | Ryan T Vincent | Physical Therapist | 1526 Rumsey Ave, Cody, WY 82414 | 2012-07-24 |
| 1952699043 | Angela Mae Marchant | Physical Therapist | 1819 Sheridan Ave., Cody, WY 82414 | 2011-07-11 |
| 1245556943 | Lori Grubbs Swanton | Physical Therapist | 1130 Sheridan Ave Ste 210, Cody, WY 82414 | 2010-04-20 |
| 1629304589 | Big Horn Basin Childrens Clinic PC | Pediatrics | 1220 Sunshine Ave Suite 101, Cody, WY 82414 | 2009-10-28 |
| 1851539043 | Laurie Dee Hipwell | Registered Nurse | 424 Yellowstone Ave Ste 320, Cody, WY 82414 | 2009-01-27 |
| 1790933356 | Cynthia Shook Ruth | Physical Therapist | 1302 Beck Ave. Suite E, Children's Resource Center, Cody, WY 82414 | 2008-09-08 |
| 1386818185 | Nancy Joy Simpson | Registered Nurse | 73 Green Creek, Cody, WY 82414 | 2008-04-14 |
| Find all providers in zip 82414 | ||||
| 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 |
|---|---|---|---|---|
| 1558808162 | Scott Anthony Peterman | Case Manager/Care Coordinator | 1526 Salsbury Ave, Cody, WY 82414-3121 | 2017-01-21 |
| 1609311539 | Katie Marie Donham | Case Manager/Care Coordinator | 927 Canyon Ave, Cody, WY 82414-4110 | 2017-01-02 |
| 1316499858 | Lori Adkins | Case Manager/Care Coordinator | 1735 Sheridan Ave Ste 213, Cody, WY 82414-3864 | 2016-11-01 |
| 1922417609 | Melissa Mcalmond | Case Manager/Care Coordinator | 2538 Big Horn Avenue, Cody, WY 82414-9299 | 2014-08-07 |
| 1922359678 | Cailyn Nicole Dallman | Case Manager/Care Coordinator | 2821 Rocky Rd Lot 96, Cody, WY 82414-7603 | 2012-09-20 |
| 1720223902 | Springer Todd Rush Jr. | Case Manager/Care Coordinator | 732 Platinum Dr, Cody, WY 82414-3420 | 2008-12-02 |
| 1194981639 | Debra Raye Spence | Case Manager/Care Coordinator | 3502 Apache Rd, Cody, WY 82414-8418 | 2008-08-04 |
| 1932722600 | John David Poeverlein | Case Manager/Care Coordinator | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2020-05-28 |
| 1740828060 | Amber Reynolds | Case Manager/Care Coordinator | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2019-12-17 |
| 1275184335 | Brandy Michelle Kellams | Case Manager/Care Coordinator | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2019-09-20 |
| Find all providers in CODY | ||||
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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.