KENDRA M LATIMER (NPI# 1447883020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447883020 |
| Entity Type | Individual |
| Full Name | KENDRA M LATIMER |
| Credential | CCSH RPSGT |
| Practice Address |
12607 Se Mill Plain Blvd Vancouver WA 98684 |
| Mailing Address |
12607 Se Mille Plain Blvd Vancouver WA 98684-6055 |
| Practice Telephone | 3604491749 |
| Mailing Telephone | 3604491749 |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 863 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 863 | 05 |
| Street Address |
12607 SE MILL PLAIN BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659340735 | Richard M Shuey | Psychiatry & Neurology | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2006-03-14 |
| 1285273086 | Leayn N Vandeven | Student in an Organized Health Care Education/Training Program | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2019-12-27 |
| 1528605342 | Jeff Cooksey | Student in an Organized Health Care Education/Training Program | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2019-12-01 |
| 1104461961 | Fidel Hernandez Jr. | Nurse Practitioner | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2019-11-15 |
| 1518516822 | Tameca Vernee Pryce | Respiratory Therapist, Certified | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2019-09-09 |
| 1700348042 | Beredu Abraham Geleto | Registered Nurse | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2019-04-04 |
| 1942772660 | Patricia Maria Rivera | Psychologist | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2018-12-19 |
| 1992288328 | Irene Moulton | Pharmacist | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2018-09-12 |
| 1962982348 | Christina Kirkpatrick | Student in an Organized Health Care Education/Training Program | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2018-08-15 |
| 1346729589 | Megan Breanne Short | Student in an Organized Health Care Education/Training Program | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2018-08-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
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| 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 |
|---|---|---|---|---|
| 1316551989 | Nicole Buckner | Case Manager/Care Coordinator | 1601 E Fourth Plain Blvd Bldg 5, Vancouver, WA 98661-3717 | 2020-09-01 |
| 1568016475 | Lauren Edelstein | Case Manager/Care Coordinator | 100 E 33rd St Ste 201a, Vancouver, WA 98663-2776 | 2019-07-29 |
| 1558823534 | Tamara Bernal Aguilar | Case Manager/Care Coordinator | 13300 Ne 44th St, Vancouver, WA 98682-6909 | 2019-04-01 |
| 1922569409 | Ignacia Alex Gordon | Case Manager/Care Coordinator | 11801 Ne 65th St # A, Vancouver, WA 98662-5527 | 2019-03-27 |
| 1366927428 | Emma Martinez | Case Manager/Care Coordinator | 100 E 33rd St Ste 201b, Vancouver, WA 98663-2776 | 2018-09-25 |
| 1710407143 | Christie Lee Chapin | Case Manager/Care Coordinator | 1601 E Mcloughlin Blvd, Vancouver, WA 98663-3528 | 2017-06-27 |
| 1154873511 | Mariya Grizhinku | Case Manager/Care Coordinator | 7709 Ne 140th Ave, Vancouver, WA 98682-1304 | 2016-11-01 |
| 1194277038 | Tiana Annalice Stroup | Case Manager/Care Coordinator | 11818 Se Mill Plain Blvd Ste 307, Vancouver, WA 98684-7017 | 2016-10-26 |
| 1174071997 | Paris Quincy-jamal Heart-hester | Case Manager/Care Coordinator | 1701 Broadway St # 212, Vancouver, WA 98663-3436 | 2016-09-21 |
| 1659709343 | Daniela Vese | Case Manager/Care Coordinator | 12909 Se Laver St, Vancouver, WA 98683-6335 | 2013-10-16 |
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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.