KENNA DICKARD (NPI# 1477011864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477011864 |
| Entity Type | Individual |
| Full Name | KENNA DICKARD |
| Practice Address |
1000 Alpine Ave Boulder CO 80304-3406 |
| Mailing Address |
4785 Tantra Dr Boulder CO 80305-6187 |
| Practice Telephone | 5406560707 |
| Mailing Telephone | 5406560707 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |
| 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 |
1000 ALPINE AVE |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319442 | Anne W. Birnbaum | Dentist | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2005-07-11 |
| 1255945127 | Ryan Babineaux | Counselor | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2020-09-08 |
| 1295378149 | Amy Nitchman | Counselor | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-10-23 |
| 1285275453 | Andi Williams | Counselor | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-09-30 |
| 1720629868 | Danny Korman | Counselor | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-09-30 |
| 1851948467 | Kelly Soberay | Counselor | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-08-20 |
| 1538721790 | Kathryn Saldana | Counselor | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-07-08 |
| 1952861825 | Isabelle Marie Fellay | Psychologist | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-03-25 |
| 1336606961 | Anthony Tyler Brosi | Social Worker | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-03-01 |
| 1336612142 | Bethany E Taylor | Counselor | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-01-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| 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 |
|---|---|---|---|---|
| 1316490717 | Dorothy Longobardi | Case Manager/Care Coordinator | 1244 Gillaspie Dr, Boulder, CO 80305-6600 | 2016-08-02 |
| 1962893990 | Alexandra Nicole Miller | Case Manager/Care Coordinator | 710 32nd St, Boulder, CO 80303-2404 | 2015-02-12 |
| 1063973717 | Daniel Antonio Pariente | Case Manager/Care Coordinator | 3470 Broadway St, Boulder, CO 80304-1824 | 2019-03-26 |
| 1316459308 | Esmeralda N/a Gonsalez-saenz | Case Manager/Care Coordinator | 1333 Iris Ave, Boulder, CO 80304-2226 | 2017-10-30 |
| 1871961623 | Tamra Palmer | Case Manager/Care Coordinator | 2833 Broadway St, Boulder, CO 80304-3544 | 2015-09-10 |
| 1740657865 | Christine Mangum | Case Manager/Care Coordinator | 1333 Iris Ave, Boulder, CO 80304-2226 | 2015-08-24 |
| 1942676846 | Anna Maria Constancia | Case Manager/Care Coordinator | 1333 Iris Ave, Boulder, CO 80304-2226 | 2015-08-13 |
| 1346459054 | Janet Ellen Graysen | Case Manager/Care Coordinator | 1333 Iris Ave, Mhcbc, Boulder, CO 80304-2226 | 2007-05-21 |
| 1003943200 | Cherlyn Wager | Case Manager/Care Coordinator | 1333 Iris Ave, Boulder, CO 80304-2226 | 2007-02-27 |
| 1154475663 | Bridget Rebecca Trujillo | Case Manager/Care Coordinator | 3100 Bucknell Ct, Boulder, CO 80305-3465 | 2007-01-22 |
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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.