CASSANDRA KYLLONEN (NPI# 1477083673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477083673 |
| Entity Type | Individual |
| Full Name | CASSANDRA KYLLONEN |
| Credential | MS |
| Practice Address |
G3169 Beecher Rd Ste 203 Flint MI 48532-3645 |
| Mailing Address |
Po Box 289 Mason MI 48854-0289 |
| Practice Telephone | 8102370799 |
| Practice Fax Number | 5176765460 |
| Mailing Telephone | 5176765405 |
| Mailing Fax Number | 5176765460 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |
| 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 |
| Street Address |
G3169 BEECHER RD STE 203 |
| City | FLINT |
| State | MI |
| Zip Code | 48532-3645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992079149 | Phyllis Ursery | Social Worker | G3169 Beecher Rd Ste 203, Flint, MI 48532-3645 | 2012-03-06 |
| 1881162592 | Julia Moore | Case Manager/Care Coordinator | G3169 Beecher Rd Ste 203, Flint, MI 48532-3645 | 2018-11-12 |
| 1548738263 | Melanie Anne Tomalia | Counselor | G3169 Beecher Rd Ste 203, Flint, MI 48532-3645 | 2018-11-12 |
| 1285143404 | Amanda Revenaugh | Social Worker | G3169 Beecher Rd Ste 203, Flint, MI 48532-3645 | 2017-09-20 |
| 1972024503 | Jaehee Kim | Social Worker | G3169 Beecher Rd Ste 203, Flint, MI 48532-3645 | 2017-07-05 |
| 1730609074 | Pamela Giorgio | Social Worker | G3169 Beecher Rd Ste 203, Flint, MI 48532-3645 | 2017-06-27 |
| 1760902316 | Johnny Ward | Case Manager/Care Coordinator | G3169 Beecher Rd Ste 203, Flint, MI 48532-3645 | 2017-06-26 |
| 1083144299 | Sarah Aurand | Case Manager/Care Coordinator | G3169 Beecher Rd Ste 203, Flint, MI 48532-3645 | 2017-06-20 |
| 1548790090 | Maureen Whittaker | Case Manager/Care Coordinator | G3169 Beecher Rd Ste 203, Flint, MI 48532-3645 | 2017-06-18 |
| 1679003123 | Jacqueline Marshall | Case Manager/Care Coordinator | G3169 Beecher Rd Ste 203, Flint, MI 48532-3645 | 2017-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| 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 |
|---|---|---|---|---|
| 1326653122 | Malika Triplett | Case Manager/Care Coordinator | 3002 Meisner Ave, Flint, MI 48506-2434 | 2020-09-09 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1568018281 | Lanasia Hood | Case Manager/Care Coordinator | G3169 Beecher Rd Ste 201, Flint, MI 48532-3645 | 2019-08-19 |
| 1548733512 | Respite Care Services Eemc | Case Manager/Care Coordinator | 1701 Laurel Oak Dr, Flint, MI 48507-2210 | 2019-01-02 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1356714398 | Kimberly Ann Ashburn | Case Manager/Care Coordinator | 3714 Comanche Ave, Flint, MI 48507-4305 | 2015-11-12 |
| 1629453725 | Sydney Wilson | Case Manager/Care Coordinator | 1526 Utah Ave, Flint, MI 48506 | 2015-07-30 |
| 1710368329 | Samantha Denison | Case Manager/Care Coordinator | 1413 Begole St, Flint, MI 48503-1233 | 2015-06-10 |
| 1891108106 | Kelly Pierron | Case Manager/Care Coordinator | 440 Saginaw St, Flint, MI 48507 | 2014-06-04 |
| Find all providers in FLINT | ||||
Please comment or provide details below to improve the information on CASSANDRA KYLLONEN.
| 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.