CHARLES HURST VAN RAVENSWAAY (NPI# 1487219200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487219200 |
| Entity Type | Individual |
| Full Name | CHARLES HURST VAN RAVENSWAAY |
| Practice Address |
851 E Westpoint Dr Ste 310 Wasilla AK 99654-7183 |
| Mailing Address |
3600 San Jeronimo Dr Anchorage AK 99508-2870 |
| Practice Telephone | 9073575400 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |
| Gender Code | M |
| 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 |
851 E WESTPOINT DR STE 310 |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144343377 | Rosalilia Gomez | Counselor | 851 E Westpoint Dr Ste 310, Wasilla, AK 99654-7183 | 2007-04-10 |
| 1588261168 | Giulietta Minerva | Technician | 851 E Westpoint Dr Ste 310, Wasilla, AK 99654-7183 | 2020-10-06 |
| 1588274286 | Jodi Janee Wolcoff | Case Manager/Care Coordinator | 851 E Westpoint Dr Ste 310, Wasilla, AK 99654-7183 | 2020-08-06 |
| 1225647662 | Justina Lorene Christensen | Case Manager/Care Coordinator | 851 E Westpoint Dr Ste 310, Wasilla, AK 99654-7183 | 2020-07-30 |
| 1639716871 | Lindsey N Pitts | Counselor | 851 E Westpoint Dr Ste 310, Wasilla, AK 99654-7183 | 2019-12-06 |
| 1760029938 | Danielle Sprague | Counselor | 851 E Westpoint Dr Ste 310, Wasilla, AK 99654-7183 | 2019-12-05 |
| 1558926154 | Mark Alan Weaver | Peer Specialist | 851 E Westpoint Dr Ste 310, Wasilla, AK 99654-7183 | 2019-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| 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 |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1922625276 | Heather Tenboer | Case Manager/Care Coordinator | 3480 W Birch Meadows Rd, Wasilla, AK 99654-0534 | 2020-07-02 |
| 1245850403 | Positive Path LLC | Case Manager/Care Coordinator | 7647 W Tia Terrace Dr, Wasilla, AK 99623-0332 | 2020-04-17 |
| 1093361065 | Chad A Stone | Case Manager/Care Coordinator | 2619 N Chiquita Cielo Dr, Wasilla, AK 99654-3579 | 2019-08-14 |
| 1063071660 | Links Mat-su Parent Resource Center | Case Manager/Care Coordinator | 777 N Crusey St Ste A101, Wasilla, AK 99654-7100 | 2019-06-07 |
| 1801450382 | Desiree Feringa | Case Manager/Care Coordinator | 6640 S Calista Drive, Wasilla, AK 99623 | 2019-04-30 |
| 1649737206 | Donald Cox | Case Manager/Care Coordinator | 777 N Crusey St Ste B101, Wasilla, AK 99654-7101 | 2019-03-01 |
| 1427545615 | Rebecca Racenet | Case Manager/Care Coordinator | 4801 S Timberline Cir, Wasilla, AK 99654-8750 | 2018-04-13 |
| 1952806283 | Shelia M Hansen | Case Manager/Care Coordinator | 500 E Swanson Ave Ste 5, Wasilla, AK 99654-7197 | 2018-03-28 |
| 1396255592 | Juanita C White | Case Manager/Care Coordinator | 4001 E Ruth Dr Unit C, Wasilla, AK 99654-7546 | 2017-10-03 |
| Find all providers in WASILLA | ||||
Please comment or provide details below to improve the information on CHARLES HURST VAN RAVENSWAAY.
| 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.