SHANNON ARELLANO (NPI# 1487916383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487916383 |
| Entity Type | Individual |
| Full Name | SHANNON ARELLANO |
| Practice Address |
202 E Earll Dr Phoenix AZ 85012-2634 |
| Mailing Address |
1110 E High St Tucumcari NM 88401-2510 |
| Practice Telephone | 5757422620 |
| Practice Fax Number | 5757423182 |
| Mailing Telephone | 5754614411 |
| Mailing Fax Number | 5754614411 |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2014-08-13 |
| 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 |
202 E EARLL DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-2634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033118591 | Laura A Masters | Social Worker | 202 E Earll Dr, Suite 420, Phoenix, AZ 85012-2634 | 2005-07-18 |
| 1467993287 | Interventional Surgical, LLC | Clinic/Center | 202 E Earll Dr, 360, Phoenix, AZ 85012-2634 | 2017-03-13 |
| 1679928790 | Lamia Abdouni | Nurse Practitioner | 202 E Earll Dr, Suite 160, Phoenix, AZ 85012-2634 | 2016-04-26 |
| 1073910758 | Michael Wilson | Case Manager/Care Coordinator | 202 E Earll Dr, Suite 200, Phoenix, AZ 85012-2634 | 2014-11-25 |
| 1427455104 | Aida Valenzuela Dejonghe | Case Manager/Care Coordinator | 202 E Earll Dr, Suite 200, Phoenix, AZ 85012-2647 | 2014-11-25 |
| 1013314087 | Sheri Marie Patton | Case Manager/Care Coordinator | 202 E Earll Dr, Suite 200, Phoenix, AZ 85012-2647 | 2014-11-19 |
| 1538573225 | Melissa Leigh Suchon | Nurse Practitioner | 202 E Earll Dr, Suite 450, Phoenix, AZ 85012-2634 | 2014-06-20 |
| 1700201076 | Holly Szczakowski | Case Manager/Care Coordinator | 202 E Earll Dr, Suite 200, Phoenix, AZ 85012-2634 | 2014-02-24 |
| 1275884330 | Randall Sean Rollinson | Counselor | 202 E Earll Dr, Ste. 160, Phoenix, AZ 85012-2634 | 2012-09-28 |
| 1447545645 | Kristen Lyn Robinson | Family Medicine | 202 E Earll Dr, Suite 200, Phoenix, AZ 85012-2634 | 2011-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
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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 |
|---|---|---|---|---|
| 1104439538 | April J Winston | Case Manager/Care Coordinator | 2375 E Camelback Rd Ste 600628, Phoenix, AZ 85016-3424 | 2020-08-25 |
| 1629603469 | Glenda Dillard | Case Manager/Care Coordinator | 7405 S 39th Dr, Phoenix, AZ 85041-6002 | 2020-03-11 |
| 1215592746 | Debra Ann Beldone | Case Manager/Care Coordinator | 4435 N 21st Pl, Phoenix, AZ 85016-5559 | 2019-05-09 |
| 1720553753 | Cynthia Marie Quinn | Case Manager/Care Coordinator | 301 W Jefferson St Ste 3200, Phoenix, AZ 85003-2143 | 2018-10-05 |
| 1013496199 | Uptown Medical LLC | Case Manager/Care Coordinator | 3724 N 3rd St Ste 300, Phoenix, AZ 85012-2036 | 2018-08-09 |
| 1518451251 | Advanced Behavioral Health Services, LLC | Case Manager/Care Coordinator | 9417 N 17th Pl, Phoenix, AZ 85020-2310 | 2018-06-17 |
| 1255835997 | Miracle On 29th Street | Case Manager/Care Coordinator | 18210 N 29th St, Phoenix, AZ 85032-1103 | 2018-03-19 |
| 1538662077 | Maryvale Medical LLC | Case Manager/Care Coordinator | 7141 W Thomas Rd Ste 101, Phoenix, AZ 85033-5518 | 2018-03-12 |
| 1265930614 | Desert Ridge Medical LLC | Case Manager/Care Coordinator | 26224 N Tatum Blvd Ste 11, Phoenix, AZ 85050-7500 | 2018-01-30 |
| 1477098671 | Joyce Ann Leflore | Case Manager/Care Coordinator | 4424 E Baseline Rd Apt 1144, Phoenix, AZ 85042-7410 | 2016-12-23 |
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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.