MR. ZACHARY EUGENIO TOLLEY (NPI# 1538631015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538631015 |
| Entity Type | Individual |
| Full Name | MR. ZACHARY EUGENIO TOLLEY |
| Credential | AAC |
| Practice Address |
1618 S Lane St Ste 201 Seattle WA 98144-2829 |
| Practice Telephone | 2067716692 |
| Practice Fax Number | 2063286241 |
| Mailing Telephone | 2067716692 |
| Mailing Fax Number | 2063286241 |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2018-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | CG60853869 | WA | Other Service Providers |
| Street Address |
1618 S LANE ST STE 201 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98144-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265900815 | Samantha Dominguez Oppenheimer | Social Worker | 1618 S Lane St Ste 201, Seattle, WA 98144-2829 | 2018-11-12 |
| 1447722665 | Patricia Anne Perez | Peer Specialist | 1618 S Lane St Ste 201, Seattle, WA 98144-2829 | 2018-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558975235 | Miranda Plummer | Counselor | 2122 S Jackson Street, Seattle, WA 98144 | 2020-09-01 |
| 1891337457 | Alyson Paris | Counselor | 2100 24th Ave S, Suite 260, Seattle, WA 98144 | 2019-10-15 |
| 1912558370 | Marco Antonio Medina Sotelo | Counselor | 113 23rd Avenue South, Seattle, WA 98144 | 2019-09-26 |
| 1952865909 | John Thomas Hogan | Counselor | 1600 S Lane, Seattle, WA 98144 | 2019-01-23 |
| 1134693856 | Kimo Martin | Peer Specialist | 1600 Lane St, Seattle, WA 98144 | 2019-01-15 |
| 1952875791 | Rainier Chiropractic Accident and Injury Ps | Massage Therapist | 2326 Rainier Ave S, Ste B, Seattle, WA 98144 | 2019-01-15 |
| 1174097083 | Seann M Combs | Counselor | 1600 S Lane St, Seattle, Wa 98144, Seattle, WA 98144 | 2019-01-14 |
| 1922571587 | Cristina Wirkala | Registered Nurse | Crisis Solutions Center, 1600 South Lane Street, Seattle, WA 98144 | 2019-01-07 |
| 1215405162 | Vickie Barron | Counselor | 3401 Rainier Ave S, Suite B, Seattle, WA 98144 | 2018-11-08 |
| 1164906509 | Julie Seddon Cabell | Counselor | Central Youth and Family Services, 1901 Mlk Jr Way S., Seattle, WA 98144 | 2018-09-21 |
| Find all providers in zip 98144 | ||||
| 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 |
|---|---|---|---|---|
| 1013523737 | Christine Siebels-lindquist | Case Manager/Care Coordinator | 4039 9th Ave Ne, Seattle, WA 98105-6476 | 2020-09-17 |
| 1114549029 | Kathryn Larimore | Case Manager/Care Coordinator | 2100 24th Ave S Ste 250, Seattle, WA 98144-4644 | 2020-05-13 |
| 1205469152 | Davis Haywood | Case Manager/Care Coordinator | 325 9th Ave # 359607, Seattle, WA 98104-2420 | 2020-02-19 |
| 1932753241 | Marlene Rebecca Carricaburu | Case Manager/Care Coordinator | 325 9th Ave # 359859, Seattle, WA 98104-2499 | 2019-07-25 |
| 1518528173 | Michael Humphrey | Case Manager/Care Coordinator | 1119 E Fir St, Seattle, WA 98122-5415 | 2019-06-25 |
| 1801359377 | Maluofiti Valentino Le'iato | Case Manager/Care Coordinator | 12037 1st Ave S Apt B205, Seattle, WA 98168-5035 | 2019-04-10 |
| 1780156992 | Michelle Nayoung Kim | Case Manager/Care Coordinator | 1618 S Lane St, Seattle, WA 98144-2829 | 2018-12-28 |
| 1487125407 | Erin David Tate | Case Manager/Care Coordinator | 5444 Delridge Way Sw, Seattle, WA 98106-1534 | 2018-12-17 |
| 1710452362 | Carrie Jambresic | Case Manager/Care Coordinator | 5126 47th Ave Ne, Seattle, WA 98105-2925 | 2018-10-10 |
| 1063996601 | Laura Nagel | Case Manager/Care Coordinator | 2131 N 113th St Apt 3, Seattle, WA 98133-7644 | 2018-09-19 |
| Find all providers in SEATTLE | ||||
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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.