JESSICA BANUELOS (NPI# 1548872328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548872328 |
| Entity Type | Individual |
| Full Name | JESSICA BANUELOS |
| Practice Address |
1021 4th St Taft CA 93268-2433 |
| Practice Telephone | 6617657025 |
| Mailing Telephone | 6617657025 |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | F7807943 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205189578 | Jessica Mirella Banuelos | Rehabilitation Practitioner | 21520 Pioneer Blvd Ste 101, Hawaiian Gardens, CA 90716-2603 | 2012-10-23 |
| Street Address |
1021 4TH ST |
| City | TAFT |
| State | CA |
| Zip Code | 93268-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255486437 | Kristina Dawn Marshall | Licensed Vocational Nurse | 1021 4th St, Suite B, Taft, CA 93268-2433 | 2007-01-25 |
| 1598313470 | Denise Natalie Castro | Social Worker | 1021 4th St, Taft, CA 93268-2433 | 2019-09-03 |
| 1881246205 | Britney A Coats | Case Manager/Care Coordinator | 1021 4th St, Taft, CA 93268-2433 | 2019-07-15 |
| 1457913923 | Christy A Stubblefield | Marriage & Family Therapist | 1021 4th St, Taft, CA 93268-2433 | 2019-07-03 |
| 1851953897 | Lyzette Carolina Salgado | Case Manager/Care Coordinator | 1021 4th St, Taft, CA 93268-2433 | 2019-06-29 |
| 1215598354 | Elizabeth H Sorenson | Marriage & Family Therapist | 1021 4th St, Taft, CA 93268-2433 | 2019-06-27 |
| 1174084347 | Sean Duquay Abair Sr. | Counselor | 1021 4th St, Taft, CA 93268-2433 | 2019-03-28 |
| 1710441878 | Amy Leigh Smith | Case Manager/Care Coordinator | 1021 4th St, Taft, CA 93268-2433 | 2019-01-23 |
| 1306351051 | Mike Armendariz I | Case Manager/Care Coordinator | 1021 4th St, Taft, CA 93268-2433 | 2017-12-04 |
| 1750821286 | Lucette Bottomly | Case Manager/Care Coordinator | 1021 4th St, Ste B, Taft, CA 93268-2433 | 2017-03-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396004669 | Chad Thomas Acker | Counselor | 1021 4th Street Ste B, Taft, CA 93268 | 2012-05-08 |
| 1902122815 | Kevin Randall Blankenship | Counselor | 1024 4th St, Suite B, Taft, CA 93268 | 2010-04-16 |
| 1225202054 | Frank Ray Mesa Sr. | Counselor | 1021 4th Street, Ste B, Taft, CA 93268 | 2008-04-14 |
| 1386863413 | Omni Family Health | Clinic/Center | 1100 4th Street, Taft, CA 93268 | 2007-04-25 |
| 1821385089 | Magen Michelle Zimmerman | Licensed Vocational Nurse | 1021 4th St Ste B, Taft, CA 93268 | 2011-07-07 |
| 1851308191 | Kimberly Lynn Anderson | Nurse Practitioner | 100 E North St, Taft, CA 93268 | 2006-08-01 |
| 1932303559 | Seven Fold | Case Management | 201 Harrison St, Taft, CA 93268-2107 | 2007-06-14 |
| 1982184768 | Kathleen Kay Fitzsimmons | Registered Nurse | 811 6th St, Taft, CA 93268-2305 | 2018-08-21 |
| 1073655692 | Taft City Elementary School District | Local Education Agency (LEA) | 820 6th St, Taft, CA 93268-2306 | 2007-02-12 |
| 1255811436 | David Tate | Registered Nurse | 820 6th St, Taft, CA 93268-2306 | 2018-08-17 |
| Find all providers in zip 93268 | ||||
| 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 |
|---|---|---|---|---|
| 1407381981 | Yaqueline Lopez | Case Manager/Care Coordinator | 102 4th St Ste B, Taft, CA 93268-3516 | 2017-04-21 |
| 1831721976 | Destiny Angelina Garcia | Case Manager/Care Coordinator | 1021 4th St Ste B, Taft, CA 93268-2433 | 2020-02-06 |
| 1881246205 | Britney A Coats | Case Manager/Care Coordinator | 1021 4th St, Taft, CA 93268-2433 | 2019-07-15 |
| 1851953897 | Lyzette Carolina Salgado | Case Manager/Care Coordinator | 1021 4th St, Taft, CA 93268-2433 | 2019-06-29 |
| 1790343275 | Jose Rene Marentes Sr. | Case Manager/Care Coordinator | 1021 4th St Ste B, Taft, CA 93268-2433 | 2019-05-30 |
| 1710441878 | Amy Leigh Smith | Case Manager/Care Coordinator | 1021 4th St, Taft, CA 93268-2433 | 2019-01-23 |
| 1073083879 | Markie Caitlin Johnson | Case Manager/Care Coordinator | 1021 4th St # B, Taft, CA 93268-2433 | 2018-12-05 |
| 1609378959 | Alexandra Paige Buchanan | Case Manager/Care Coordinator | 1021 4th St Ste B, Taft, CA 93268-2433 | 2018-03-02 |
| 1811499171 | Madelin Lopez | Case Manager/Care Coordinator | 1021 4th St Ste B, Taft, CA 93268-2433 | 2018-03-02 |
| 1306351051 | Mike Armendariz I | Case Manager/Care Coordinator | 1021 4th St, Taft, CA 93268-2433 | 2017-12-04 |
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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.