LUCIA MIRELES (NPI# 1578024097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578024097 |
| Entity Type | Individual |
| Full Name | LUCIA MIRELES |
| Practice Address |
101 Cirby Hills Dr Roseville CA 95678-4360 |
| Practice Telephone | 9167878875 |
| Mailing Telephone | 9167878875 |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |
| 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 |
101 CIRBY HILLS DR |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95678-4360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962493460 | Linda W Budd | Nurse Practitioner | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2005-11-02 |
| 1427665686 | James Burke | Community Health Worker | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2020-09-30 |
| 1730703083 | Catreena Ashlee Johnson | Counselor | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2020-06-02 |
| 1528682192 | Chandler Kay Freed | Counselor | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2020-05-29 |
| 1538781398 | Jessica Elizabeth Stump | Community Health Worker | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2020-05-14 |
| 1689206583 | Lauren Elisabeth Evans | Social Worker | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2020-02-07 |
| 1679113609 | Ryan Mary Crawford | Social Worker | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2020-01-07 |
| 1700423753 | Paulina Ratcliffe | Registered Nurse | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2019-12-09 |
| 1922644657 | Ariel Xzandra Pond | Community Health Worker | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2019-11-18 |
| 1508409327 | Harold Joseph Chastain | Community Health Worker | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2019-10-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1083256051 | Rosemary Ellen Robben | Community Health Worker | Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 | 2019-10-11 |
| 1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
| 1174093793 | Neftali Hernandez | Behavior Technician | 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 | 2018-11-26 |
| 1467951798 | Amarantha Martinez | Behavior Technician | 1900 Quail Ridge Road, #99, Roseville, CA 95678 | 2018-02-01 |
| 1093231276 | Compassionate Home Health, Ltd | Home Health | 1100 Melody Lane, Suite 106, Roseville, CA 95678 | 2017-08-18 |
| 1629598891 | Jimena Andrade Martins | Behavior Technician | 602 Atkinson Street, Roseville, CA 95678 | 2017-06-20 |
| 1891221057 | Zride Inc | Taxi | 106 Church Street, Suite 2, Roseville, CA 95678 | 2017-05-10 |
| 1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
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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 |
|---|---|---|---|---|
| 1255887592 | Jessica Michelle Franklin | Case Manager/Care Coordinator | 1817 Cymbeline St, Roseville, CA 95747-4973 | 2016-08-28 |
| 1083259881 | Kevin Joel Geller | Case Manager/Care Coordinator | 8800 Sierra College Blvd, Roseville, CA 95661-9566 | 2019-11-15 |
| 1689143497 | Caitlin Michelle Dragony | Case Manager/Care Coordinator | 120 Ascot Dr Ste D, Roseville, CA 95661-3400 | 2018-11-21 |
| 1538645668 | Konterri Khun | Case Manager/Care Coordinator | 1624 Santa Clara Dr, Roseville, CA 95661-3554 | 2018-07-11 |
| 1164923991 | Sarah Marie Martinez | Case Manager/Care Coordinator | 214 Estates Dr Ste A, Roseville, CA 95678-2353 | 2018-02-27 |
| 1972010973 | Cortney Angelle Collins | Case Manager/Care Coordinator | 1624 Santa Clara Dr Ste 145, Roseville, CA 95661-3500 | 2017-12-29 |
| 1275964041 | Judy Danielle Bacus | Case Manager/Care Coordinator | 1624 Santa Clara Dr Ste 145, Roseville, CA 95661-3500 | 2013-12-04 |
| 1568749117 | Candice Colson | Case Manager/Care Coordinator | 1133 Coloma Way, Suite A, Roseville, CA 95661 | 2011-11-10 |
| 1417265943 | Lacey Valen Swol | Case Manager/Care Coordinator | 1133 Coloma Way, Roseville, CA 95661-4480 | 2010-09-17 |
| 1669670949 | Rebecca Lee Cardwell | Case Manager/Care Coordinator | 420 Folsom Rd Ste C, Roseville, CA 95678-2767 | 2007-07-06 |
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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.