KIMBERLY ELLIS (NPI# 1609328954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609328954 |
| Entity Type | Individual |
| Full Name | KIMBERLY ELLIS |
| Practice Address |
1400 Parkmoor Ave Ste 115 San Jose CA 95126-3797 |
| Practice Telephone | 9162599914 |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245746908 | Kimberly Ellis | Behavior Technician | 850 13th St, Newport News, VA 23607-6420 | 2017-12-18 |
| 1023531340 | Kimberly Y Ellis | Day Training/Habilitation Specialist | 7365 Granville Dr, Mansfield, TX 76063-4647 | 2017-07-18 |
| 1104066299 | Kimberly R Ellis | Counselor | 307 Carpenter Dam Rd Ste B, Hot Springs, AR 71901-8282 | 2009-03-02 |
| 1619004413 | Kimberly Anne Ellis | Registered Nurse | 155 Cloverdale Rd, Rochester, NY 14616-3254 | 2007-02-27 |
| 1174603054 | Kimberly S Ellis | Physical Therapist | 10613 Ne 174th Pl, Bothell, WA 98011-3777 | 2006-10-16 |
| 1891703476 | Kimberly Ellis | Family Medicine | 8423 S Us Highway 1, Port Saint Lucie, FL 34952-3358 | 2006-08-03 |
| 1265084461 | Kimberly Ellis | Social Worker | 111 South St, Somerville, MA 02143-4297 | 2019-07-09 |
| 1306353818 | Kimberly Tonine Ellis | Counselor | 101 Carpenter Pl, Monroe, NY 10950-3592 | 2018-01-05 |
| 1073998399 | Kimberly Ellis | Dentist | 5915 W State Road 46, Bloomington, IN 47404-9359 | 2015-07-28 |
| 1700220936 | Kimberly Kone Ellis | Family Medicine | 3939 Medical Dr, Ste 100, San Antonio, TX 78229-2291 | 2013-04-18 |
| Street Address |
1400 PARKMOOR AVE STE 115 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95126-3797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215097621 | Unity Care Group, Inc. | Community/Behavioral Health | 1400 Parkmoor Ave Ste 115, San Jose, CA 95126-3797 | 2006-12-08 |
| 1083213979 | Kristin Jones | Student in an Organized Health Care Education/Training Program | 1400 Parkmoor Ave Ste 115, San Jose, CA 95126-3797 | 2020-10-21 |
| 1043838972 | Gabrielle Messina | Case Manager/Care Coordinator | 1400 Parkmoor Ave Ste 115, San Jose, CA 95126-3797 | 2020-07-07 |
| 1427698018 | Shailendra S Baghel | Specialist | 1400 Parkmoor Ave Ste 115, San Jose, CA 95126-3797 | 2020-01-10 |
| 1316428543 | Shabnam Nazrin Shaheed | Counselor | 1400 Parkmoor Ave Ste 115, San Jose, CA 95126-3797 | 2018-08-25 |
| 1861978231 | Daymian Michael Snowden | Counselor | 1400 Parkmoor Ave Ste 115, San Jose, CA 95126-3797 | 2018-07-18 |
| 1144716887 | Anujin Enkh-amgalan | Counselor | 1400 Parkmoor Ave Ste 115, San Jose, CA 95126 | 2018-07-05 |
| 1598253320 | Sherlyon Ann Livingston | Counselor | 1400 Parkmoor Ave Ste 115, San Jose, CA 95126-3797 | 2018-04-26 |
| 1821592031 | Nassinet Kahsai | Counselor | 1400 Parkmoor Ave Ste 115, San Jose, CA 95126-3797 | 2018-03-21 |
| 1114428349 | Thomas Edward Secula | Counselor | 1400 Parkmoor Ave Ste 115, San Jose, CA 95126-3797 | 2018-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| 1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
| 1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
| 1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
| 1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
| 1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
| 1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
| 1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
| 1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
| 1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
| Find all providers in zip 95126 | ||||
| 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 |
|---|---|---|---|---|
| 1619592292 | Feng Zheng | Case Manager/Care Coordinator | 298a Bernal Road, San Jose, CA 95119-1809 | 2020-06-10 |
| 1881234375 | Harpreet Kaur | Case Manager/Care Coordinator | 1691 Bagpipe Way, San Jose, CA 95121-1506 | 2020-01-13 |
| 1790321214 | Jesse Schulte | Case Manager/Care Coordinator | 2 N Market St, San Jose, CA 95113-1211 | 2019-11-19 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1154964252 | Darra Lea Velasco | Case Manager/Care Coordinator | 171 N Capitol Ave Apt 4, San Jose, CA 95127-2333 | 2019-10-21 |
| 1851948038 | Xinia Maria Muniz | Case Manager/Care Coordinator | 5066 New Trier Ave, San Jose, CA 95136-2720 | 2019-08-22 |
| 1790246577 | Gary Anduin Garrick | Case Manager/Care Coordinator | 1356 Ridder Park Dr, San Jose, CA 95131-2313 | 2019-03-26 |
| 1972076347 | William Ray Brice | Case Manager/Care Coordinator | 834 Opal Dr Apt 2, San Jose, CA 95117-2662 | 2019-01-08 |
| 1285103697 | Connie Bustillo | Case Manager/Care Coordinator | 1356 Ridder Park Drive, San Jose, CA 95131 | 2018-11-14 |
| 1235605528 | Melissa Ann Morgan | Case Manager/Care Coordinator | 428 N. White Rd., San Jose, CA 95127 | 2018-10-15 |
| Find all providers in SAN JOSE | ||||
Please comment or provide details below to improve the information on KIMBERLY ELLIS.
| 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.