SCHANTELLE C CARTER (NPI# 1619448545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619448545 |
| Entity Type | Individual |
| Full Name | SCHANTELLE C CARTER |
| Practice Address |
1210 Sw 136th St Burien WA 98166-1214 |
| Practice Telephone | 2062576895 |
| Practice Fax Number | 2062488232 |
| Mailing Telephone | 2062576895 |
| Mailing Fax Number | 2062488232 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | CG60694205 | WA | Other Service Providers |
| Street Address |
1210 SW 136TH ST |
| City | BURIEN |
| State | WA |
| Zip Code | 98166-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689613085 | Shannon L Corbin | Psychiatry & Neurology | 1210 Sw 136th St, Navos Mhwc, Burien, WA 98166-1214 | 2006-06-05 |
| 1326647769 | Caitlin Leigh Sellhorn | Registered Nurse | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-10-17 |
| 1043817265 | Keturah Suzanne Weathers | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-10-01 |
| 1003423211 | Madeleine Sylvia Melamed | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-30 |
| 1205443660 | Candis Erin Myers | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-29 |
| 1174130504 | Natalie D. Grenfell | Counselor | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-29 |
| 1023625944 | Kiera Stevens | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-24 |
| 1407462088 | Samantha Lynn Nutter | Registered Nurse | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-19 |
| 1184239543 | Taylor Speegle | Counselor | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-12 |
| 1427662212 | Saba Shabir Karim | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341488 | Robert James Woodland Sr. | Counselor | 1210 Sw 136th St., Burien, WA 98166 | 2018-09-26 |
| 1215467329 | Amy Elizabeth Castillo | Massage Therapist | 1204 Sw 168th St, Normandy Park, WA 98166 | 2017-06-13 |
| 1053856070 | Michael David Blackledge | Physical Therapist | 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 | 2016-12-29 |
| 1114372232 | Maris Gibson | Massage Therapist | 801 S.w. 150thst, #110, Burien, WA 98166 | 2016-04-26 |
| 1649642992 | Navos | Community/Behavioral Health | 31408 28th Ave South, 1201 Sw 136th Street, Burien, WA 98166 | 2015-10-27 |
| 1154790798 | Han Nguyen | Chiropractor | 15811 Ambaum Blvd Sw Suite 110, Burien, WA 98166 | 2015-09-24 |
| 1497163778 | Maria Garvey-caruso | Physical Therapist | 1511 Ambaum Blvd South West, Suite 140, Burien, WA 98166 | 2014-07-30 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1023362753 | Donna Shaman | Occupational Therapist | 15675 Ambaum Blvd, Burien, WA 98166 | 2012-11-02 |
| 1366707010 | Tracy C Saephanh | Pharmacy Technician | 14901 4th Ave Sw Ste 100, Burien, WA 98166 | 2012-07-09 |
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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 |
|---|---|---|---|---|
| 1790251213 | Everlean Woods | Case Manager/Care Coordinator | 15035 8th Ave S Apt 30, Burien, WA 98148-1112 | 2018-10-23 |
| 1730654286 | Larry Robert Liechty | Case Manager/Care Coordinator | 15035 8th Ave S, Burien, WA 98148-1112 | 2018-10-11 |
| 1538519590 | Asma Ahmed | Case Manager/Care Coordinator | 15421 Des Moines Memorial Dr S, Burien, WA 98148-2630 | 2016-06-20 |
| 1316582653 | Brock Schuelke | Case Manager/Care Coordinator | 1033 Sw 152nd St, Burien, WA 98166-1845 | 2019-11-11 |
| 1922660554 | Myranda Lee Parrott | Case Manager/Care Coordinator | 1210 Sw 136th St, Burien, WA 98166-1214 | 2019-07-03 |
| 1255803110 | Farzaneh Vahdani | Case Manager/Care Coordinator | 1210 Sw 136th Street, Burien, WA 98168 | 2018-12-17 |
| 1790254118 | Lauren Dernbach | Case Manager/Care Coordinator | 1033 Sw 152nd St, Burien, WA 98166-1845 | 2018-11-14 |
| 1770050379 | Salifu Bordor Mansaray | Case Manager/Care Coordinator | 15035 8th Ave S, Burien, WA 98148-1112 | 2018-11-01 |
| 1073089157 | Lucas Neil Forstie | Case Manager/Care Coordinator | 15035 8th Ave S, Burien, WA 98148-1112 | 2018-10-16 |
| 1336614635 | Maitai Tiumalu | Case Manager/Care Coordinator | 1210 Sw 136th St, Burien, WA 98166-1214 | 2018-10-12 |
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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.