KIMBERLY WASH (NPI# 1619535887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619535887 |
| Entity Type | Individual |
| Full Name | KIMBERLY WASH |
| Credential | CG6095783 |
| Practice Address |
612 Woodland Square Loop Se Ste 401 Lacey WA 98503-1070 |
| Practice Telephone | 3607635797 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | CG60965783 | WA | Other Service Providers |
| Street Address |
612 WOODLAND SQUARE LOOP SE STE 401 |
| City | LACEY |
| State | WA |
| Zip Code | 98503-1070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982976197 | Adelina Georgieva Dana | Counselor | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2012-02-02 |
| 1306445820 | Seth Opp-beckman | Peer Specialist | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2020-10-26 |
| 1588262596 | Anastasia Webster | Peer Specialist | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2020-10-12 |
| 1316563364 | Athena M Ayres | Peer Specialist | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2020-06-24 |
| 1760007504 | Olympic Health and Recovery Services | Community/Behavioral Health | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2020-06-08 |
| 1063062503 | Michelle Kim Soto | Counselor | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2019-09-17 |
| 1558913145 | Molly K Mciver | Case Manager/Care Coordinator | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2019-07-12 |
| 1376006783 | Teresa Ann Nisbet | Peer Specialist | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2019-04-11 |
| 1871050526 | Herschel Bernard Mcfarland | Peer Specialist | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2019-02-28 |
| 1285198887 | Shelly Marie Barnett | Counselor | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2019-01-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
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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 |
|---|---|---|---|---|
| 1568991271 | Noble Path Wellness, LLC | Case Manager/Care Coordinator | 677 Woodland Square Loop Se Ste D5, Lacey, WA 98503-1000 | 2017-06-06 |
| 1902226913 | Valerie Aper | Case Manager/Care Coordinator | 612 Woodland Square Loop Se, Lacey, WA 98503-1069 | 2014-04-17 |
| 1437301827 | Community Action Council | Case Manager/Care Coordinator | 3020 Willamette Dr Ne, Lacey, WA 98516 | 2008-10-16 |
| 1790843555 | Erica Christine Smith | Case Manager/Care Coordinator | 8026 26th Ave Se, Lacey, WA 98503-4073 | 2006-12-05 |
| 1558913145 | Molly K Mciver | Case Manager/Care Coordinator | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2019-07-12 |
| 1679970792 | Michael Neil Wimberley | Case Manager/Care Coordinator | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2014-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523737 | Christine Siebels-lindquist | Case Manager/Care Coordinator | 4039 9th Ave Ne, Seattle, WA 98105-6476 | 2020-09-17 |
| 1629683867 | Donneca Kelly | Case Manager/Care Coordinator | 2426 S 224th St Apt 104, Des Moines, WA 98198-6644 | 2020-09-14 |
| 1316551989 | Nicole Buckner | Case Manager/Care Coordinator | 1601 E Fourth Plain Blvd Bldg 5, Vancouver, WA 98661-3717 | 2020-09-01 |
| 1811507759 | Caring With Compassion Community | Case Manager/Care Coordinator | 20113 96th Ave E, Graham, WA 98338-8040 | 2020-08-05 |
| 1861016347 | Hahnah Ellington | Case Manager/Care Coordinator | 506 Hainsworth St, Wenatchee, WA 98801-3656 | 2020-06-01 |
| 1114549029 | Kathryn Larimore | Case Manager/Care Coordinator | 2100 24th Ave S Ste 250, Seattle, WA 98144-4644 | 2020-05-13 |
| 1184246688 | Mireya Ann Bahena | Case Manager/Care Coordinator | Catholic Charities of The Diocese of 145 S. Worthen St., Wenatchee, WA 98801 | 2020-05-07 |
| 1457972945 | Phyllis Lizetta Jordan | Case Manager/Care Coordinator | 721 Fawcett Ave Ste 101721s, Tacoma, WA 98402-5502 | 2020-05-06 |
| 1437785680 | Susan Thomas | Case Manager/Care Coordinator | 8727 W Highway 2, Spokane, WA 99224-9498 | 2020-03-19 |
| 1003440538 | Jennifer Cortes Lemus | Case Manager/Care Coordinator | 784 N Kentucky Ave, East Wenatchee, WA 98802-6061 | 2020-02-24 |
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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.