JESSICA LIZETTE AVILA (NPI# 1629345566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629345566 |
| Entity Type | Individual |
| Full Name | JESSICA LIZETTE AVILA |
| Practice Address |
501 Chester Ave A Bakersfield CA 93301-5402 |
| Practice Telephone | 6618295930 |
| Practice Fax Number | 6614270386 |
| Mailing Telephone | 6618295930 |
| Mailing Fax Number | 6614270386 |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478439 | Jessica Lynn Avila | Nurse Practitioner | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-08-21 |
| 1407465297 | Jessica L Avila | Licensed Practical Nurse | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-07-28 |
| 1619503844 | Jessica Avila | Behavior Technician | 5959 West Loop S Ste 202, Bellaire, TX 77401-2420 | 2020-03-19 |
| 1023597788 | Jessica Avila | Rehabilitation Practitioner | 19231 Victory Blvd, Reseda, CA 91335-6308 | 2018-08-13 |
| 1780113795 | Jessica Avila | Social Worker | 018 Sw Boundary Ct, Portland, OR 97239-3939 | 2017-06-05 |
| 1306106844 | Jessica Avila | Nurse Practitioner | 603 N Flamingo Road, Ste 157, Pembroke Pines, FL 33028 | 2012-05-17 |
| 1285906685 | Jessica Avila | Case Manager/Care Coordinator | 520 Dudley St, Roxbury, MA 02119-2769 | 2012-01-31 |
| Street Address |
501 CHESTER AVE A |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93301-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389528 | Tsoguik Broutian | Case Manager/Care Coordinator | Kern County Superintendent of Schools, 1300 17th St., Bakersfield, CA 93301 | 2020-09-08 |
| 1124665559 | Flourish Family Wellness Psychological Services, Inc. | Marriage & Family Therapist | 1909 16th Street, Suite 7, Bakersfield, CA 93301 | 2019-12-04 |
| 1063066231 | Alexandra Moo | Case Manager/Care Coordinator | 1415 Trutun Ave, Bakersfield, CA 93301 | 2019-07-26 |
| 1245898659 | Michael Dean Sampley | Marriage & Family Therapist | 2025 Westwind Dr. Ste. A, Bakersfield, CA 93301 | 2019-05-31 |
| 1740751619 | Jimmy Garcia | Counselor | Aegis Treatment Center, 1018 21st St, Bakersfield, CA 93301 | 2018-12-17 |
| 1689140741 | Prism Pain and Spine, Inc | Physical Medicine & Rehabilitation | 3838 San Dimas, Ste., 3838 San Dimas,ste. B-231, Bakersfield, CA 93301 | 2018-10-16 |
| 1215437678 | Andria Sousa | Behavior Technician | 2535 16th St Ste 215&210, Bakersfield, CA 93301 | 2018-02-12 |
| 1003329889 | County of Kern | Clinic/Center | 820 34th Street, Suite 100,201,202, 203, Bakersfield, CA 93301 | 2017-11-15 |
| 1306358577 | Ashley Marie Pereida | Case Manager/Care Coordinator | 3300 Truxtun Ave. Suite 200, Bakersfield, CA 93301 | 2017-10-28 |
| 1982123113 | Amber Freer Hayes | Licensed Vocational Nurse | 2001, 28th Street, Bakersfield, CA 93301 | 2017-09-19 |
| Find all providers in zip 93301 | ||||
| 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 |
|---|---|---|---|---|
| 1659978781 | Desiree Alise Vargas | Case Manager/Care Coordinator | 5801 Ming Ave Apt 44, Bakersfield, CA 93309-4614 | 2020-10-01 |
| 1699389528 | Tsoguik Broutian | Case Manager/Care Coordinator | Kern County Superintendent of Schools, 1300 17th St., Bakersfield, CA 93301 | 2020-09-08 |
| 1992325765 | Universal Healthcare Mso, LLC | Case Manager/Care Coordinator | 8501 Brimhall Rd Bldg 100, Bakersfield, CA 93312-2327 | 2020-04-22 |
| 1063041333 | Luisa Maria Jimenez | Case Manager/Care Coordinator | 3501 Wilson Road, Bakersfield, CA 93304 | 2020-04-07 |
| 1508407537 | Poonam Rufus | Case Manager/Care Coordinator | 10702 Eagle Vista Dr, Bakersfield, CA 93311-9018 | 2019-10-01 |
| 1013564657 | Yahaira Karely Torres | Case Manager/Care Coordinator | 3524 Kennedy Ave, Bakersfield, CA 93309-6110 | 2019-08-19 |
| 1063066231 | Alexandra Moo | Case Manager/Care Coordinator | 1415 Trutun Ave, Bakersfield, CA 93301 | 2019-07-26 |
| 1124672589 | Cristina Angelica Diaz | Case Manager/Care Coordinator | 3300 Truxtun Ave Ste 110, Bakersfield, CA 93301-3137 | 2019-07-24 |
| 1841842556 | Gabriela Lopez | Case Manager/Care Coordinator | 3300 Truxtun Ave Fl 2, Bakersfield, CA 93301-3137 | 2019-07-12 |
| 1740744986 | Dora Robledo | Case Manager/Care Coordinator | 1600 E Belle Terrace Avenue, Bakersfield, CA 93307 | 2019-01-22 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93301 |
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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.