KARYN KELLY CLARK (NPI# 1629572698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629572698 |
| Entity Type | Individual |
| Full Name | KARYN KELLY CLARK |
| Credential | BS, BA |
| Practice Address |
625 E Madison Ave Ste 6 Riverton WY 82501-4712 |
| Mailing Address |
Po Box 1281 Riverton WY 82501-0157 |
| Practice Telephone | 3078513955 |
| Practice Fax Number | 3078576974 |
| Mailing Telephone | 3078513955 |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |
| 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 |
|---|---|---|---|---|
| 1033455068 | Karyn Clark | Case Manager/Care Coordinator | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2012-12-19 |
| 1083748404 | Karyn E. Clark | Counselor | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2007-03-15 |
| Street Address |
625 E MADISON AVE STE 6 |
| City | RIVERTON |
| State | WY |
| Zip Code | 82501-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386979276 | Linda M Heron | Social Worker | 625 E Madison Ave Ste 6, Riverton, WY 82501-4712 | 2009-10-09 |
| 1710415161 | Rachael Shaw | Case Manager/Care Coordinator | 625 E Madison Ave Ste 6, Riverton, WY 82501-4712 | 2017-05-30 |
| 1184176430 | Magellan Healthcare of Wyoming | Clinic/Center | 625 E Madison Ave Ste 6, Riverton, WY 82501-4712 | 2016-11-02 |
| 1316494982 | Holly Miller | Case Manager/Care Coordinator | 625 E Madison Ave Ste 6, Riverton, WY 82501-4712 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366914889 | Community Health Center of Central Wyoming Inc | Clinic/Center | 704 Fremont Ave, Riverton, WY 82501 | 2018-12-21 |
| 1699292391 | Wind River Cares Riverton | Clinic/Center | 511 North 12 Street East, Riverton, WY 82501 | 2017-08-24 |
| 1801242268 | Jessika Ruth Waldron | Case Manager/Care Coordinator | 1519 1/2 E Pershing, Riverton, WY 82501 | 2016-05-04 |
| 1467815498 | Orren P Janis Sr. | Community Health Worker | 10369 Highway 789, 10369 Hwy 789, Riverton, WY 82501 | 2016-03-29 |
| 1194186320 | Amanda R Vroman | Counselor | 10269 Hwy 789, Riverton, WY 82501 | 2016-03-16 |
| 1770944902 | William Nolan Sage | Counselor | 10269 Hwy. 789, Riverton, WY 82501 | 2016-03-16 |
| 1962806331 | Moss Dentistry | Dentist | 203 E Main Street, Suite 205, Riverton, WY 82501 | 2014-10-14 |
| 1215339957 | Jordan Hays | Registered Nurse | 11855 Us Highway 26, Riverton, WY 82501 | 2014-09-25 |
| 1538584750 | Michaela R Sisneros | Nursing Care | 2890 Cooper Rd, Riverton, WY 82501 | 2014-02-25 |
| 1487089843 | Olivia P Washington | Registered Nurse | 43 Goes In Lodge Road, Riverton, WY 82501 | 2013-09-04 |
| Find all providers in zip 82501 | ||||
| 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 |
|---|---|---|---|---|
| 1295375152 | Perriann Na Witt | Case Manager/Care Coordinator | 22 Yukon Dr, Riverton, WY 82501-9753 | 2020-01-08 |
| 1447899240 | Tamara Renee Greenlee | Case Manager/Care Coordinator | 7 Patio Ln, Riverton, WY 82501-8954 | 2019-12-27 |
| 1881161834 | Heather Lynn Britain | Case Manager/Care Coordinator | 55 Muskrat Ln, Riverton, WY 82501-8938 | 2018-10-29 |
| 1124593421 | Fremont County Group Homes | Case Manager/Care Coordinator | 11 Minter Ln, Riverton, WY 82501-8959 | 2018-10-12 |
| 1669987863 | Kristie Diane Bennett | Case Manager/Care Coordinator | 229 E Pine St, Riverton, WY 82501-2846 | 2017-12-10 |
| 1912430828 | Tracy Marie Deschampe Sage | Case Manager/Care Coordinator | 1405 Cheryl Sue Dr, Riverton, WY 82501-3017 | 2017-04-07 |
| 1023549557 | Shannon Knight | Case Manager/Care Coordinator | 812 Cindy Cir, Riverton, WY 82501-3040 | 2017-03-26 |
| 1093266744 | Blue Sky Counseling | Case Manager/Care Coordinator | 625 E Madison Ave, Suite 6, Riverton, WY 82501-4712 | 2016-10-18 |
| 1801242268 | Jessika Ruth Waldron | Case Manager/Care Coordinator | 1519 1/2 E Pershing, Riverton, WY 82501 | 2016-05-04 |
| 1689030306 | Cyndi Mcauslan | Case Manager/Care Coordinator | 911 W Fremont Ave, Riverton, WY 82501-3221 | 2016-01-11 |
| Find all providers in RIVERTON | ||||
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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.