SIA BOW (NPI# 1639718240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639718240 |
| Entity Type | Individual |
| Full Name | SIA BOW |
| Practice Address |
1401 Gold St Redding CA 96001-1958 |
| Practice Telephone | 5306914446 |
| Practice Fax Number | 5306914454 |
| Mailing Telephone | 5306914446 |
| Mailing Fax Number | 5306914454 |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2019-12-30 |
| 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 |
| Street Address |
1401 GOLD ST |
| City | REDDING |
| State | CA |
| Zip Code | 96001-1958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598257560 | Andreas Fuhrmann | Social Worker | 1401 Gold St, Redding, CA 96001-1937 | 2018-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| 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 |
|---|---|---|---|---|
| 1508479643 | Remi Vista Inc | Case Manager/Care Coordinator | 10387 Porta Dego Way, Redding, CA 96003-9289 | 2020-08-28 |
| 1730551813 | Melinda Jaggers | Case Manager/Care Coordinator | 3650 Lake Forest Dr, Redding, CA 96003-1869 | 2015-10-28 |
| 1164800611 | Marcus Baker | Case Manager/Care Coordinator | 1906 Saltu Dr, Redding, CA 96002-1488 | 2015-05-15 |
| 1699167494 | Lyndi Ann Henderson | Case Manager/Care Coordinator | 805 Cally Ct Apt 3, Redding, CA 96003-9522 | 2015-03-03 |
| 1851739296 | Laurie Ann Hicks | Case Manager/Care Coordinator | 4971 Bonnyview Ave, Redding, CA 96001-4217 | 2013-06-07 |
| 1962018416 | Jacob Nathaniel Mccoard | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-09-21 |
| 1477167138 | Shelly Bennett | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-09-01 |
| 1487276390 | Amber Stevens | Case Manager/Care Coordinator | 1506 Market St, Redding, CA 96001-1023 | 2020-05-13 |
| 1518593078 | Teaanna Wood | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-03-17 |
| 1689208662 | Lydia Mcgaffee | Case Manager/Care Coordinator | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2020-02-27 |
| Find all providers in REDDING | ||||
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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.