MS. ELIZABETH SUSAN JORDAN-SHOOK (NPI# 1649521212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649521212 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH SUSAN JORDAN-SHOOK |
| Credential | M.ED. |
| Practice Address |
600 Blair Park Rd Ste. 240 Williston VT 05495 |
| Practice Telephone | 8028765315 |
| Practice Fax Number | 8028766291 |
| Mailing Telephone | 8028765315 |
| Mailing Fax Number | 8028766291 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |
| 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 |
600 BLAIR PARK RD STE. 240 |
| City | WILLISTON |
| State | VT |
| Zip Code | 05495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386936540 | Brian Bruyns | Pharmacist | 600 Blair Park Rd, Suite 195, Williston, VT 05495-7586 | 2011-05-06 |
| 1417329921 | Behnaz Khatami | Pharmacist | 600 Blair Park Rd, Suite Number 195, Williston, VT 05495-7586 | 2015-10-23 |
| 1326410846 | Matthew Witt Hinton | Pharmacist | 600 Blair Park Rd, Williston, VT 05495-7586 | 2015-10-23 |
| 1508286071 | Healthdirect Institutional Pharmacy Services, Inc. | Pharmacy | 600 Blair Park Rd, Suite 195, Williston, VT 05495-7586 | 2014-04-23 |
| 1447526371 | Rachel Marie Totten | Counselor | 600 Blair Park Rd, Suite 205, Williston, VT 05495-7586 | 2012-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271977 | Rachel D. Oblak | Counselor | 8031 Williston Rd. Suite 2, Williston, VT 05495 | 2020-09-29 |
| 1164986386 | Caitlin Taylor Henck | Behavioral Analyst | 37 Talcott Road, Williston, VT 05495 | 2019-01-23 |
| 1497273585 | Williston Health Supplies | Durable Medical Equipment & Medical Supplies | 34 Blair Park Road, Suite 104 #302, Williston, VT 05495 | 2017-09-08 |
| 1245755057 | Jennifer L Cadorette | Physical Therapist | 1193 S Brownell Rd Ste 20, Williston, VT 05495 | 2017-08-14 |
| 1538563317 | Pamela Guiduli Nash | Psychologist | 277 Blair Park, Suite 210, Williston, VT 05495 | 2014-10-22 |
| 1205277118 | Daniel J Cho | Dentist | 62 Merchants Row, Williston, VT 05495 | 2013-07-09 |
| 1134473218 | Vermont Technical College Department of Denta | Dentist | 301 Lawrence Place, Williston, VT 05495 | 2012-10-29 |
| 1689923864 | Megan Marie Quiet | Specialist/Technologist | 115 Wellness Drive, Williston, VT 05495 | 2012-09-05 |
| 1285981365 | Allison Marie Bogan | Chiropractor | 300 Cornerstone Dr. Ste 215, Williston, VT 05495 | 2012-08-08 |
| 1114229937 | Bayada Home Health Care, Inc. | Registered Nurse | 600 Blair Park Rd Ste 300, Williston, VT 05495 | 2010-11-30 |
| Find all providers in zip 05495 | ||||
| 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 |
|---|---|---|---|---|
| 1316473341 | Jennifer Shepherd | Case Manager/Care Coordinator | 1135 2nd Avenue W Ste 202b, Williston, ND 58802 | 2017-05-11 |
| 1962858035 | Gillian M Holsinger | Case Manager/Care Coordinator | 220 7th St W, Williston, ND 58801-5120 | 2016-05-09 |
| 1730509084 | Lacey Thompson | Case Manager/Care Coordinator | 110 West Broadway, Suite 202, Williston, ND 58801 | 2014-04-24 |
| 1184246282 | Teresa Book | Case Manager/Care Coordinator | 316 2nd Ave W, Williston, ND 58801-5218 | 2020-05-12 |
| 1609400639 | Terra L Ellingson | Case Manager/Care Coordinator | 719 East 11th Street, Williston, ND 58801 | 2020-02-28 |
| 1245862549 | Megan L Carson | Case Manager/Care Coordinator | 316 2nd Ave W, Williston, ND 58801-5218 | 2020-02-05 |
| 1447804448 | Hannah Clark Oglesby | Case Manager/Care Coordinator | 110 W Broadway Ste 202, Williston, ND 58801-6056 | 2019-07-29 |
| 1790267342 | Samantha Titus | Case Manager/Care Coordinator | 316 2nd Ave W, Williston, ND 58801-5218 | 2018-08-30 |
| 1043702145 | Aide Miramontes Miramontes | Case Manager/Care Coordinator | 309 Washington Ave, Williston, ND 58801-5258 | 2018-06-04 |
| 1184129652 | James Farrenkopf | Case Manager/Care Coordinator | 316 2nd Ave W, Williston, ND 58801-5218 | 2018-03-27 |
| Find all providers in WILLISTON | ||||
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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.