SHANTI R GALLON (NPI# 1669654232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669654232 |
Entity Type | Individual |
Full Name | SHANTI R GALLON |
Credential | CASE MGR / HSW |
Practice Address |
9860 Middle Creek Rd Upper Lake CA 95485-9265 |
Mailing Address |
Po Box 6768 Clearlake CA 95422-6768 |
Practice Telephone | 7072758166 |
Enumeration Date | 2007-12-05 |
Last Update Date | 2007-12-05 |
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 |
9860 MIDDLE CREEK RD |
City | UPPER LAKE |
State | CA |
Zip Code | 95485-9265 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538207360 | Rayna S Freedman | Marriage & Family Therapist | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2007-02-02 |
1578800710 | Elizabeth M Cumings | Counselor | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2013-01-08 |
1407100290 | Ann Martin | Counselor | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2012-11-01 |
1578719134 | Kathryn C Reisig | Marriage & Family Therapist | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2008-08-14 |
1124283890 | April D Byerly | Counselor | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2008-07-22 |
1144409517 | Wendy Groshong | Counselor | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2007-11-01 |
1740472711 | Christy L Palomo | Case Manager/Care Coordinator | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2007-08-14 |
1316087307 | Shannon L Samples | Counselor | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2007-02-07 |
1407996705 | Virgina L Price | Counselor | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2007-02-07 |
1861530677 | Kim A Abelson | Marriage & Family Therapist | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2007-02-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679874861 | Florence C. Irvine | Psychiatry & Neurology | 15525 Elk Mountain Road, Upper Lake, CA 95485 | 2010-11-04 |
1265897029 | Redwood Community Services, Inc | Case Management | 675 1st St, Upper Lake, CA 95485 | 2015-12-22 |
1629301775 | Sutter West Bay Hospitals | Clinic/Center | 750 Old Lucerne Road, Upper Lake, CA 95485-0000 | 2009-09-08 |
1316928807 | Debra K. Fenton | Nurse Practitioner | 750 Old Lucerne Rd, Upper Lake, CA 95485-8755 | 2005-11-10 |
1043749369 | Isabel Gregorio-flores | Behavior Technician | 590 Melody Ln, Upper Lake, CA 95485-8782 | 2017-06-08 |
1730360975 | Rebecca A Rogers | Counselor | 565 Clover Dr, Upper Lake, CA 95485-9233 | 2007-11-15 |
1003245820 | Upper Lake Elementary | Local Education Agency (LEA) | 679 2nd St, Upper Lake, CA 95485-9275 | 2013-11-02 |
1679501894 | David Leroy Parsons | Family Medicine | 8830 Scotts Valley Rd, Upper Lake, CA 95485-9541 | 2006-06-28 |
1639370505 | Kathleen May Brooner | Counselor | 675 1st St, Upper Lake, CA 95485-9586 | 2007-05-30 |
1932672680 | Andrea Coronado | Counselor | 675 1st St, Upper Lake, CA 95485-9586 | 2019-01-05 |
Find all providers in zip 95485 |
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 |
---|---|---|---|---|
1740472711 | Christy L Palomo | Case Manager/Care Coordinator | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2007-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689275935 | Grecia Leticia Garcia | Case Manager/Care Coordinator | 1830 Rodgers Rd Apt F, Hanford, CA 93230-1930 | 2020-11-03 |
1679173835 | Cristina Palacios-gomez | Case Manager/Care Coordinator | 1834 E Lester Ave, Fresno, CA 93720-1963 | 2020-10-27 |
1417557653 | Jeannine Arnetta Nash | Case Manager/Care Coordinator | 7614 Lemon Ave Ste C, Lemon Grove, CA 91945-1619 | 2020-10-27 |
1932709359 | Vue Moua | Case Manager/Care Coordinator | 4812 Conzelman Way, Elk Grove, CA 95757-2508 | 2020-10-26 |
1932709458 | Andre Howard | Case Manager/Care Coordinator | 2281 Hurley Way Apt 10, Sacramento, CA 95825-2337 | 2020-10-26 |
1194324020 | Project Raised | Case Manager/Care Coordinator | 3839 Amanda St, Unit 133, West Covina, CA 91792-2759 | 2020-10-21 |
1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
1750989240 | David John Schmidt-cook | Case Manager/Care Coordinator | 5580 Foothill Rd, Rocklin, CA 95677-3316 | 2020-10-15 |
1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
1841897675 | Madeline Hannah Starkenburg | Case Manager/Care Coordinator | 11559 Claridge Dr, Rch Cucamonga, CA 91730-7246 | 2020-10-05 |
Find all providers with the same taxonomy |
City | UPPER LAKE |
Zip Code | 95485 |
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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.