MRS. SHELLY ANN DEGROAT (NPI# 1669887964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669887964 |
| Entity Type | Individual |
| Full Name | MRS. SHELLY ANN DEGROAT |
| Credential | CNA |
| Practice Address |
155 Big Horn Ave Lovell WY 82431-2118 |
| Practice Telephone | 3072544994 |
| Mailing Telephone | 3072544994 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | TAXONOMY | 171M00000X | 01 |
| Street Address |
155 BIG HORN AVE |
| City | LOVELL |
| State | WY |
| Zip Code | 82431-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730655580 | Lovell Dental | Dentist | 240 E Main St, Lovell, WY 82431 | 2018-10-19 |
| 1912266008 | North Big Horn Hospital Pharmacy | General Acute Care Hospital | 1115 Lane 12, Lovell, WY 82431 | 2012-05-09 |
| 1417175381 | Oliver Herbert Mitchell | Chiropractor | 203 Park Ave, Lovell, WY 82431-1622 | 2007-04-23 |
| 1972849537 | Bonnie White | Case Manager/Care Coordinator | 50 W 2nd St Lot 12, Lovell, WY 82431-1701 | 2012-12-28 |
| 1477911766 | Mindy Mickelson | Rehabilitation Counselor | 33 W Main St, Lovell, WY 82431-1714 | 2016-02-02 |
| 1023467024 | Welch Family Dentistry | Dentist | 84 Park Ave, Lovell, WY 82431-1719 | 2016-06-09 |
| 1396975181 | James G Christiansen | Dentist | 84 Park Ave, Lovell, WY 82431-1719 | 2009-07-15 |
| 1356495543 | Scott Peterson Welch | Dentist | 84 Park Ave, Lovell, WY 82431-1719 | 2007-01-23 |
| 1124365713 | Chad Collins Emmett | Pharmacist | 109 E 8th St, Lovell, WY 82431-1806 | 2013-01-16 |
| 1073978920 | Charles Joseph Cordova | Counselor | 730 Montana Ave, Lovell, WY 82431-1810 | 2015-12-18 |
| Find all providers in zip 82431 | ||||
| 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 |
|---|---|---|---|---|
| 1518598622 | Wendy Files | Case Manager/Care Coordinator | 355 E 5th St, Lovell, WY 82431-1954 | 2020-01-28 |
| 1497107411 | Katherine Fink | Case Manager/Care Coordinator | 133 Highway 32, Lovell, WY 82431-9535 | 2016-07-02 |
| 1972849537 | Bonnie White | Case Manager/Care Coordinator | 50 W 2nd St Lot 12, Lovell, WY 82431-1701 | 2012-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821018 | Dee Kilburn | Case Manager/Care Coordinator | 1119 N Jackson St, Casper, WY 82601-1116 | 2020-11-05 |
| 1710585476 | Amanda Marie Mccarty | Case Manager/Care Coordinator | 3122 Thomes Ave, Cheyenne, WY 82001-2552 | 2020-10-15 |
| 1013514132 | Bre Ann Brit Reinbold | Case Manager/Care Coordinator | 800 Walton Ave, Evanston, WY 82930-3460 | 2020-10-01 |
| 1700491057 | Jessica Marie Obrien | Case Manager/Care Coordinator | 204 N Kieffer St, Edgerton, WY 82635-5017 | 2020-09-14 |
| 1073128823 | Kathryn Elizabeth Campbell | Case Manager/Care Coordinator | 58 Meadow Plains Rd, Laramie, WY 82070-8527 | 2020-09-09 |
| 1205440443 | Jeanette Paladino | Case Manager/Care Coordinator | 360 Greasewood St, Green River, WY 82935-4722 | 2020-09-04 |
| 1154933042 | Jeanie Herman | Case Manager/Care Coordinator | 170 S Lobban Ave, Buffalo, WY 82834-1915 | 2020-08-20 |
| 1326658451 | Joni Lyn Edwards | Case Manager/Care Coordinator | 1911 Silverton Dr, Cheyenne, WY 82001-8501 | 2020-08-04 |
| 1598380602 | Michelle Palmer | Case Manager/Care Coordinator | 2320 Prairie Ln, Bar Nunn, WY 82601-9499 | 2020-06-15 |
| 1619591625 | Jason Coston | Case Manager/Care Coordinator | 215 Walterscheid Blvd Apt E107, Cheyenne, WY 82007-2455 | 2020-06-04 |
| Find all providers with the same taxonomy | ||||
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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.