GEMINI LIFE ENRICHMENT SERVICES (NPI# 1669945176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669945176 |
| Entity Type | Organization |
| Organization Name | GEMINI LIFE ENRICHMENT SERVICES |
| Practice Address |
224 S 1st St Lindsborg KS 67456-2604 |
| Mailing Address |
431 N Main St Lindsborg KS 67456-1807 |
| Practice Telephone | 7858201601 |
| Mailing Telephone | 7858201601 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Authorized Official Name | MS. KAREN K CARLSON (OWNER/OPERATOR) |
| Authorized Official Telephone | 7858201601 |
| Authorized Official Credential | RN-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200717390A | 05 |
| Street Address |
224 S 1ST ST |
| City | LINDSBORG |
| State | KS |
| Zip Code | 67456-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902862758 | Esther A Carlson | Nurse Practitioner | 605 W Lincoln, Lindsborg, KS 67456 | 2006-04-21 |
| 1730567744 | Luke Tristan Rosebraugh | Family Medicine | 605 W Lincoln, Lindsborg, KS 67456 | 2015-05-11 |
| 1760810568 | Jade Banning | Physician Assistant | 605 W Lincoln St, Lindsborg, KS 67456 | 2013-10-15 |
| 1952733149 | Teresa K Pearson | Nurse Practitioner | 605 W Lincoln St, Lindsborg, KS 67456 | 2013-07-30 |
| 1730400219 | Wendy Dinkel | Family Medicine | 605 W Lincoln St, Lindsborg, KS 67456 | 2010-06-18 |
| 1417913732 | Amy L Fitzgerald | Physician Assistant | 605 W Lincoln St, Lindsborg, KS 67456 | 2006-04-25 |
| 1639584402 | Philip Witek | Physical Medicine & Rehabilitation | 508 W Garfield St, Lindsborg, KS 67456-1524 | 2014-06-30 |
| 1134152762 | Bryce J Loder | Family Medicine | 906 Meadow Ln, Lindsborg, KS 67456-1600 | 2006-07-08 |
| 1255728739 | Cheryl Ann Malm | Behavioral Analyst | 520 N Pine St, Lindsborg, KS 67456-1719 | 2015-04-22 |
| 1700294592 | Agape Therapy LLC | Case Management | 419 N Washington St, Lindsborg, KS 67456-1727 | 2014-07-24 |
| Find all providers in zip 67456 | ||||
| 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 |
|---|---|---|---|---|
| 1346636867 | Allison O'neil | Case Manager/Care Coordinator | 204 N 2nd St, Apartment #2, Lindsborg, KS 67456-2224 | 2015-04-10 |
| 1790078525 | Karen Carlson | Case Manager/Care Coordinator | 431 N Main St, Lindsborg, KS 67456-1807 | 2011-05-26 |
| 1093038051 | Teresa K Loffer | Case Manager/Care Coordinator | 524 S Pine St, Lindsborg, KS 67456-2734 | 2010-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396380135 | Amanda Lee Sachen | Case Manager/Care Coordinator | 423 N Thompson St, Kansas City, KS 66101-2935 | 2019-11-15 |
| 1437709318 | Kathleen Megan Sylvester | Case Manager/Care Coordinator | 5402 Skyline Dr, Roeland Park, KS 66205-1168 | 2019-09-12 |
| 1558917245 | Zachary James Newman | Case Manager/Care Coordinator | 1601 West 4th Street, Coffeyville, KS 67337 | 2019-08-18 |
| 1336612290 | Above The Spectrum LLC | Case Manager/Care Coordinator | 510 Country Club Dr, Beloit, KS 67420-2667 | 2019-01-03 |
| 1326519935 | Philip Aaron Plume | Case Manager/Care Coordinator | 5500 E Kellogg Dr Bldg 5, Wichita, KS 67218-1607 | 2018-12-07 |
| 1235634528 | Christopher Lee Roberts | Case Manager/Care Coordinator | 160 W Shawnee St, Gardner, KS 66030-1174 | 2018-03-28 |
| 1467954479 | Tonya E Harge | Case Manager/Care Coordinator | 3540 N Inwood St Apt 11201, Wichita, KS 67226-7814 | 2018-03-06 |
| 1285142380 | Shelley Rene Harper | Case Manager/Care Coordinator | 2205 Cr 4300, Coffeyville, KS 67337-5700 | 2018-01-11 |
| 1518476316 | Amanda Jo Wilson | Case Manager/Care Coordinator | 1106 W 2nd St, Coffeyville, KS 67337-3816 | 2017-09-25 |
| 1417475724 | Elizabeth Marie Barkley | Case Manager/Care Coordinator | 1001 Miami St, Baldwin City, KS 66006 | 2017-09-07 |
| 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.