ELISHA MARIE MATLOCK (NPI# 1679060883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679060883 |
| Entity Type | Individual |
| Full Name | ELISHA MARIE MATLOCK |
| Practice Address |
222 Keith St Hanford CA 93230-2910 |
| Practice Telephone | 5595837800 |
| Mailing Telephone | 5595837800 |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |
| 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 |
222 KEITH ST |
| City | HANFORD |
| State | CA |
| Zip Code | 93230-2910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902093172 | Crystal De Shane Hernandez | Counselor | 222 Keith St, Hanford, CA 93230-2910 | 2007-10-01 |
| 1164038733 | Mariana Zoe Nunez-orona | Case Manager/Care Coordinator | 222 Keith St, Hanford, CA 93230-2910 | 2020-09-19 |
| 1154931046 | Jennifer A Martin | Case Manager/Care Coordinator | 222 Keith St, Hanford, CA 93230-2910 | 2020-08-05 |
| 1427683408 | Christina Vasquez | Case Manager/Care Coordinator | 222 Keith St, Hanford, CA 93230-2910 | 2020-03-10 |
| 1770116105 | Trishina Yvette Young | Case Manager/Care Coordinator | 222 Keith St, Hanford, CA 93230-2910 | 2020-02-13 |
| 1295365997 | Graciela Douthard | Case Manager/Care Coordinator | 222 Keith St, Hanford, CA 93230-2910 | 2020-01-22 |
| 1356981500 | Susana Islas | Case Manager/Care Coordinator | 222 Keith St, Hanford, CA 93230-2910 | 2020-01-15 |
| 1982162517 | Ashton Brook Dowding | Case Manager/Care Coordinator | 222 Keith St, Hanford, CA 93230-2910 | 2019-03-02 |
| 1669939211 | Jordan Nelson | Case Manager/Care Coordinator | 222 Keith St, Hanford, CA 93230-2910 | 2019-03-01 |
| 1245742832 | Misty Wolfe | Case Manager/Care Coordinator | 222 Keith St, Hanford, CA 93230-2910 | 2017-11-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889518 | Jeremy Dane Baker | Hearing Instrument Specialist | 1413-b Bailey Dr., Hanford, CA 93230 | 2020-10-22 |
| 1891392643 | Matthew Thomas Williams | Physician Assistant | Adventist Health Hanford, 115 Mall Dr., Hanford, CA 93230 | 2020-10-05 |
| 1730795667 | Mercedes Zaragoza | Behavior Technician | 520 1ab, W. Lacey Blvd., Hanford, CA 93230 | 2020-09-16 |
| 1659989077 | Anmarie Torres | Behavior Technician | 520 1a&b W Lacey Blvd, Hanford, CA 93230 | 2020-07-22 |
| 1326506965 | Natalie Rodriguez Mejia | Marriage & Family Therapist | 1393 Bailey Drive St, Hanford, CA 93230 | 2019-03-02 |
| 1972094597 | Mariah Michelle Davila | Licensed Psychiatric Technician | 1529 W Sidonia St, Hanford, CA 93230 | 2018-05-21 |
| 1871011072 | Amanda Leann Perez | Counselor | 629 N. Irwin Street, Hanford, CA 93230 | 2017-09-07 |
| 1336667906 | Nicole Reyne Mcgowan | Case Manager/Care Coordinator | 700 N. Irwin Street, Hanford, CA 93230 | 2017-09-05 |
| 1932643251 | Diana Tran Nguyen | Midwife | 1122 N Harris St Ste 104, Hanford, CA 93230 | 2016-12-05 |
| 1770032997 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2395 E. Lacey Blvd, Hanford, CA 93230 | 2016-09-29 |
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| 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 |
|---|---|---|---|---|
| 1689275935 | Grecia Leticia Garcia | Case Manager/Care Coordinator | 1830 Rodgers Rd Apt F, Hanford, CA 93230-1930 | 2020-11-03 |
| 1093342784 | Reyna P Bautista | Case Manager/Care Coordinator | 1270 Hawthorn St, Hanford, CA 93230-4288 | 2020-03-24 |
| 1861041378 | Maryann Silva | Case Manager/Care Coordinator | 2342 Glacier Way, Hanford, CA 93230-8586 | 2019-09-06 |
| 1215403787 | Kevin Len Mattos | Case Manager/Care Coordinator | 530 Kings County Dr Ste 104, Hanford, CA 93230-5954 | 2018-10-22 |
| 1215443601 | Cristina Ramirez Guzman | Case Manager/Care Coordinator | 11744 10 1/2 Ave, Hanford, CA 93230-6433 | 2017-12-20 |
| 1336667906 | Nicole Reyne Mcgowan | Case Manager/Care Coordinator | 700 N. Irwin Street, Hanford, CA 93230 | 2017-09-05 |
| 1225433162 | Eydie Ruiz | Case Manager/Care Coordinator | 520 W Lacey Blvd Ste 1, Hanford, CA 93230-4496 | 2014-11-04 |
| 1164038733 | Mariana Zoe Nunez-orona | Case Manager/Care Coordinator | 222 Keith St, Hanford, CA 93230-2910 | 2020-09-19 |
| 1154931046 | Jennifer A Martin | Case Manager/Care Coordinator | 222 Keith St, Hanford, CA 93230-2910 | 2020-08-05 |
| 1194343921 | Kevin Myrassamy | Case Manager/Care Coordinator | 530 Kings County Dr Ste 102, Hanford, CA 93230-5954 | 2020-07-08 |
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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.