CRYSTAL MERRITT (NPI# 1679743355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679743355 |
| Entity Type | Individual |
| Full Name | CRYSTAL MERRITT |
| Practice Address |
3869 Caroline St Suite A Auke Bay AK 99821 |
| Mailing Address |
Po Box 210884 Auke Bay AK 99821-0884 |
| Practice Telephone | 9077893941 |
| Mailing Telephone | 9077893941 |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |
| 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 |
3869 CAROLINE ST SUITE A |
| City | AUKE BAY |
| State | AK |
| Zip Code | 99821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548384969 | Christine Inc | Case Management | 3869 Caroline St, Suite A, Auke Bay, AK 99821 | 2007-03-19 |
| 1841460524 | Jessica Ryan | Case Manager/Care Coordinator | 3869 Caroline St, Suite A, Auke Bay, AK 99821 | 2008-03-10 |
| 1285834275 | Melanie Ellenberg | Case Manager/Care Coordinator | 3869 Caroline St, Suite A, Auke Bay, AK 99821-0884 | 2007-07-19 |
| 1225157183 | Donna Adams | Case Manager/Care Coordinator | 3869 Caroline St, Suite A, Auke Bay, AK 99821 | 2007-03-29 |
| 1275651218 | Christine M Culliton | Case Manager/Care Coordinator | 3869 Caroline St, Ste A, Auke Bay, AK 99821-0884 | 2007-03-27 |
| 1255459970 | Tiffany Mahle | Case Manager/Care Coordinator | 3869 Caroline St, Suite A, Auke Bay, AS 99821 | 2007-03-27 |
| 1184740730 | Dorothy Bunti Reed | Case Manager/Care Coordinator | 3869 Caroline St, Suite A, Auke Bay, AK 99821 | 2007-03-22 |
| 1093832412 | Heather Allio | Case Manager/Care Coordinator | 3869 Caroline St, Suite A, Auke Bay, AK 99821 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437494614 | Jacquelyn Culliton | Case Manager/Care Coordinator | 3869 Caroline St., Juneau, AK 99821 | 2012-11-29 |
| 1205073343 | Taia Kerber | Case Manager/Care Coordinator | 3869 Caroline Street, Auke Bay, AK 99821-0884 | 2009-01-12 |
| 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 |
|---|---|---|---|---|
| 1205073343 | Taia Kerber | Case Manager/Care Coordinator | 3869 Caroline Street, Auke Bay, AK 99821-0884 | 2009-01-12 |
| 1841460524 | Jessica Ryan | Case Manager/Care Coordinator | 3869 Caroline St, Suite A, Auke Bay, AK 99821 | 2008-03-10 |
| 1285834275 | Melanie Ellenberg | Case Manager/Care Coordinator | 3869 Caroline St, Suite A, Auke Bay, AK 99821-0884 | 2007-07-19 |
| 1225157183 | Donna Adams | Case Manager/Care Coordinator | 3869 Caroline St, Suite A, Auke Bay, AK 99821 | 2007-03-29 |
| 1275651218 | Christine M Culliton | Case Manager/Care Coordinator | 3869 Caroline St, Ste A, Auke Bay, AK 99821-0884 | 2007-03-27 |
| 1255459970 | Tiffany Mahle | Case Manager/Care Coordinator | 3869 Caroline St, Suite A, Auke Bay, AS 99821 | 2007-03-27 |
| 1184740730 | Dorothy Bunti Reed | Case Manager/Care Coordinator | 3869 Caroline St, Suite A, Auke Bay, AK 99821 | 2007-03-22 |
| 1093832412 | Heather Allio | Case Manager/Care Coordinator | 3869 Caroline St, Suite A, Auke Bay, AK 99821 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012920 | Katie Kendrick | Case Manager/Care Coordinator | 510 Upland St, Kenai, AK 99611-8028 | 2020-10-29 |
| 1194337519 | Michael P Nicolai | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Hey, Bethel, AK 99559 | 2020-08-18 |
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1710597679 | Holly Reynoso | Case Manager/Care Coordinator | 14232 Snowdrift Way, Anchorage, AK 99515-4165 | 2020-08-05 |
| 1588272157 | Far North Care Coordination Agency | Case Manager/Care Coordinator | 2230 Sentry Dr Apt B308, Anchorage, AK 99507-4688 | 2020-07-20 |
| 1922625276 | Heather Tenboer | Case Manager/Care Coordinator | 3480 W Birch Meadows Rd, Wasilla, AK 99654-0534 | 2020-07-02 |
| 1518581834 | Eric Edward Villasenor | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 9a, Anchorage, AK 99507-1036 | 2020-06-02 |
| 1982225934 | Rebecca Cho | Case Manager/Care Coordinator | 7556 Tarsus Dr, Anchorage, AK 99502-1888 | 2020-04-30 |
| 1396365086 | Kaleidoscope Care Coordination LLC | Case Manager/Care Coordinator | 6534 Mulberry Dr, Anchorage, AK 99502-2160 | 2020-04-22 |
| 1245850403 | Positive Path LLC | Case Manager/Care Coordinator | 7647 W Tia Terrace Dr, Wasilla, AK 99623-0332 | 2020-04-17 |
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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.