ALLYSA RAE JORDAN (NPI# 1679950422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679950422 |
| Entity Type | Individual |
| Full Name | ALLYSA RAE JORDAN |
| Practice Address |
818 Main St Red Bluff CA 96080-2759 |
| Mailing Address |
Po Box 400 Red Bluff CA 96080-0400 |
| Practice Telephone | 5305278491 |
| Mailing Telephone | 5305278491 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |
| 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 |
818 MAIN ST |
| City | RED BLUFF |
| State | CA |
| Zip Code | 96080-2759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810288 | Nicole Lynn Bell | Licensed Vocational Nurse | 818 Main St, Red Bluff, CA 96080-2759 | 2020-08-02 |
| 1588273072 | Yolanda Dawn Cardenas | Licensed Vocational Nurse | 818 Main St, Red Bluff, CA 96080-2759 | 2020-07-30 |
| 1376183038 | Wendy Sue Ream | Licensed Vocational Nurse | 818 Main St, Red Bluff, CA 96080-2759 | 2020-01-10 |
| 1841768736 | Maria Teresa Osorio | Licensed Vocational Nurse | 818 Main St, Red Bluff, CA 96080-2759 | 2018-11-08 |
| 1417423260 | Erika Ann Miller | Counselor | 818 Main St, Red Bluff, CA 96080-2759 | 2018-10-19 |
| 1588115570 | Brenna O'callaghan | Social Worker | 818 Main St, Red Bluff, CA 96080-2759 | 2016-10-14 |
| 1124575188 | Ashley Brashear | Licensed Vocational Nurse | 818 Main St, Red Bluff, CA 96080-2759 | 2016-09-07 |
| 1053704825 | Margo Logan | Registered Nurse | 818 Main St, Red Bluff, CA 96080-2759 | 2015-03-18 |
| 1346638137 | Amanda Rae Gisler | Case Manager/Care Coordinator | 818 Main St, Red Bluff, CA 96080-2759 | 2014-12-31 |
| 1568869816 | Camby Weston | Licensed Vocational Nurse | 818 Main St, Red Bluff, CA 96080-2759 | 2014-12-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
| 1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
| 1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
| 1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
| 1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
| 1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
| 1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
| 1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
| 1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
| 1467668616 | Tehama County Health Services Agency - Mental Health Division | Clinic/Center | 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 | 2007-05-15 |
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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 |
|---|---|---|---|---|
| 1922444298 | David Munoz | Case Manager/Care Coordinator | 1850 Walnut St Ste G, Red Bluff, CA 96080-3611 | 2013-05-14 |
| 1154405603 | Kathy Ann Dusina | Case Manager/Care Coordinator | 1860 Walnut St # A, Red Bluff, CA 96080-3611 | 2006-10-24 |
| 1154418770 | Susan Lynn Reedy | Case Manager/Care Coordinator | 1445 Vista Way, Red Bluff, CA 96080-4510 | 2006-10-06 |
| 1285198424 | Giselle Carrillo | Case Manager/Care Coordinator | 1850 Walnut St, Red Bluff, CA 96080-3611 | 2019-01-22 |
| 1134698301 | Maria R Peek Holbrook | Case Manager/Care Coordinator | 1850 Walnut St, Red Bluff, CA 96080-3611 | 2018-11-17 |
| 1013485259 | Laura Yesenia Rodriguez | Case Manager/Care Coordinator | 1860 Walnut St Ste B, Red Bluff, CA 96080-3611 | 2018-11-06 |
| 1609341825 | Ana Figueroa | Case Manager/Care Coordinator | 1445 Vista Way, Red Bluff, CA 96080-4510 | 2018-10-04 |
| 1144795311 | Noemi Avila-reyes | Case Manager/Care Coordinator | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2018-10-03 |
| 1649775305 | Anna Elisa Amador | Case Manager/Care Coordinator | 1860 Walnut St Ste B, Red Bluff, CA 96080-3611 | 2018-03-26 |
| 1760996870 | Amanda Mackenzie Swanson | Case Manager/Care Coordinator | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2017-11-28 |
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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.