FERNANDA MARIA LARA MALDONADO (NPI# 1689283483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689283483 |
| Entity Type | Individual |
| Full Name | FERNANDA MARIA LARA MALDONADO |
| Practice Address |
175 W B St Ste D Springfield OR 97477-4575 |
| Practice Telephone | 5417621971 |
| Practice Fax Number | 5417621974 |
| Mailing Telephone | 5417621971 |
| Mailing Fax Number | 5417621974 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 376K00000X | Nurse's Aide | 201808478CNA | OR | Nursing Service Related Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
175 W B ST STE D |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-4575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457563165 | Lyndsay Anne Pixler | Counselor | 175 W B St Ste D, Springfield, OR 97477-4575 | 2007-05-04 |
| 1841813821 | Valerie Maxey | Counselor | 175 W B St Ste D, Springfield, OR 97477-4575 | 2020-05-25 |
| 1922657923 | Thelma Danielle Barone | Counselor | 175 W B St Ste D, Springfield, OR 97477-4575 | 2019-09-11 |
| 1316433410 | Amanda Manis | Counselor | 175 W B St Ste D, Springfield, OR 97477-4575 | 2018-07-02 |
| 1780173807 | Taylor Wilson | Counselor | 175 W B St Ste D, Springfield, OR 97477-4575 | 2018-05-03 |
| 1306349113 | Erin Hughes | Counselor | 175 W B St Ste D, Springfield, OR 97477-4575 | 2018-03-18 |
| 1639610280 | Elizabeth Elstien | Counselor | 175 W B St Ste D, Springfield, OR 97477-4575 | 2017-03-15 |
| 1225406671 | Elizabeth Emily Shemel | Counselor | 175 W B St Ste D, Springfield, OR 97477-4575 | 2015-09-02 |
| 1396139986 | Rachel Dyer | Counselor | 175 W B St Ste D, Springfield, OR 97477-4575 | 2015-03-23 |
| 1740696525 | Benjamin James Heifetz | Counselor | 175 W B St Ste D, Springfield, OR 97477-4575 | 2014-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| 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 |
|---|---|---|---|---|
| 1831745728 | Affinity Patient Coordination LLC | Case Manager/Care Coordinator | 217 E Monroe St Ste 204, Springfield, IL 62701-1746 | 2019-08-15 |
| 1578075107 | Christopher Worthen | Case Manager/Care Coordinator | 223 N Western Ave, Springfield, OH 45504-2719 | 2017-11-06 |
| 1497204622 | Inesha Simmons | Case Manager/Care Coordinator | 1331 Denison Dr, Apt C, Springfield, IL 62704-4454 | 2016-09-29 |
| 1235687138 | Yvonne Persley | Case Manager/Care Coordinator | 8 Allison Ct, Springfield, IL 62703-1130 | 2016-09-20 |
| 1902255516 | Dionna Marino | Case Manager/Care Coordinator | 731 Cheatham Street, Springfield, TN 37172 | 2016-06-06 |
| 1972918423 | Loree Lynn Howard | Case Manager/Care Coordinator | 4145 Jasper Road, Springfield, OR 97478 | 2014-06-24 |
| 1871907824 | Latisha Robinson | Case Manager/Care Coordinator | 3050 S National Ave Ste 104, Springfield, MO 65804-4242 | 2014-06-18 |
| 1548601792 | Richard S Buford | Case Manager/Care Coordinator | 1086 Mound St, Springfield, OH 45505-1191 | 2013-07-16 |
| 1164765228 | Colleen K Webb | Case Manager/Care Coordinator | 285 Third St. Extension, Springfield, GA 31329-1612 | 2013-03-27 |
| 1447503636 | Lifetime Support Incorporated | Case Manager/Care Coordinator | 52 Fadem Rd, Springfield, NJ 07081-3116 | 2012-10-25 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
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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.