MARIE HOLLIBAUGH (NPI# 1700336336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700336336 |
| Entity Type | Individual |
| Full Name | MARIE HOLLIBAUGH |
| Practice Address |
37 Ne Mount Hebron Dr Pendleton OR 97801-3459 |
| Mailing Address |
702 Sunset Dr Ontario OR 97914-3121 |
| Practice Telephone | 5412761126 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
37 NE MOUNT HEBRON DR |
| City | PENDLETON |
| State | OR |
| Zip Code | 97801-3459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972053510 | Denise Prinkey | Case Manager/Care Coordinator | 37 Ne Mount Hebron Dr, Pendleton, OR 97801-3459 | 2016-10-06 |
| 1598215139 | Karl Rhinhart | Case Manager/Care Coordinator | 37 Ne Mount Hebron Dr, Pendleton, OR 97801-3459 | 2016-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637119 | Yvonne Walker | Technician | 821 Se 9th St, Pendleton, OR 97801 | 2019-09-09 |
| 1083262703 | Praxis Medical Group Inc | Family Medicine | 2450 Sw Perkins Avenue, Pendleton, OR 97801 | 2019-08-27 |
| 1255826012 | Cosmas Chukwuemeka Nwerem Jr. | Pharmacist | 1900 Sw Court Place, Pendleton, OR 97801 | 2018-06-25 |
| 1689166811 | Helene Danielle Kuhn | Counselor | 4700 Nw Pioneer Pl, Pendleton, OR 97801 | 2018-06-04 |
| 1801302849 | Shawna L. All | Massage Therapist | 24 Se Emigrant Ave., Pendleton, OR 97801 | 2017-12-27 |
| 1033649256 | Sean Collins | Pharmacist | 203 Sw 20th St, Pendleton, OR 97801 | 2017-06-20 |
| 1073974796 | Channon M Baker | Peer Specialist | 7525 Westgate Bldg #2, Pendleton Creek Crisis Stabilization Unit, Pendleton, OR 97801 | 2016-03-08 |
| 1689034357 | Carre Biegel | Counselor | 17 Sw Frazer St, Ste 282, Pendleton, OR 97801 | 2016-02-24 |
| 1073995429 | Jessica Suzanne Pedersen | Massage Therapist | 812 Nw 12th St, Pendleton, OR 97801 | 2015-06-22 |
| 1861736373 | Christina Northern Northerhn | Social Worker | 331 Se 2nd Street, Pendleton, OR 97801 | 2012-11-21 |
| Find all providers in zip 97801 | ||||
| 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 |
|---|---|---|---|---|
| 1972053510 | Denise Prinkey | Case Manager/Care Coordinator | 37 Ne Mount Hebron Dr, Pendleton, OR 97801-3459 | 2016-10-06 |
| 1285005256 | Tia Patricia Smith | Case Manager/Care Coordinator | 1809 Sw Athens Ave, Pendleton, OR 97801-4011 | 2015-10-15 |
| 1871924761 | Julie Denny | Case Manager/Care Coordinator | 816 Se 15th St, Pendleton, OR 97801-3254 | 2013-12-03 |
| 1255670105 | Danielle Raenae Mckay | Case Manager/Care Coordinator | 3220 Ne Riverside Ave, Pendleton, OR 97801-3428 | 2013-02-12 |
| 1821238304 | Department of Children and Family Services | Case Manager/Care Coordinator | 73239 Confederated Way, Pendleton, OR 97801-9099 | 2009-02-24 |
| 1093298192 | Chelsea Poe | Case Manager/Care Coordinator | 816 Se 15th St, Pendleton, OR 97801-3254 | 2018-09-13 |
| 1700375151 | Jenna Ross | Case Manager/Care Coordinator | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2018-05-01 |
| 1588196414 | Piper Carstens | Case Manager/Care Coordinator | 2575 Westgate Bldg 2, Pendleton, OR 97801-9613 | 2017-03-30 |
| 1811449200 | Amy R Madrigal | Case Manager/Care Coordinator | 17 Sw Frazer Ave Ste 282, Pendleton, OR 97801-0048 | 2016-11-01 |
| 1598215139 | Karl Rhinhart | Case Manager/Care Coordinator | 37 Ne Mount Hebron Dr, Pendleton, OR 97801-3459 | 2016-10-06 |
| Find all providers in PENDLETON | ||||
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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.