SHAILEE CROASMUN (NPI# 1700496734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700496734 |
| Entity Type | Individual |
| Full Name | SHAILEE CROASMUN |
| Practice Address |
59 N 200 E Moab UT 84532-2657 |
| Mailing Address |
Po Box 867 Price UT 84501-0867 |
| Practice Telephone | 4352597340 |
| Mailing Telephone | 4356377200 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| 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 |
59 N 200 E |
| City | MOAB |
| State | UT |
| Zip Code | 84532-2657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588835730 | Tiffany Rose Williams | Case Manager/Care Coordinator | 59 N 200 E, Moab, UT 84532 | 2008-03-17 |
| 1952576464 | Cora M Shonie | Case Manager/Care Coordinator | 59 N 200 E, Moab, UT 84532 | 2008-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254316 | Andrew Soliz II | Case Manager/Care Coordinator | 48 N Shields Lane, Moab, UT 84532 | 2020-08-04 |
| 1023655420 | William Douglas Wennell | Registered Nurse | 198 E. Center St., Moab, UT 84532 | 2019-12-04 |
| 1295219962 | Jordan Johnson | Case Manager/Care Coordinator | 48 N. Shields Lane, Moad, UT 84532 | 2018-09-19 |
| 1659851681 | Grand County Emergency Medical Services Special Service District | Ambulance | 520 E 100 N, Moab, UT 84532 | 2018-08-20 |
| 1265937072 | Byron Clifton Palmer | Dentist | 2700 Us-191, Suite 1, Moab, UT 84532 | 2018-03-26 |
| 1902290588 | Katherine O'reilly | Advanced Practice Midwife | 51 North Mt.peale, Moab, UT 84532 | 2015-03-23 |
| 1235548108 | Tiffany Lee Ann Van Sickle | Case Manager/Care Coordinator | 198 E Center St., Moab, UT 84532 | 2014-08-05 |
| 1881991701 | Canyonlands Health Care Special Service District | Nursing Facility/Intermediate Care Facility | 390 W Williams Way, Moab, UT 84532 | 2011-02-14 |
| 1518267459 | Advance Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 1105 South Highway Building 1, Moab, UT 84532 | 2010-10-26 |
| 1164694691 | Kenneth B Lindsay | Case Manager/Care Coordinator | 48 North Shields, Moab, UT 84532 | 2008-03-25 |
| Find all providers in zip 84532 | ||||
| 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 |
|---|---|---|---|---|
| 1386254316 | Andrew Soliz II | Case Manager/Care Coordinator | 48 N Shields Lane, Moab, UT 84532 | 2020-08-04 |
| 1235548108 | Tiffany Lee Ann Van Sickle | Case Manager/Care Coordinator | 198 E Center St., Moab, UT 84532 | 2014-08-05 |
| 1538502729 | Brian Neiman Ershadi | Case Manager/Care Coordinator | North 200 East, Moab, UT 84532-0000 | 2013-04-08 |
| 1326337601 | Terry Roland Delay | Case Manager/Care Coordinator | 48 North Shields Lane, Moab, UT 84532-2430 | 2011-04-07 |
| 1043514482 | Gregory Lee Hood | Case Manager/Care Coordinator | 198 E Center Street, Moab, UT 84532-2430 | 2010-12-28 |
| 1164694691 | Kenneth B Lindsay | Case Manager/Care Coordinator | 48 North Shields, Moab, UT 84532 | 2008-03-25 |
| 1588835730 | Tiffany Rose Williams | Case Manager/Care Coordinator | 59 N 200 E, Moab, UT 84532 | 2008-03-17 |
| 1326561523 | Tara Lynn Wilder | Case Manager/Care Coordinator | 198 East Center Street, Moab, UT 84532 | 2017-07-19 |
| 1164960316 | Corina Ernice Stevenson | Case Manager/Care Coordinator | 48 North Shields Lane, Moab, UT 84532 | 2017-02-08 |
| 1861935223 | Emily Strom Davis | Case Manager/Care Coordinator | 198 East Center Street, Moab, UT 84532-0000 | 2016-12-02 |
| Find all providers in MOAB | ||||
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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.