TRACY LYNN COTTRELL (NPI# 1710598909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710598909 |
| Entity Type | Individual |
| Full Name | TRACY LYNN COTTRELL |
| Other Name | TRACY LYNN HARTMAN |
| Credential | QMHS |
| Practice Address |
2587 Back Orrville Rd Wooster OH 44691-9523 |
| Practice Telephone | 3302649597 |
| Practice Fax Number | 3302640946 |
| Mailing Telephone | 3302649597 |
| Mailing Fax Number | 3302640946 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| 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 |
2587 BACK ORRVILLE RD |
| City | WOOSTER |
| State | OH |
| Zip Code | 44691-9523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164471082 | Anazao Community Partners | Case Management | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2006-05-08 |
| 1023618584 | Kristina M Pettorini | Case Manager/Care Coordinator | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2020-10-26 |
| 1902419922 | Kevin Joseph Lowry | Case Manager/Care Coordinator | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2020-08-28 |
| 1528680576 | Michelle Ann Watkins-malek | Counselor | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2020-05-13 |
| 1891317350 | James Gregory Morrison | Case Manager/Care Coordinator | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2020-05-07 |
| 1003440397 | Jamie L Shaw | Case Manager/Care Coordinator | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2020-02-26 |
| 1790330223 | Leah Rose Horner | Case Manager/Care Coordinator | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2019-08-01 |
| 1235799412 | Tracy A Bolyard | Social Worker | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2019-06-19 |
| 1750940136 | Tiesha N Henry | Case Manager/Care Coordinator | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2019-06-10 |
| 1881150456 | Jessica Elaine James | Social Worker | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2019-02-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296426 | Teddi Lynn Beun | Home Health Aide | 337 West North Street, Suite 1, Wooster, OH 44691 | 2019-07-08 |
| 1285102418 | Samantha M Rodman | Case Manager/Care Coordinator | 2858 Back Orrville Road, Wooster, OH 44691 | 2018-11-06 |
| 1205347028 | Progressive Wooster LLC | Skilled Nursing Facility | 1700 E Smithville Wester Rd, Wooster, OH 44691 | 2017-10-19 |
| 1619357563 | Michelle L Morton | Counselor | 439 N Market St Ste B, Wooster, OH 44691 | 2015-06-05 |
| 1003295502 | Walter Blair Geho | Internal Medicine | 533 Beechwood Street, Wooster, OH 44691 | 2015-05-29 |
| 1578960589 | Beth Gaubatz | Psychologist | 375 South Smyser Road, Wooster, OH 44691 | 2014-11-20 |
| 1184039729 | Diane Woodruff | Licensed Practical Nurse | 1605 Lemar Dr, Wooster, OH 44691 | 2014-06-23 |
| 1003257312 | Stacy Marie Scheibert | Licensed Practical Nurse | 639 Robinson Road, Wooster, OH 44691 | 2013-07-15 |
| 1487905972 | Judy Kropf | Counselor | 104 Spink Street, Wooster, OH 44691 | 2012-09-25 |
| 1295080752 | Brittany J Mowrer | Home Health Aide | 3570 W Smithville Western Rd, Wooster, OH 44691 | 2012-07-19 |
| Find all providers in zip 44691 | ||||
| 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 |
|---|---|---|---|---|
| 1750940029 | Kimberly K Bickel | Case Manager/Care Coordinator | 2587 Back Orville Road, Wooster, OH 44691-9523 | 2019-06-11 |
| 1538639505 | Barbara O Burton | Case Manager/Care Coordinator | 2858 Back Orrville Rd, Wooster, OH 44691-9523 | 2018-12-03 |
| 1285102418 | Samantha M Rodman | Case Manager/Care Coordinator | 2858 Back Orrville Road, Wooster, OH 44691 | 2018-11-06 |
| 1790386209 | Richard Waldron-cook | Case Manager/Care Coordinator | 2803 Akron Rd, Wooster, OH 44691-7904 | 2020-11-03 |
| 1023618584 | Kristina M Pettorini | Case Manager/Care Coordinator | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2020-10-26 |
| 1851998314 | Amber Mcclain | Case Manager/Care Coordinator | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2020-10-07 |
| 1619574571 | Nicholas Lewis | Case Manager/Care Coordinator | 2803 Akron Rd, Wooster, OH 44691-7904 | 2020-10-05 |
| 1417564667 | Ronald Games | Case Manager/Care Coordinator | 2803 Akron Rd, Wooster, OH 44691-7904 | 2020-09-30 |
| 1144837667 | Donte Taylor | Case Manager/Care Coordinator | 2803 Akron Rd, Wooster, OH 44691-7904 | 2020-09-29 |
| 1598371825 | Brad Jarvis | Case Manager/Care Coordinator | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2020-09-22 |
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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.