MISS BETH RENAH CALDWELL (NPI# 1720640923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720640923 |
| Entity Type | Individual |
| Full Name | MISS BETH RENAH CALDWELL |
| Practice Address |
3517 Sw Wonderview Ave Gresham OR 97080-8574 |
| Practice Telephone | 9714015816 |
| Mailing Telephone | 9714015816 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| 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 |
3517 SW WONDERVIEW AVE |
| City | GRESHAM |
| State | OR |
| Zip Code | 97080-8574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046528 | The Sachiko Group, Inc | Community Based Residential Treatment Facility, Mental Illness | 3517 Sw Wonderview Ave, Gresham, OR 97080-8574 | 2019-04-26 |
| 1649831702 | Katherine Banning | Case Manager/Care Coordinator | 3517 Sw Wonderview Ave, Gresham, OR 97080-8574 | 2019-06-27 |
| 1841854601 | Monica Lynn Eddy | Case Manager/Care Coordinator | 3517 Sw Wonderview Ave, Gresham, OR 97080-8574 | 2019-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| 1124371059 | Nickole Turner | Massage Therapist | 2831 Se Palmquist Rd #157, Gresham, OR 97080 | 2012-10-16 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1821385584 | Angela West | Counselor | 320 Sw 6th Ave., Gresham, OR 97080 | 2011-07-01 |
| 1043543572 | Natalie Dawn Wilson | Behavioral Analyst | 97 Sw Riverview Place, Gresham, OR 97080 | 2009-09-16 |
| 1427205442 | Maria G Jolley | Dental Hygienist | 1267 Se Stapleton Loop, Gresham, OR 97080 | 2008-08-21 |
| 1073776738 | Sabrina Joye Hindman | Marriage & Family Therapist | 6370 Se 26th St, Gresham, OR 97080 | 2008-07-03 |
| 1669676193 | Kimberly Sabin | Nurse Practitioner | 2222 E Powell Blvd, Gresham, OR 97080 | 2007-06-11 |
| 1932223880 | Julie Elizabeth Croshaw | Pharmacist | 2444 E Powell Blvd, Gresham, OR 97080 | 2007-03-18 |
| 1508903261 | Lonetta Elise Davis | Adult Companion | 349 Se Plamblad, Gresham, OR 97080 | 2007-01-31 |
| Find all providers in zip 97080 | ||||
| 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 |
|---|---|---|---|---|
| 1659910073 | Kristin Anne Contreras | Case Manager/Care Coordinator | 4850 Sw 11th St Apt 110, Gresham, OR 97080-7312 | 2020-01-02 |
| 1891818563 | Gregory Dockery | Case Manager/Care Coordinator | 765 Se Mount Hood Hwy Apt B312, Gresham, OR 97080-7144 | 2007-04-09 |
| 1275679896 | Alicia Marie Curtiss | Case Manager/Care Coordinator | 1911 Se Night Heron Place, Gresham, OR 97080 | 2007-01-30 |
| 1649831702 | Katherine Banning | Case Manager/Care Coordinator | 3517 Sw Wonderview Ave, Gresham, OR 97080-8574 | 2019-06-27 |
| 1841854601 | Monica Lynn Eddy | Case Manager/Care Coordinator | 3517 Sw Wonderview Ave, Gresham, OR 97080-8574 | 2019-04-26 |
| 1023540283 | Rachel Tolon | Case Manager/Care Coordinator | 400 Ne 7th St, Gresham, OR 97030-5604 | 2017-03-28 |
| 1831638592 | Mackenzie Rae Arrell | Case Manager/Care Coordinator | 400 Ne 7th St, Gresham, OR 97030-5604 | 2017-02-14 |
| 1851835326 | Ashley Turley | Case Manager/Care Coordinator | 400 Ne 7th St, Gresham, OR 97030-5604 | 2016-12-18 |
| 1417321043 | Sophia Chernishoff | Case Manager/Care Coordinator | 400 Ne 7th St, Gresham, OR 97030-5604 | 2015-11-19 |
| 1740653997 | Sarah Nichole Bailey | Case Manager/Care Coordinator | 4101 Ne Division St, Suite 100, Gresham, OR 97030-4617 | 2015-11-10 |
| Find all providers in GRESHAM | ||||
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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.