ALLISON THARALDSEN (NPI# 1740892355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740892355 |
| Entity Type | Individual |
| Full Name | ALLISON THARALDSEN |
| Practice Address |
1726 Kingsley Ave Orange Park FL 32073-4463 |
| Mailing Address |
1726 Kingsley Ave Ste 2 Orange Park FL 32073-4411 |
| Practice Telephone | 9042915561 |
| Mailing Telephone | 9042915561 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| 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 |
1726 KINGSLEY AVE |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-4463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154303410 | Susan M Shepherd | Social Worker | 1726 Kingsley Ave, Ste 3, Orange Park, FL 32073-4463 | 2005-11-14 |
| 1245662832 | Tia Wilson | Counselor | 1726 Kingsley Ave, Orange Park, FL 32073 | 2013-08-06 |
| 1376887315 | Ronny W Stephens | Counselor | 1726 Kingsley Ave, Suite 2, Orange Park, FL 32073-4463 | 2012-11-15 |
| 1427353150 | Janet M Grim Ma Lmft | Marriage & Family Therapist | 1726 Kingsley Ave, Suite 3, Orange Park, FL 32073 | 2011-01-11 |
| 1134276140 | J Nicholas Prewett Phd & Associates Pa | Counselor | 1726 Kingsley Ave, Suite 12, Orange Park, FL 32073-4463 | 2007-01-04 |
| 1972539690 | Johann Nicholas Prewett | Psychologist | 1726 Kingsley Ave, Suite 12, Orange Park, FL 32073-4463 | 2006-06-24 |
| 1023090388 | Janet Mccullough Grim | Marriage & Family Therapist | 1726 Kingsley Ave, Suite 3, Orange Park, FL 32073 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| 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 |
|---|---|---|---|---|
| 1053956946 | Joseph Mazerac | Case Manager/Care Coordinator | 3865 Buckthorne Dr Unit E, Orange Park, FL 32065-5680 | 2019-11-14 |
| 1063066603 | Melissa Mccrary | Case Manager/Care Coordinator | 1950 Miller St, Orange Park, FL 32073-4759 | 2019-07-31 |
| 1043729288 | Jennifer Marie Clark | Case Manager/Care Coordinator | 2864 Moody Ave, Orange Park, FL 32073-6423 | 2017-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023925 | Eddy David | Case Manager/Care Coordinator | 1118 Grayson Dr, Orlando, FL 32825-6724 | 2020-11-06 |
| 1316547615 | Kyomi Santana | Case Manager/Care Coordinator | 8100 Oak Ln Ste 4048100, Miami Lakes, FL 33016-5820 | 2020-10-27 |
| 1538768072 | Emma Eloisa Cruz | Case Manager/Care Coordinator | 1105 Cobblestone Cir Apt B, Kissimmee, FL 34744-5563 | 2020-10-24 |
| 1891394409 | Ariadna Cannet | Case Manager/Care Coordinator | 27583 Sw 143rd Ct, Homestead, FL 33032-8871 | 2020-10-23 |
| 1952900839 | Yipsia Mayrelis Cordovi Cancio | Case Manager/Care Coordinator | 3837 Sw 79th Ave Apt A, Miami, FL 33155-6755 | 2020-10-21 |
| 1326646985 | Lewis Connects | Case Manager/Care Coordinator | 885 Hickory Ave, Orange City, FL 32763-6864 | 2020-10-15 |
| 1821696071 | Dianelis Ramirez | Case Manager/Care Coordinator | 6245 Dell St, Orlando, FL 32809-4311 | 2020-10-10 |
| 1548867831 | Jessica Bickman | Case Manager/Care Coordinator | 1026 Replica Ave, Sebring, FL 33872-2720 | 2020-10-08 |
| 1447857123 | Omayra Rolon-rivera | Case Manager/Care Coordinator | 1371 Tuscana Ln Apt 6102, Davenport, FL 33896-5302 | 2020-10-05 |
| 1679180392 | Astrid C Montesinos Franco | Case Manager/Care Coordinator | 7656 Nw 5th St Apt 4f, Plantation, FL 33324-1940 | 2020-09-27 |
| Find all providers with the same taxonomy | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
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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.