SHELBY VICTORIA ANDERSON (NPI# 1780155721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780155721 |
| Entity Type | Individual |
| Full Name | SHELBY VICTORIA ANDERSON |
| Practice Address |
2970 Sw Avalon Way Seattle WA 98126-2551 |
| Practice Telephone | 2068832051 |
| Mailing Telephone | 2068832051 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | GC60893316 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484106 | Shelby Nicole Anderson | Occupational Therapist | 2208 E Main St, Murfreesboro, TN 37130-5800 | 2020-07-09 |
| 1528628062 | Shelby K Anderson | Optometrist | 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 | 2019-06-17 |
| 1356906622 | Shelby Anderson | Behavior Technician | 5945 S Los Altos Pkwy Ste 101, Sparks, NV 89436-2503 | 2019-05-02 |
| 1114495991 | Shelby Sutton Anderson | Pharmacist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2018-11-09 |
| 1922513985 | Shelby Kathryn Anderson | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2017-12-12 |
| 1740701630 | Shelby Anderson | Behavior Technician | 193 Market St, Kingston, PA 18704-5409 | 2017-06-29 |
| 1558896126 | Shelby Anderson | Student in an Organized Health Care Education/Training Program | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2017-04-20 |
| 1851675466 | Shelby N Anderson | Speech-Language Pathologist | 605 Jefferson Davis Hwy, Fredericksburg, VA 22401-8403 | 2011-09-30 |
| 1538490040 | Shelby Leigh Anderson | Counselor | 340 Main St, Worcester, MA 01608-1604 | 2010-01-22 |
| 1255495768 | Shelby Anderson | Physical Therapy Assistant | 2700 Westside Dr Nw, Suite 103, Cleveland, TN 37312-3699 | 2006-12-20 |
| Street Address |
2970 SW AVALON WAY |
| City | SEATTLE |
| State | WA |
| Zip Code | 98126-2551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730249558 | Transitional Resources | Community/Behavioral Health | 2970 Sw Avalon Way, Seattle, WA 98126-2551 | 2006-12-11 |
| 1518579069 | Natalie Alysse Behrens | Case Manager/Care Coordinator | 2970 Sw Avalon Way, Seattle, WA 98126-2551 | 2020-08-17 |
| 1700417151 | Jennifer Brooks Lee | Registered Nurse | 2970 Sw Avalon Way, Seattle, WA 98126-2551 | 2020-02-03 |
| 1619523354 | Julia Martinez | Case Manager/Care Coordinator | 2970 Sw Avalon Way, Seattle, WA 98126-2551 | 2019-08-16 |
| 1457919904 | Josee Hildebrandt | Case Manager/Care Coordinator | 2970 Sw Avalon Way, Seattle, WA 98126-2551 | 2019-05-30 |
| 1013489657 | Clare Frances Cronkleton | Case Manager/Care Coordinator | 2970 Sw Avalon Way, Seattle, WA 98126-2551 | 2018-12-20 |
| 1407328099 | Dajenae Carter | Case Manager/Care Coordinator | 2970 Sw Avalon Way, Seattle, WA 98126-2551 | 2018-12-20 |
| 1518439165 | Luna Rosa Perales | Case Manager/Care Coordinator | 2970 Sw Avalon Way, Seattle, WA 98126-2551 | 2018-12-20 |
| 1487125324 | Henry Charles Kauth | Case Manager/Care Coordinator | 2970 Sw Avalon Way, Seattle, WA 98126-2551 | 2018-12-17 |
| 1609348564 | Tu'umuli Ariel Leui | Case Manager/Care Coordinator | 2970 Sw Avalon Way, Seattle, WA 98126-2551 | 2018-12-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926341 | Andre L Cherry | Counselor | Navos - West Seattle, 2600 Sw Holden St, Seattle, WA 98126 | 2019-11-07 |
| 1477071314 | Hailey Justine Long | Registered Nurse | 5444 29th Ave Sw, Seattle, WA 98126 | 2017-08-30 |
| 1952824153 | Margaret Jane Oliver | Behavior Technician | 7942 29th Ave Sw, Seattle, WA 98126 | 2017-07-19 |
| 1538610282 | Kathleen Unterreiner Licsw | Community/Behavioral Health | 3261 Sw Avalon Way, Apt 411, Seattle, WA 98126 | 2016-10-18 |
| 1689123507 | Omotade Adeola Mallum | Occupational Therapy Assistant | 9408 35th Ave Sw, Unit B, Seattle, WA 98126 | 2016-10-04 |
| 1598211732 | Christopher Shawn Osler | Physical Therapy Assistant | 7346 32nd Ave Sw, Seattle, WA 98126 | 2016-08-28 |
| 1871989368 | Sara Lynne Smith | Counselor | 5225 35th Avenue South West, Seattle, WA 98126 | 2015-04-10 |
| 1689083032 | Kristine Ellyn Highlander | Nurse Practitioner | 2600 Sw Holden St., Navos Inpatient Services, Seattle, WA 98126 | 2014-08-11 |
| 1346657814 | Buu Bui | Family Medicine | 4550 Fauntleroy Way Sw # Ms 206-01, Seattle, WA 98126 | 2014-07-16 |
| 1598015950 | Kimberly Pendergrass | Social Worker | 2600 S. W. Holden Street, Seattle, WA 98126 | 2012-09-13 |
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| 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 |
|---|---|---|---|---|
| 1013523737 | Christine Siebels-lindquist | Case Manager/Care Coordinator | 4039 9th Ave Ne, Seattle, WA 98105-6476 | 2020-09-17 |
| 1114549029 | Kathryn Larimore | Case Manager/Care Coordinator | 2100 24th Ave S Ste 250, Seattle, WA 98144-4644 | 2020-05-13 |
| 1205469152 | Davis Haywood | Case Manager/Care Coordinator | 325 9th Ave # 359607, Seattle, WA 98104-2420 | 2020-02-19 |
| 1932753241 | Marlene Rebecca Carricaburu | Case Manager/Care Coordinator | 325 9th Ave # 359859, Seattle, WA 98104-2499 | 2019-07-25 |
| 1518528173 | Michael Humphrey | Case Manager/Care Coordinator | 1119 E Fir St, Seattle, WA 98122-5415 | 2019-06-25 |
| 1801359377 | Maluofiti Valentino Le'iato | Case Manager/Care Coordinator | 12037 1st Ave S Apt B205, Seattle, WA 98168-5035 | 2019-04-10 |
| 1780156992 | Michelle Nayoung Kim | Case Manager/Care Coordinator | 1618 S Lane St, Seattle, WA 98144-2829 | 2018-12-28 |
| 1487125407 | Erin David Tate | Case Manager/Care Coordinator | 5444 Delridge Way Sw, Seattle, WA 98106-1534 | 2018-12-17 |
| 1710452362 | Carrie Jambresic | Case Manager/Care Coordinator | 5126 47th Ave Ne, Seattle, WA 98105-2925 | 2018-10-10 |
| 1063996601 | Laura Nagel | Case Manager/Care Coordinator | 2131 N 113th St Apt 3, Seattle, WA 98133-7644 | 2018-09-19 |
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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.