DAVID WHITNEY MERCEREAU (NPI# 1790385011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790385011 |
| Entity Type | Individual |
| Full Name | DAVID WHITNEY MERCEREAU |
| Practice Address |
5455 Almira Dr Ne Bremerton WA 98311-8330 |
| Practice Telephone | 3603735031 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| 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 |
5455 ALMIRA DR NE |
| City | BREMERTON |
| State | WA |
| Zip Code | 98311-8330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447297353 | Brian Gilfeather | Psychiatry & Neurology | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2006-05-31 |
| 1366043606 | Olivia Skibba Clark | Case Manager/Care Coordinator | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-11-03 |
| 1336740687 | Leonard Michael Cline | Counselor | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-11-03 |
| 1154922409 | Robin Lee Dixon | Counselor | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-11-03 |
| 1366042681 | Rebecca Jane Shepard | Counselor | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-10-27 |
| 1427657600 | Tina Louise Remillard | Social Worker | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-10-20 |
| 1124626601 | Rebecca Martin-dean | Student in an Organized Health Care Education/Training Program | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-10-15 |
| 1902403272 | Rose Njoroge | Counselor | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-10-08 |
| 1508463464 | Christiana Marie Bueno | Counselor | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-10-05 |
| 1053918920 | Olivia Janel Scalet | Counselor | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-10-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535420 | Naomi Arguelles | Counselor | 5455 Almira Drve Ne, Bremerton, WA 98311 | 2019-12-13 |
| 1306495775 | Audra Rose Kuoppala | Chiropractor | 5050 Wa State Hwy 303, Suite A101, Bremerton, WA 98311 | 2019-09-09 |
| 1891351888 | Amanda Olney Flint | Massage Therapist | 5050 Wa-303, A101, Bremerton, WA 98311 | 2019-05-15 |
| 1265995385 | Daniel Mcclough | Massage Therapist | 5050 Wa-303 A101, Bremerton, WA 98311 | 2019-04-08 |
| 1073032157 | Kingston Crossing Wellness Ps | Chiropractor | 5050 Hwy 303 Ne, Suite A 101, Bremerton, WA 98311 | 2017-09-11 |
| 1811252117 | Kayla Sue Kooker | Massage Therapist | 5050 State Hwy 303 Ne #a101, Bremerton, WA 98311 | 2012-07-12 |
| 1336458983 | Shannon Christine Stewart | Mechanotherapist | 1487 Dawn Rd. Ne, Bremerton, WA 98311 | 2010-09-30 |
| 1174779656 | Kimberly Ann Vickery | Specialist | 5060 Highway 303 Ne, Suite 103, Bremerton, WA 98311 | 2008-08-15 |
| 1790988228 | Cynthia Erickson | Specialist | 9125 Central Valley Rd., Bremerton, WA 98311 | 2007-06-11 |
| 1114132388 | Jennifer Ross Tanguay | Nurse Anesthetist, Certified Registered | 1275 Ne Franklin Ave Ste A, Bremerton, WA 98311 | 2007-05-11 |
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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 |
|---|---|---|---|---|
| 1518337187 | Andrea Elizabeth Starr | Case Manager/Care Coordinator | 243 Weatherstone Ln Ne, P 203, Bremerton, WA 98311-8872 | 2015-09-25 |
| 1366043606 | Olivia Skibba Clark | Case Manager/Care Coordinator | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-11-03 |
| 1770199929 | Sara Osorio Garcia | Case Manager/Care Coordinator | 2625 Wheaton Way Ste B, Bremerton, WA 98310-3372 | 2020-09-22 |
| 1386250777 | Thomas White | Case Manager/Care Coordinator | 2625 Wheaton Way Ste B, Bremerton, WA 98310-3372 | 2020-09-21 |
| 1205447141 | Erin Anne O'connor | Case Manager/Care Coordinator | 2625 Wheaton Way Ste B, Bremerton, WA 98310-3372 | 2020-08-13 |
| 1316417496 | Brooks Ragsdale | Case Manager/Care Coordinator | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2018-11-30 |
| 1821567231 | Kathryn Ann Goins | Case Manager/Care Coordinator | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2018-11-14 |
| 1275000234 | Danielle R Arroyo | Case Manager/Care Coordinator | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2018-10-29 |
| 1922583053 | Michael Varhola | Case Manager/Care Coordinator | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2018-09-25 |
| 1285117838 | Juanita Aguilar | Case Manager/Care Coordinator | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2018-09-10 |
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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.