GAYLA BACON (NPI# 1831371608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831371608 |
Entity Type | Individual |
Full Name | GAYLA BACON |
Practice Address |
7610 40th St W Ste 300 University Place WA 98466-3834 |
Mailing Address |
5410 N 44th St Tacoma WA 98407-3715 |
Practice Telephone | 2533075713 |
Enumeration Date | 2007-12-03 |
Last Update Date | 2018-11-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Street Address |
7610 40TH ST W STE 300 |
City | UNIVERSITY PLACE |
State | WA |
Zip Code | 98466-3834 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376669671 | Michelle Marie Crowell | Counselor | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2007-03-21 |
1598364432 | Heather Rae Penny | Counselor | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2020-10-21 |
1023634714 | Bridgette Noll | Counselor | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2020-06-18 |
1124664495 | Danielle Konicek | Peer Specialist | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-11-21 |
1922644202 | James Monh | Peer Specialist | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-11-21 |
1376186577 | Lancy Canley | Peer Specialist | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-10-21 |
1457994659 | Braden Jeffry Adams-lewandowski | Peer Specialist | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-10-21 |
1992346654 | Alexis Cole | Counselor | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-10-03 |
1801437561 | Donna Lou Anderson | Counselor | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-10-03 |
1730720491 | Ryne Gregory Zuzinec | Counselor | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-10-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306499215 | Julie Mccartney | Counselor | 7610 40th St W Ste 20, University Place, WA 98466 | 2019-07-19 |
1033682752 | Jms Corporate Services Group | In Home Supportive Care | 2621 70th Avenue West, Suite C, University Place, WA 98466 | 2019-01-04 |
1992270243 | Kathleen Marie Kulman | Massage Therapist | 4113 Bridgeport Avenue, Suite B, Tacoma, WA 98466 | 2018-10-12 |
1518441674 | Michala Lin Dymond-shaw | Speech-Language Pathologist | 3725 Grandview Dr W, University Place, WA 98466 | 2018-09-24 |
1770001133 | Micky Patrick Cates | Physician Assistant | 1924 70th Ave West, Apt E5, University Place, WA 98466 | 2017-09-06 |
1386160984 | Stephanie Herrala | Dentist | Okubo Dental Clinic 11582 C St, Jblm, WA 98466 | 2017-08-16 |
1033581640 | Jay Hyuck Sung | Dentist | 3670 Bridgeport Way W, Unit B, University Place, WA 98466 | 2015-10-22 |
1174951867 | Adrienne Holliday | Occupational Therapy Assistant | 3717 Grandview Drive W, University Place, WA 98466 | 2013-10-16 |
1598106650 | Maricris Pang Espino | Registered Nurse | 1541 Cottonwood Avenue, Fircrest, WA 98466 | 2013-07-17 |
1417393653 | Nurhan Karakas | Counselor | 9330 59th Ave Sw, Lakewood, WA 98466 | 2013-05-15 |
Find all providers in zip 98466 |
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 |
---|---|---|---|---|
1265997126 | Megan Dale | Case Manager/Care Coordinator | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-02-05 |
1528523495 | Brittney E Callahan | Case Manager/Care Coordinator | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-02-05 |
1356815799 | Kelly Todd | Case Manager/Care Coordinator | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-01-18 |
1881165355 | Hillary Teresa Swenson | Case Manager/Care Coordinator | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2018-12-10 |
1366913139 | Michelle Febronia Davis | Case Manager/Care Coordinator | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2018-12-05 |
1235608134 | Adilenne Orbe- Barragan | Case Manager/Care Coordinator | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2018-11-20 |
1235607417 | Conner Budrick | Case Manager/Care Coordinator | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2018-11-06 |
1891289880 | Sam Jacob Watterson Hunt | Case Manager/Care Coordinator | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2018-06-21 |
1841791324 | Mckayla Marie Blanco | Case Manager/Care Coordinator | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2018-02-21 |
1538687066 | Zoey Damm | Case Manager/Care Coordinator | 7610 40th St W Ste 300, University Place, WA 98466 | 2017-09-05 |
Find all providers in UNIVERSITY PLACE |
City | UNIVERSITY PLACE |
Zip Code | 98466 |
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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.