JILL DIANE SMITH-PEREZ (NPI# 1851937296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851937296 |
| Entity Type | Individual |
| Full Name | JILL DIANE SMITH-PEREZ |
| Practice Address |
3910 Lindsey Ave Kingman AZ 86409-0959 |
| Practice Telephone | 9282791466 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| 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 |
3910 LINDSEY AVE |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409-0959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
| 1003219007 | Premier Home Health Agency | Home Health | 3555 Western Ave, Kingman, AZ 86409 | 2014-10-03 |
| 1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
| 1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
| 1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
| 1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
| 1790922896 | Jack Cheng-tsung Hou | Urology | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 | 2009-01-12 |
| 1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
| 1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
| 1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
| Find all providers in zip 86409 | ||||
| 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 |
|---|---|---|---|---|
| 1558861724 | Taryn Strong | Case Manager/Care Coordinator | 3966 N Diamond Dr, Kingman, AZ 86409-3346 | 2018-02-14 |
| 1649659483 | Tracie Hirz | Case Manager/Care Coordinator | 3656 Packsaddle Road, Kingman, AZ 86401 | 2015-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477637 | David Leland Bushong | Case Manager/Care Coordinator | 5560 N Pawnee Dr, Prescott Valley, AZ 86314-4455 | 2020-11-05 |
| 1790385094 | Shannon Elizabeth Packard | Case Manager/Care Coordinator | 3704 E Sparrow Ln, Camp Verde, AZ 86322-6142 | 2020-10-27 |
| 1881292068 | Jacquelyn Awosika | Case Manager/Care Coordinator | 20148 N Donithan Way, Maricopa, AZ 85138-2428 | 2020-10-11 |
| 1508463498 | Hands N Hearts Home Care LLC | Case Manager/Care Coordinator | 4407 S Agave Ave, Yuma, AZ 85365-6395 | 2020-10-05 |
| 1790390912 | Levon J Howard | Case Manager/Care Coordinator | 5325 N 61st Ave, Glendale, AZ 85301-6613 | 2020-09-14 |
| 1902411184 | Troy Friedman | Case Manager/Care Coordinator | 19609 S Mcqueen Rd, Chandler, AZ 85286-1903 | 2020-09-14 |
| 1104439538 | April J Winston | Case Manager/Care Coordinator | 2375 E Camelback Rd Ste 600628, Phoenix, AZ 85016-3424 | 2020-08-25 |
| 1629603469 | Glenda Dillard | Case Manager/Care Coordinator | 7405 S 39th Dr, Phoenix, AZ 85041-6002 | 2020-03-11 |
| 1013565548 | Synovation Integrated Partners, LLC | Case Manager/Care Coordinator | 6328 E Brown Rd Ste 107, Mesa, AZ 85205-4841 | 2019-08-28 |
| 1013569763 | Paul Lowman Jr. | Case Manager/Care Coordinator | .25 Miles South of Kaibeto Market, Kaibeto, AZ 86053 | 2019-07-12 |
| Find all providers with the same taxonomy | ||||
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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.