STACEY M HOLT (NPI# 1902120769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902120769 |
| Entity Type | Individual |
| Full Name | STACEY M HOLT |
| Practice Address |
1140 Oak St San Francisco CA 94117-2217 |
| Practice Telephone | 4154318252 |
| Practice Fax Number | 4154313195 |
| Mailing Telephone | 4154318252 |
| Mailing Fax Number | 4154313195 |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053965194 | Stacey L Holt | Nurse's Aide | 140 Santa Clara Ave Apt 1, Dayton, OH 45405-3632 | 2019-07-26 |
| Street Address |
1140 OAK ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94117-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487739017 | Kia Sytanmia Wallace | Case Manager/Care Coordinator | 1140 Oak St, San Francisco, CA 94117-2217 | 2006-10-25 |
| 1962818153 | Garry Malachi Scott | Community Health Worker | 1140 Oak St, San Francisco, CA 94117-2217 | 2014-07-08 |
| 1689088239 | Monique Williams | Community Health Worker | 1140 Oak St, San Francisco, CA 94117-2217 | 2014-06-11 |
| 1417376096 | Nathaniel Williams Jr. | Counselor | 1140 Oak St, San Francisco, CA 94117-2217 | 2014-04-10 |
| 1376884973 | Avonnet M Peeler | Technician, Health Information | 1140 Oak St, San Francisco, CA 94117-2217 | 2013-03-06 |
| 1477891174 | Maurice Forte | Marriage & Family Therapist | 1140 Oak St, 1140 Oak St, San Francisco, CA 94117-2217 | 2013-01-30 |
| 1780933929 | Kamailia Lynnette Williams | Marriage & Family Therapist | 1140 Oak St, San Francisco, CA 94117-2217 | 2012-09-04 |
| 1730403593 | Ebonee Joi Crawford | Case Manager/Care Coordinator | 1140 Oak St, San Francisco, CA 94117-2217 | 2010-03-23 |
| 1558595991 | Kimberly Grizzell | Case Manager/Care Coordinator | 1140 Oak St, San Francisco, CA 94117-2217 | 2009-05-13 |
| 1487893210 | Nekissia Nicole Mixon | Technician, Health Information | 1140 Oak St, San Francisco, CA 94117-2217 | 2009-02-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
| 1124578901 | Michelle Elizabeth Cohen | Nurse Practitioner | 350 Parnassus Ave Ste 908, San Francisco, CA 94117 | 2016-10-05 |
| 1235686346 | Amy Burtelow | Massage Therapist | 425 Divisadero Street Suite 300, San Francisco, CA 94117 | 2016-09-07 |
| 1851790430 | Elissa Stevens | Counselor | 1757 Waller Street, San Francisco, CA 94117 | 2014-08-19 |
| 1831508043 | Colmed Laboratories & Radiology | Clinical Medical Laboratory | 560 Haight Street #104, San Francisco, CA 94117 | 2014-08-13 |
| 1972917847 | Radha Yerneni | Internal Medicine | 450 Stanyan St Fl 6, San Francisco, CA 94117 | 2014-06-18 |
| 1811333594 | Julia Wong | Counselor | 425 Divisadero Street, Suite 300, San Francisco, CA 94117 | 2013-05-21 |
| 1740623529 | Cody Elizabeth Berry | Social Worker | 425 Divisadero, Suite 300, San Francisco, CA 94117 | 2013-04-11 |
| 1235471848 | Steven Ryan Vidrine | Psychiatry & Neurology | 350 Parnassus Ave Ste 201, San Francisco, CA 94117 | 2013-03-21 |
| 1699043810 | Podiatry Plan Inc | Podiatrist | 1353b Haight Street, San Francisco, CA 94117 | 2011-12-02 |
| Find all providers in zip 94117 | ||||
| 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 |
|---|---|---|---|---|
| 1124685169 | Joseph William Jasser, M.d., Medical Corporation | Case Manager/Care Coordinator | 505 Montgomery St Fl 11, San Francisco, CA 94111-2585 | 2019-05-24 |
| 1053784132 | Annie Pham | Case Manager/Care Coordinator | 562 37th Ave Apt 2, San Francisco, CA 94121-2656 | 2015-11-11 |
| 1235532102 | Maureen Rees | Case Manager/Care Coordinator | 201 Third Street, 7th Floor, San Francisco, CA 94103 | 2014-10-06 |
| 1821341215 | Reymundo Espinoza | Case Manager/Care Coordinator | 445 Hampshire St, San Francisco, CA 94110-1416 | 2012-10-22 |
| 1689921173 | Susan Au | Case Manager/Care Coordinator | 30 Mason St, Apt 702, San Francisco, CA 94102-2899 | 2012-08-14 |
| 1336495316 | Sierra Simone Anderson Ross IIi | Case Manager/Care Coordinator | 472 Turk St, San Francisco, CA 94102-3330 | 2012-07-27 |
| 1871866079 | Kelly Castel | Case Manager/Care Coordinator | 333 Valencia St Ste 240, 415-503-1046 Main Number, San Francisco, CA 94103-3547 | 2012-02-17 |
| 1861771933 | Patricia O'connor | Case Manager/Care Coordinator | 201 3rd St Fl 7, San Francisco, CA 94103-3146 | 2011-08-08 |
| 1114153012 | Van David Portlock | Case Manager/Care Coordinator | 730 Eddy St, Room 204, San Francisco, CA 94109-7846 | 2009-06-05 |
| 1760618805 | Linda Kay Duncan | Case Manager/Care Coordinator | 730 Eddy St Apt 205, San Francisco, CA 94109-7847 | 2009-06-03 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94117 |
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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.