LAUREL BOOTH KIRBAWY (NPI# 1942642335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942642335 |
| Entity Type | Individual |
| Full Name | LAUREL BOOTH KIRBAWY |
| Practice Address |
11576 Se 27th Ave Milwaukie OR 97222-7719 |
| Mailing Address |
8524 Se Morrison St Portland OR 97216-1226 |
| Practice Telephone | 5033056943 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |
| 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 |
11576 SE 27TH AVE |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-7719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194150250 | Elaine Kloss | Counselor | 11576 Se 27th Ave, Milwaukie, OR 97222-7719 | 2013-09-09 |
| 1013341767 | Konde Salumu | Counselor | 11576 Se 27th Ave, Milwaukie, OR 97222-7719 | 2013-08-29 |
| 1023442761 | Jeremy Zuercher | Counselor | 11576 Se 27th Ave, Milwaukie, OR 97222-7719 | 2013-08-29 |
| 1477987121 | Charleen Everett | Counselor | 11576 Se 27th Ave, Milwaukie, OR 97222-7719 | 2013-08-29 |
| 1114351855 | August Kroll | Counselor | 11576 Se 27th Ave, Milwaukie, OR 97222-7719 | 2013-08-29 |
| 1568896207 | Marcia Flora | Counselor | 11576 Se 27th Ave, Milwaukie, OR 97222-7719 | 2013-08-29 |
| 1922432673 | Sarah Dickman | Counselor | 11576 Se 27th Ave, Milwaukie, OR 97222-7719 | 2013-08-29 |
| 1013341759 | Erik Scholze | Counselor | 11576 Se 27th Ave, Milwaukie, OR 97222-7719 | 2013-08-29 |
| 1477987113 | Peter Vom Tal | Counselor | 11576 Se 27th Ave, Milwaukie, OR 97222-7719 | 2013-08-29 |
| 1568896215 | Camden Mccarthy | Counselor | 11576 Se 27th Ave, Milwaukie, OR 97222-7719 | 2013-08-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
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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 |
|---|---|---|---|---|
| 1063988103 | Sydney Anne Smith | Case Manager/Care Coordinator | 13251 Se Oatfield Rd, Milwaukie, OR 97222-7000 | 2018-10-16 |
| 1861016933 | Melissa Louise Barnett | Case Manager/Care Coordinator | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2020-06-03 |
| 1376199026 | Anne Agriesti | Case Manager/Care Coordinator | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2019-08-16 |
| 1427614346 | Madison Marie Cock | Case Manager/Care Coordinator | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2019-05-15 |
| 1811368517 | Nathan Chatterton | Case Manager/Care Coordinator | 4105 Se International Way, Suite #501, Milwaukie, OR 97222-8855 | 2015-10-07 |
| 1578954046 | Emily Ferguson | Case Manager/Care Coordinator | 4105 Se International Way, Suite 501, Milwaukie, OR 97222-8855 | 2015-02-05 |
| 1083038434 | Krista Creevan | Case Manager/Care Coordinator | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2014-02-05 |
| 1144564329 | Melissa Newhouse | Case Manager/Care Coordinator | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2012-11-12 |
| 1245501691 | Gina Marie Newman | Case Manager/Care Coordinator | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2012-01-17 |
| 1922306521 | Jeremiah Jeda Satori | Case Manager/Care Coordinator | 7525 Se Lake Rd, Milwaukie, OR 97267-2115 | 2011-03-05 |
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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.