KIM BLOMSTER (NPI# 1952876823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952876823 |
| Entity Type | Individual |
| Full Name | KIM BLOMSTER |
| Practice Address |
530 N Cambridge Dr Appleton WI 54915-2950 |
| Practice Telephone | 9204278773 |
| Mailing Telephone | 9204278773 |
| Mailing Fax Number | 9205743503 |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2020-01-20 |
| 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 |
530 N CAMBRIDGE DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-2950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619538188 | Brittany Corwin | Case Manager/Care Coordinator | 530 N Cambridge Dr, Appleton, WI 54915-2950 | 2019-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| 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 |
|---|---|---|---|---|
| 1780218107 | Brenda Hoeper | Case Manager/Care Coordinator | 430 S Kensington Dr, Appleton, WI 54915-3392 | 2020-02-25 |
| 1013561232 | Tamiqua Handschke | Case Manager/Care Coordinator | 1308 N Leona St, Appleton, WI 54911-4232 | 2019-07-25 |
| 1447803002 | Kolton Davidson | Case Manager/Care Coordinator | 3000 W Spencer St Apt B18, Appleton, WI 54914-4354 | 2019-07-22 |
| 1588849509 | Joann Marie Boisen | Case Manager/Care Coordinator | 308 W Wildplum Ct, Appleton, WI 54913-7169 | 2008-01-09 |
| 1891300315 | Cheyenne Leigh Janssen | Case Manager/Care Coordinator | 1308 N Leona St, Appleton, WI 54911-4232 | 2020-09-11 |
| 1982214706 | Nicole Hecimovich | Case Manager/Care Coordinator | 1308 N Leona St, Appleton, WI 54911-4232 | 2020-08-06 |
| 1801420286 | Jamee Guillory | Case Manager/Care Coordinator | 430 S Kensington Dr, Appleton, WI 54915-3392 | 2020-02-25 |
| 1548808090 | Jake Riffe | Case Manager/Care Coordinator | 1308 N Leona St, Appleton, WI 54911-4232 | 2019-12-16 |
| 1760024111 | Phillip Gregory Johnson | Case Manager/Care Coordinator | 1308 N Leona St, Appleton, WI 54911-4232 | 2019-10-16 |
| 1285276998 | Kayla Marie Churchill | Case Manager/Care Coordinator | 1308 N Leona St, Appleton, WI 54911-4232 | 2019-10-14 |
| Find all providers in APPLETON | ||||
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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.