KIMBERLY WELLS (NPI# 1992262570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992262570 |
| Entity Type | Individual |
| Full Name | KIMBERLY WELLS |
| Practice Address |
3960 Walnut Dr Eureka CA 95503-8938 |
| Practice Telephone | 7072688722 |
| Practice Fax Number | 7072680218 |
| Mailing Telephone | 7072688722 |
| Mailing Fax Number | 7072680218 |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-03-01 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912403874 | Kimberly Saba Wells | Occupational Therapy Assistant | 1019 N Peach Ave Apt 203, Fresno, CA 93727-2471 | 2018-03-31 |
| 1619328085 | Kimberly Wells | Pharmacist | 201 Earls Rd, Thomaston, GA 30286-3253 | 2016-06-28 |
| 1699123471 | Kimberly Wells | Registered Nurse | 519 E Brook Dr, Newaygo, MI 49337-8573 | 2016-06-02 |
| 1588898530 | Kimberly Jo Wells | Emergency Medicine | 1792 Alysheba Way, Suite 150, Marshall Emergency Services Associates, Lexington, KY 40509 | 2009-05-05 |
| 1457545907 | Kimberly Jane Wells | Social Worker | 2915-b Olney Sandy Spring Road, Olney, MD 20832-3502 | 2007-08-28 |
| 1629140090 | Kimberly Ann Wells | Chiropractor | 8035 Hamilton Ave, Cincinnati, OH 45231-2321 | 2006-11-14 |
| 1437611241 | Kimberly Elizabeth Wells | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2019-04-01 |
| 1407350515 | Kimberly Marie Wells | Physical Therapist | 850 Baxter Blvd, Portland, ME 04103-4901 | 2018-03-22 |
| 1508315839 | Kimberly Wells | Nurse Practitioner | 770 W Ridge Rd, Wytheville, VA 24382-1187 | 2016-09-28 |
| 1114372836 | Kimberly Wells | Emergency Medicine | 750 E Adams St, Syracuse, NY 13210-2306 | 2016-05-02 |
| Street Address |
3960 WALNUT DR |
| City | EUREKA |
| State | CA |
| Zip Code | 95503-8938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487604807 | Joseph Siegfried Krzesni | Marriage & Family Therapist | 3960 Walnut Dr, Eureka, CA 95503-8939 | 2006-05-10 |
| 1811503147 | Ashlee Gresham | Case Manager/Care Coordinator | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2020-09-22 |
| 1942813571 | Guadalupe Reynosa | Case Manager/Care Coordinator | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2020-08-24 |
| 1750917704 | Logan White | Case Manager/Care Coordinator | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2020-03-20 |
| 1841826344 | Spotted Elk Zumwalt | Case Manager/Care Coordinator | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2020-03-16 |
| 1831725332 | Katherine Brust | Counselor | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2020-03-16 |
| 1871125567 | Danielle Welch | Case Manager/Care Coordinator | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2020-02-10 |
| 1821620980 | Bailey Dawson | Case Manager/Care Coordinator | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2020-02-06 |
| 1205475316 | Gilberto Martinez | Case Manager/Care Coordinator | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2020-01-06 |
| 1902442932 | Delacy Fletcher | Case Manager/Care Coordinator | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2019-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538717244 | Margaret Ramsey | Technician | 463 Ole Hansen Rd., Eureka, CA 95503 | 2019-08-27 |
| 1033765060 | John C Nelson Md Inc | Family Medicine | Hospice of Humboldt, 3327 Timber Fall Court, Eureka, CA 95503 | 2019-08-15 |
| 1861904815 | Remi Vista, Inc. | Marriage & Family Therapist | 3109 H St, Eureka, CA 95503 | 2017-10-31 |
| 1427576487 | Liliana Alonso | Case Manager/Care Coordinator | 3960 Walnut Dr., Eureka, CA 95503 | 2017-08-30 |
| 1801243241 | Sarah Kingstrom | Physician Assistant | 2933 Pigeon Point Rd, Eureka, CA 95503 | 2016-05-16 |
| 1760738389 | Gail Mildred Pascoe | Marriage & Family Therapist | 618 Harris Street, Eureka, CA 95503 | 2012-08-01 |
| 1497084933 | Angus Bynon Stewart | Ophthalmology | 77 Sole Street, Eureka, CA 95503 | 2009-12-11 |
| 1942454301 | Balanced Physical Therapy | Physical Therapist | 2900 Harris St., Eureka, CA 95503 | 2008-11-12 |
| 1073762480 | Michele Lee Rogers | Marriage & Family Therapist | 3172 Walford Ave Ste 2, Eureka, CA 95503 | 2008-09-10 |
| 1952592321 | Brian James Smith | Dentist | 831 Harris Street, Eureka, CA 95503 | 2007-08-09 |
| Find all providers in zip 95503 | ||||
| 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 |
|---|---|---|---|---|
| 1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
| 1427576487 | Liliana Alonso | Case Manager/Care Coordinator | 3960 Walnut Dr., Eureka, CA 95503 | 2017-08-30 |
| 1144673419 | Maria Nordmann | Case Manager/Care Coordinator | 4632 Meramec Blvd, Eureka, MO 63025-2300 | 2016-07-21 |
| 1801217369 | Dorlyn Woods | Case Manager/Care Coordinator | 2738 H St, Eureka, CA 95501-4404 | 2013-12-30 |
| 1780014845 | Emily Page Quackenbush | Case Manager/Care Coordinator | 3130 Lowell St, Eureka, CA 95503-5219 | 2013-11-26 |
| 1326389693 | Tiffany Maldonado | Case Manager/Care Coordinator | 921 S St, Eureka, CA 95501-2063 | 2013-03-11 |
| 1629320254 | Terra Yvette Hescock | Case Manager/Care Coordinator | 2413 2nd Street, Eureka, CA 95501 | 2012-10-05 |
| 1740506609 | Kathryn Maria Schell Walkley | Case Manager/Care Coordinator | 504 Silva Ave, Eureka, CA 95503-5108 | 2010-04-15 |
| 1174755250 | Tanya Parker | Case Manager/Care Coordinator | 2379 Myrtle Ave, Eureka, CA 95501-3327 | 2009-08-21 |
| 1902056633 | Pamela Christine Brown | Case Manager/Care Coordinator | 1910 California Street, Eureka, CA 95501-2870 | 2008-09-30 |
| Find all providers in EUREKA | ||||
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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.