OLIVIA FUNK (NPI# 1003442641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003442641 |
| Entity Type | Individual |
| Full Name | OLIVIA FUNK |
| Practice Address |
906 16th St Se Massillon OH 44646-8303 |
| Mailing Address |
5982 Rhodes Rd Kent OH 44240-8100 |
| Practice Telephone | 3308320492 |
| Mailing Telephone | 3306731347 |
| Mailing Fax Number | 3306783677 |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |
| 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 |
|---|---|---|---|---|
| 1326600230 | Olivia Funk | Peer Specialist | 1960 Sherman Ave, North Bend, OR 97459-3420 | 2019-07-01 |
| Street Address |
906 16TH ST SE |
| City | MASSILLON |
| State | OH |
| Zip Code | 44646-8303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568952943 | Mikayla Robyn Hayes | Behavior Technician | 906 16th St Se, Massillon, OH 44646-8303 | 2018-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027498 | Tiarra Q Mccole | Home Health Aide | 879 Walnut Rd Se, Massillon, OH 44646 | 2020-09-11 |
| 1083268536 | Jenna Peters | Speech-Language Pathologist | 8036 Daytona St Nw, Massillan, OH 44646 | 2019-08-01 |
| 1063998342 | Erin Lindsay Baters | Nurse Practitioner | 2037 Wales Rd, Suite #110, Massillon, OH 44646 | 2018-07-19 |
| 1275036261 | Sarah Nichols | Licensed Practical Nurse | 1428 David Dodson Drive, Massillon, OH 44646 | 2018-03-15 |
| 1295233054 | Ohio Treatment Center, LLC | Clinic/Center | 2520 Wales Ave. Nw, Suite 100, Massillon, OH 44646 | 2018-01-26 |
| 1861901019 | Mrs Transport Services LLC | Non-emergency Medical Transport (VAN) | 2514 List St Nw, Massillon, OH 44646 | 2017-09-20 |
| 1386162899 | Brandy Marie Townsend | Home Health | 306 2nd St Sw, Massillon, OH 44646 | 2017-09-05 |
| 1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
| 1205215647 | Michelle Avril Burch | Psychologist | 1 Paul E. Brown Drive, Se, Massillon, OH 44646 | 2015-05-19 |
| 1275940371 | Anthony Tedesco | Orthopaedic Surgery | 875 8th St. Ne, Massillon, OH 44646 | 2014-07-21 |
| Find all providers in zip 44646 | ||||
| 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 |
|---|---|---|---|---|
| 1114543790 | Rayelle L Paulson | Case Manager/Care Coordinator | 1634 Tremont Ave Sw, Massillon, OH 44647-6310 | 2020-06-19 |
| 1073179834 | Danielle Trippett | Case Manager/Care Coordinator | 2135 Harsh Ave Se, Massillon, OH 44646-7179 | 2019-05-16 |
| 1073077376 | Deanna Lee Moyer | Case Manager/Care Coordinator | 19 5th St Se, Massillon, OH 44646-6610 | 2019-01-31 |
| 1629545314 | Tamara Michelle Salazar | Case Manager/Care Coordinator | 1033 Summerdale Ave Nw, Massillon, OH 44646-3166 | 2018-10-31 |
| 1427599398 | Bobbi J Szalay | Case Manager/Care Coordinator | 3844 Lorwood St Nw, Massillon, OH 44646-3267 | 2017-03-13 |
| 1215546619 | Joyce Lynn Bederman | Case Manager/Care Coordinator | 2135 Harsh Ave Se, Massillon, OH 44646-7179 | 2020-07-31 |
| 1295353589 | Jarrett Troyer | Case Manager/Care Coordinator | 2135 Harsh Ave Se, Massillon, OH 44646-7179 | 2020-07-13 |
| 1689214843 | Steven Gibson | Case Manager/Care Coordinator | 2135 Harsh Ave Se, Massillon, OH 44646-7179 | 2020-01-15 |
| 1669038527 | Jessica Steinbach | Case Manager/Care Coordinator | 2135 Harsh Ave Se, Massillon, OH 44646-7179 | 2019-05-16 |
| 1689144560 | Veronica Mae Gehring | Case Manager/Care Coordinator | 7317 Portage St Nw, Massillon, OH 44646-7827 | 2018-12-04 |
| Find all providers in MASSILLON | ||||
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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.