THERESA A GALLO (NPI# 1013429216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013429216 |
Entity Type | Individual |
Full Name | THERESA A GALLO |
Practice Address |
Madigan Army Medical Center Hospital Dental Clinic Tacoma WA 98431-0001 |
Mailing Address |
9900 Lincoln Street Us Army Dentac Tacoma WA 98327 |
Practice Telephone | 2539681240 |
Mailing Telephone | 2539681240 |
Enumeration Date | 2017-10-27 |
Last Update Date | 2018-03-17 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
9900 Lincoln Street, Us Army Dentac, Tacoma, WA 98327 | 2539681240 |
Street Address |
MADIGAN ARMY MEDICAL CENTER HOSPITAL DENTAL CLINIC |
City | TACOMA |
State | WA |
Zip Code | 98431-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
Find all providers in zip 98431 |
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 |
---|---|---|---|---|
1457972945 | Phyllis Lizetta Jordan | Case Manager/Care Coordinator | 721 Fawcett Ave Ste 101721s, Tacoma, WA 98402-5502 | 2020-05-06 |
1376180745 | Adriana Guzman | Case Manager/Care Coordinator | 1305 Tacoma Ave S Ste 202, Tacoma, WA 98402-1903 | 2019-12-04 |
1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
1174167688 | Carmen Banks | Case Manager/Care Coordinator | 721 Fawcett Ave Fl 3, Tacoma, WA 98402-5502 | 2019-10-29 |
1891357539 | Jeannette Twitty | Case Manager/Care Coordinator | 1127 Broadway Ste 10, Tacoma, WA 98402-3519 | 2019-07-02 |
1841755840 | Chelsea Perry | Case Manager/Care Coordinator | 721 Fawcett Ave Ste 200, Tacoma, WA 98402-5502 | 2019-02-04 |
1265944326 | Erlinda Vergara | Case Manager/Care Coordinator | Bldg 2103 North Division, Tacoma, WA 98433 | 2017-10-30 |
1235641598 | Solecia Lizama Cruz | Case Manager/Care Coordinator | 11572 17th & C St, Tacoma, WA 98433 | 2017-10-26 |
1477082121 | Annalise Hertler | Case Manager/Care Coordinator | 5410 N 44th Street, Tacoma, WA 98407 | 2017-06-07 |
1790392942 | Julie Rebecca Benally | Case Manager/Care Coordinator | 711 S 25th St Ste B, Tacoma, WA 98405-4306 | 2020-09-30 |
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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.