STACEY KAMMER (NPI# 1053958538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053958538 |
| Entity Type | Individual |
| Full Name | STACEY KAMMER |
| Practice Address |
1825 Beacon St Fort Wayne IN 46805-4750 |
| Practice Telephone | 2604844153 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |
| 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 |
1825 BEACON ST |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-4750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356819346 | Diane Kaehr | Counselor | 1825 Beacon St, Fort Wayne, IN 46805-4750 | 2018-11-07 |
| 1588264212 | Cara Anne Passmore | Social Worker | 1825 Beacon St, Fort Wayne, IN 46805-4750 | 2020-10-30 |
| 1528665700 | Bryan Patrick Espinosa | Case Manager/Care Coordinator | 1825 Beacon St, Fort Wayne, IN 46805-4750 | 2020-10-01 |
| 1427655604 | Mark Robert Adang | Case Manager/Care Coordinator | 1825 Beacon St, Fort Wayne, IN 46805-4750 | 2020-10-01 |
| 1437767449 | Erin C Townsend | Case Manager/Care Coordinator | 1825 Beacon St, Fort Wayne, IN 46805-4750 | 2020-07-15 |
| 1346888138 | Casey Bodigon | Case Manager/Care Coordinator | 1825 Beacon St, Fort Wayne, IN 46805-4750 | 2019-12-12 |
| 1285295766 | Jennifer Potthoff | Case Manager/Care Coordinator | 1825 Beacon St, Fort Wayne, IN 46805-4750 | 2019-06-25 |
| 1174180939 | Karah Wynn | Social Worker | 1825 Beacon St, Fort Wayne, IN 46805-4750 | 2019-05-28 |
| 1336703453 | Naomi C. Rainwater | Marriage & Family Therapist | 1825 Beacon St, Fort Wayne, IN 46805-4750 | 2019-04-24 |
| 1144789041 | Gabriel Aguilera | Case Manager/Care Coordinator | 1825 Beacon St, Fort Wayne, IN 46805-4750 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| 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 |
|---|---|---|---|---|
| 1437766086 | Jaron Mathews Ford | Case Manager/Care Coordinator | 2710 Northaven Ct, Fort Wayne, IN 46825-7108 | 2020-09-28 |
| 1982234191 | Erin Hall | Case Manager/Care Coordinator | 5800 Faifield, Fort Wayne, IN 46807 | 2020-01-16 |
| 1194208348 | Ametria Russell | Case Manager/Care Coordinator | 7209 Engle Rd, Fort Wayne, IN 46804-2238 | 2018-09-13 |
| 1376031674 | Deanna S Lockett | Case Manager/Care Coordinator | 12625 Page Hill Ct, Fort Wayne, IN 46818-0012 | 2018-04-23 |
| 1104247337 | Paytons Place, LLC | Case Manager/Care Coordinator | 409 East Cook Rd, Suite 100, Fort Wayne, IN 46825 | 2013-12-13 |
| 1427324219 | Tonyetta Eley | Case Manager/Care Coordinator | 2419 Shadyoak Dr, Fort Wayne, IN 46806-5329 | 2012-03-27 |
| 1174657480 | Robert Anthony Ford | Case Manager/Care Coordinator | 525 Oxford St., Fort Wayne, IN 46806 | 2007-03-16 |
| 1477635852 | Aids Task Force, Inc. | Case Manager/Care Coordinator | 525 Oxford St, Fort Wayne, IN 46806-4177 | 2006-10-19 |
| 1528665700 | Bryan Patrick Espinosa | Case Manager/Care Coordinator | 1825 Beacon St, Fort Wayne, IN 46805-4750 | 2020-10-01 |
| 1427655604 | Mark Robert Adang | Case Manager/Care Coordinator | 1825 Beacon St, Fort Wayne, IN 46805-4750 | 2020-10-01 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
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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.