JACOB CORONADO (NPI# 1073058293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073058293 |
| Entity Type | Individual |
| Full Name | JACOB CORONADO |
| Practice Address |
1002 N Superior St Spokane WA 99202-2059 |
| Practice Telephone | 5098929241 |
| Practice Fax Number | 5098929251 |
| Mailing Telephone | 5098929241 |
| Mailing Fax Number | 5098929251 |
| Enumeration Date | 2016-12-24 |
| Last Update Date | 2019-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518514298 | Jacob Coronado | Behavior Technician | 625 The City Dr S Ste 120, Orange, CA 92868-3352 | 2019-08-19 |
| Street Address |
1002 N SUPERIOR ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99202-2059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790146751 | Nathan Ainley | Counselor | 1002 N Superior St, Spokane, WA 99202-2059 | 2016-03-17 |
| 1720575384 | Thomas J May | Peer Specialist | 1002 N Superior St, Spokane, WA 99202-2059 | 2018-04-19 |
| 1497242119 | Dennis P Swennumson | Peer Specialist | 1002 N Superior St, Spokane, WA 99202-2059 | 2018-04-18 |
| 1366960528 | Rachel Richards | Social Worker | 1002 N Superior St, Spokane, WA 99202-2059 | 2017-09-07 |
| 1306363585 | Sha'naiah Jean Card | Peer Specialist | 1002 N Superior St, Spokane, WA 99202-2059 | 2017-08-28 |
| 1760908271 | Gina Duplain | Peer Specialist | 1002 N Superior St, Spokane, WA 99202-2059 | 2017-08-16 |
| 1215467071 | Katharine V Dickinson | Social Worker | 1002 N Superior St, Spokane, WA 99202-2059 | 2017-06-14 |
| 1225567852 | Marcell Hall | Peer Specialist | 1002 N Superior St, Spokane, WA 99202-2059 | 2017-06-07 |
| 1417486051 | Cree Paul | Peer Specialist | 1002 N Superior St, Spokane, WA 99202-2059 | 2017-06-07 |
| 1295269892 | Tracy Stephens | Social Worker | 1002 N Superior St, Spokane, WA 99202-2059 | 2017-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099552 | Morgan Physiotherapy, Pllc | Physical Therapist | 716 South Arthur Street, Spokane, WA 99202 | 2020-06-26 |
| 1659926863 | Hiliary Beatty | Marriage & Family Therapist | 3101 E Boone Avenue, Spokane, WA 99202 | 2019-08-05 |
| 1992359301 | Jennifer Pelzel | Pharmacist | Pbs, 205 E Spokane Falls Blvd, Spokane, WA 99202 | 2019-07-25 |
| 1750858171 | Elyse M Tullar | Counselor | 3101 E Boone Ave, Spokane, WA 99202 | 2018-10-24 |
| 1952830333 | Kaleb E Walker | Case Manager/Care Coordinator | 1002 N Superior, Spokane, WA 99202 | 2017-06-08 |
| 1659823987 | Laura Lenoue | Chiropractor | 301 E Sharp, Lenoue Integrative Medicine, Spokane, WA 99202 | 2016-11-03 |
| 1376095141 | Clinton George Ralph | Counselor | 624 S Cowley, Spokane, WA 99202 | 2016-10-27 |
| 1144772245 | Megan Nicole Korst | Counselor | 104 S. Freya, Red Flag Bldg, Suite 101b, Spokane, WA 99202 | 2016-10-25 |
| 1043766652 | Moffitt Children's Dentistry | Dentist | 520 S Cowley St Ste 101, Spokane, WA 99202 | 2016-09-01 |
| 1881147296 | Natalie Stine | Dietitian, Registered | 203 E Spague Avenue, Spokane, WA 99202 | 2016-08-02 |
| Find all providers in zip 99202 | ||||
| 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 |
|---|---|---|---|---|
| 1437785680 | Susan Thomas | Case Manager/Care Coordinator | 8727 W Highway 2, Spokane, WA 99224-9498 | 2020-03-19 |
| 1952830333 | Kaleb E Walker | Case Manager/Care Coordinator | 1002 N Superior, Spokane, WA 99202 | 2017-06-08 |
| 1518417302 | Jennifer S Pilkinton | Case Manager/Care Coordinator | 1713 W Tieton Ave, Spokane, WA 99208-5083 | 2016-10-05 |
| 1720533235 | Elizabeth A Thorland | Case Manager/Care Coordinator | 1917 E Sharp Ave, Spokane, WA 99202-2645 | 2016-08-25 |
| 1588007074 | Kimberlee Shannon Deuser | Case Manager/Care Coordinator | 59 E Queen Ave Ste 111, Spokane, WA 99207-1400 | 2013-04-15 |
| 1750980033 | Latia M Johnson | Case Manager/Care Coordinator | 1700 S Assembly St Ste 300, Spokane, WA 99224-2116 | 2020-10-19 |
| 1073128658 | Jenifer Lee Zahn | Case Manager/Care Coordinator | 1960 N Holy Names Ct Fl 3, Spokane, WA 99224-5803 | 2020-09-10 |
| 1992318398 | Erin M Coffey | Case Manager/Care Coordinator | 1960 N Holy Names Ct Fl 3, Spokane, WA 99224-5803 | 2020-08-25 |
| 1518579622 | Melissa Kristine Zielstorf | Case Manager/Care Coordinator | 1960 N Holy Names Ct Fl 3, Spokane, WA 99224-5803 | 2020-08-19 |
| 1124652417 | Velincia Nicole Kacalek | Case Manager/Care Coordinator | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2020-02-26 |
| Find all providers in SPOKANE | ||||
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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.