MR. MONTE KIRK DAVIS (NPI# 1073861019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073861019 |
| Entity Type | Individual |
| Full Name | MR. MONTE KIRK DAVIS |
| Credential | BHS II |
| Practice Address |
2060 Campus Drive Yreka CA 96097 |
| Practice Telephone | 5308414100 |
| Practice Fax Number | 5308414299 |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2012-08-23 |
| 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 |
| Street Address |
2060 CAMPUS DRIVE |
| City | YREKA |
| State | CA |
| Zip Code | 96097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164511358 | Northern Valley Catholic Social Service, Inc. | Case Management | 2060 Campus Drive, Yreka, CA 96097-9538 | 2006-10-12 |
| 1629328109 | Cheryl K. Lee | Counselor | 2060 Campus Drive, Yreka, CA 96097 | 2012-09-12 |
| 1821346784 | Berta Alicia Salazar-hagerty | Case Manager/Care Coordinator | 2060 Campus Drive, Yreka, CA 96097 | 2012-08-27 |
| 1235487190 | John Paul Crovelle | Case Manager/Care Coordinator | 2060 Campus Drive, Yreka, CA 96097 | 2012-08-27 |
| 1255689295 | Judy Catherine Stelter | Case Manager/Care Coordinator | 2060 Campus Drive, Yreka, CA 96097 | 2012-08-23 |
| 1982952925 | Angela Vivian Baxter | Counselor | 2060 Campus Drive, Yreka, CA 96097 | 2012-08-23 |
| 1841552817 | Aimee Elizabeth Von Tungeln | Marriage & Family Therapist | 2060 Campus Drive, Yreka, CA 96097 | 2012-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376830653 | Paul William Willis | Pharmacist | 807 S. Main St., Yreka, CA 96097 | 2011-07-07 |
| 1578883864 | Ginger A Bert | Chiropractor | 106 Ranch Ln Ste A, Yreka, CA 96097 | 2010-06-09 |
| 1669796611 | Rebekah Joyce Retterath | Dietitian, Registered | 444 Bruce Street, Yreka, CA 96097 | 2010-03-19 |
| 1780849679 | Donna Jean May | Marriage & Family Therapist | 625 Butte Street, Yreka, CA 96097 | 2008-07-21 |
| 1114121589 | Loren Cronk | Marriage & Family Therapist | 208 4th Street, Yreka, CA 96097 | 2007-06-12 |
| 1093928863 | Kristin Rene Kopplin | Psychologist | 1515 South Oregon Street, Suite A, Yreka, CA 96097 | 2007-05-08 |
| 1073735379 | Rivkah Lynn Barmore | Social Worker | 1515 S Oregon, Suite A, Yreka, CA 96097 | 2007-05-03 |
| 1649492091 | Randy Terry Murieen | Social Worker | 1515 S Oregon Street, Suite A, Yreka, CA 96097 | 2007-05-03 |
| 1265654537 | Roy Victor Hall Jr. | Social Worker | 1515 South Oregon St, Suite A, Yreka, CA 96097 | 2007-05-03 |
| 1578785614 | Meadowlark | Assisted Living Facility | 351 Bruce St, Yreka, CA 96097 | 2007-05-02 |
| Find all providers in zip 96097 | ||||
| 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 |
|---|---|---|---|---|
| 1497389993 | Amanda Reiber | Case Manager/Care Coordinator | 2060 Campus Dr, Yreka, CA 96097-9538 | 2020-02-24 |
| 1407379670 | Natasha Noel Barber | Case Manager/Care Coordinator | 2060 Campus Dr, Yreka, CA 96097-9538 | 2017-07-19 |
| 1609324920 | Kendall Clymer | Case Manager/Care Coordinator | 2060 Campus Dr, Yreka, CA 96097-9538 | 2016-09-15 |
| 1215394796 | Lucas Morris | Case Manager/Care Coordinator | 2060 Campus Dr, Yreka, CA 96097-9538 | 2016-01-28 |
| 1275917114 | Claudia Ramos | Case Manager/Care Coordinator | 2060 Campus Dr, Yreka, CA 96097-9538 | 2015-07-09 |
| 1831570365 | Angela Osterlund | Case Manager/Care Coordinator | 2060 Campus Dr, Yreka, CA 96097-9538 | 2015-06-10 |
| 1316326135 | Ashlee Turner | Case Manager/Care Coordinator | 2060 Campus Dr, Yreka, CA 96097-9538 | 2015-05-26 |
| 1518364637 | Lori Keyser-boswell | Case Manager/Care Coordinator | 2060 Campus Dr, Yreka, CA 96097-9538 | 2014-12-04 |
| 1003219270 | Sonja Luckey | Case Manager/Care Coordinator | 2060 Campus Dr, Yreka, CA 96097-9538 | 2014-10-02 |
| 1013319250 | Rico M Guitierrez | Case Manager/Care Coordinator | 2060 Campus Dr, Yreka, CA 96097-9538 | 2014-09-18 |
| Find all providers in YREKA | ||||
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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.