KATIE LYNNE TRUJILLO (NPI# 1073898367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073898367 |
| Entity Type | Individual |
| Full Name | KATIE LYNNE TRUJILLO |
| Credential | MED |
| Practice Address |
81-6587 Mamalahoa Hwy Bldg C Kealakekua HI 96750 |
| Mailing Address |
91-1841 Fort Weaver Rd Ewa Beach HI 96706-1909 |
| Practice Telephone | 8083232664 |
| Practice Fax Number | 8083232999 |
| Mailing Telephone | 8086813500 |
| Mailing Fax Number | 8086811486 |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-18 |
| 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 |
|---|---|---|---|---|
| 1134240914 | Katie Trujillo | Speech-Language Pathologist | 1901 N Glenville Dr, Richardson, TX 75081-7207 | 2007-04-02 |
| Street Address |
81-6587 MAMALAHOA HWY BLDG C |
| City | KEALAKEKUA |
| State | HI |
| Zip Code | 96750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215982616 | Jeffrey Winston Cumes | Psychologist | 81-6587 Mamalahoa Hwy, Bldg C #23, Kealakekua, HI 96750-8133 | 2006-05-23 |
| 1407472608 | Michelle Felix | Specialist | 81-6587 Mamalahoa Hwy, Bldg C Suite 101, Kealakekua, HI 96750 | 2020-06-23 |
| 1134749492 | Desiree Jenkins | Registered Nurse | 81-6587 Mamalahoa Hwy, Kealakekua, HI 96750 | 2020-04-16 |
| 1336772094 | Anne Julia Padilla | Behavior Technician | 81-6587 Mamalahoa Hwy, Pualani Terrace #c, Kealakekua, HI 96750 | 2020-02-20 |
| 1144860602 | Stephanie Bates | Psychologist | 81-6587 Mamalahoa Hwy, Pualani Terrace Bldg C, Kealakekua, HI 96750 | 2020-01-13 |
| 1457902876 | Lindsay Roth | Social Worker | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750 | 2019-09-26 |
| 1194376731 | Mara Tepper | Case Manager/Care Coordinator | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750 | 2019-09-25 |
| 1013498534 | Michelle M Lang | Psychologist | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750 | 2018-08-23 |
| 1790296283 | Kyra Jones | Counselor | 81-6587 Mamalahoa Hwy, Pualani Terrace Bldg C, Kealakekua, HI 96750 | 2017-10-24 |
| 1679097406 | Jeanette Marie Clarke | Counselor | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750 | 2017-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629690300 | Sangeetha Nair | Marriage & Family Therapist | 81-6327 Mamalahoa Hwy, Crow's Nest, Kealakekua, HI 96750 | 2020-05-15 |
| 1790313351 | Julia Ok Jeoung | Licensed Practical Nurse | 81-6587 Mamalahoa Hwy C301, Kealakekua, HI 96750 | 2020-03-30 |
| 1588209134 | James M Nagao | Dentist | 81-904 Halekii Street, Kealakekua, HI 96750 | 2019-11-07 |
| 1255975249 | Affordable Care LLC | Home Health | 79-7393 Mamalahoa Hwy., Kealakekua, HI 96750 | 2019-11-01 |
| 1275174708 | Kelsi Nishina | Dietitian, Registered | 81-891 Manawa St, Kealakekua, HI 96750 | 2019-10-06 |
| 1245718311 | Star Pt LLC | Clinic/Center | 81-6264 Mamalahoa Hwy, Kealakekua, HI 96750 | 2018-08-01 |
| 1043701089 | Yaser Alsaadi | Clinic/Center | 81-990 Halekii St., Suite 7, Kealakekua, HI 96750 | 2018-05-25 |
| 1679094411 | Felicisima Miguel Saito | Home Health Aide | 81-1018 Meleana Place, Kealakekua, HI 96750 | 2017-07-02 |
| 1023551017 | Alsen Saito | Residential Treatment Facility, Physical Disabilities | 81-1018 Meleana Pl, Kealakekua, HI 96750 | 2016-11-23 |
| 1225480809 | Emilio Roberto Hernandez | Dentist | 81-990 Halekii Street, Suite 7, Kealakekua, HI 96750 | 2016-07-07 |
| Find all providers in zip 96750 | ||||
| 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 |
|---|---|---|---|---|
| 1508117128 | Victoria M. Matsuda | Case Manager/Care Coordinator | 816587 Mamalahoa Hwy, Building C, Kealakekua, HI 96750 | 2012-09-21 |
| 1194376731 | Mara Tepper | Case Manager/Care Coordinator | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750 | 2019-09-25 |
| 1679952147 | Maria Rizzo | Case Manager/Care Coordinator | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750 | 2015-05-29 |
| 1003225202 | Micheal Alford | Case Manager/Care Coordinator | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750 | 2014-08-13 |
| 1992111074 | Jammie Palacat | Case Manager/Care Coordinator | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750 | 2014-07-09 |
| 1194156661 | Karen Christine Gilbert Hale | Case Manager/Care Coordinator | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750 | 2013-12-09 |
| 1063665982 | Celia G Frost | Case Manager/Care Coordinator | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750-8133 | 2008-10-23 |
| 1710135520 | Juliana A Garza | Case Manager/Care Coordinator | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750-8133 | 2008-09-04 |
| 1578730826 | Katherine Florer | Case Manager/Care Coordinator | 79-1020 Haukapila St, Kealakekua, HI 96750-7922 | 2008-05-14 |
| 1467629725 | Paulla Demello-o'bannon | Case Manager/Care Coordinator | 79-1020 Haukapila St, Kealakekua, HI 96750-7922 | 2008-05-14 |
| Find all providers in KEALAKEKUA | ||||
| City | KEALAKEKUA |
| Zip Code | 96750 |
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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.