MS. JODIE LYNN PEREIRA (NPI# 1083102461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083102461 |
| Entity Type | Individual |
| Full Name | MS. JODIE LYNN PEREIRA |
| Credential | QMHA |
| Practice Address |
51 Sw Lee St Newport OR 97365-3823 |
| Mailing Address |
36 Sw Nye St Newport OR 97365-3821 |
| Practice Telephone | 5415745960 |
| Mailing Telephone | 5412650445 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2020-06-03 |
| 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 | ||
| N | 175T00000X | Peer Specialist | THW1458 | OR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500776143 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 764 101 S, Yachats, OR 97498 | 5419011175 | |
| 36 Sw Nye St, Newport, OR 973653821 | 5412650445 |
| Street Address |
51 SW LEE ST |
| City | NEWPORT |
| State | OR |
| Zip Code | 97365-3823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376525113 | Marie Ann Laper | Social Worker | 51 Sw Lee St, Newport, OR 97365-3823 | 2005-11-17 |
| 1861023947 | Gwyn Denise Kingery | Counselor | 51 Sw Lee St, Newport, OR 97365-3823 | 2020-01-28 |
| 1013547371 | Jase Eli Pecanha | Counselor | 51 Sw Lee St, Newport, OR 97365-3823 | 2020-01-24 |
| 1083244891 | Diana Xalteno Vasquez | Case Manager/Care Coordinator | 51 Sw Lee St, Newport, OR 97365-3823 | 2020-01-21 |
| 1841835378 | Eric Viola | Counselor | 51 Sw Lee St, Newport, OR 97365-3823 | 2019-11-07 |
| 1255986287 | Amanda N Schmerber | Case Manager/Care Coordinator | 51 Sw Lee St, Newport, OR 97365-3823 | 2019-08-06 |
| 1972065993 | Mario Alberto Roldan De Luna | Counselor | 51 Sw Lee St, Newport, OR 97365-3823 | 2019-04-01 |
| 1538624614 | Shandi Marceen Hoey | Counselor | 51 Sw Lee St, Newport, OR 97365-3823 | 2019-02-04 |
| 1790249183 | Katja Brown | Case Manager/Care Coordinator | 51 Sw Lee St, Newport, OR 97365-3823 | 2019-01-30 |
| 1841767068 | Treva Lynn Leslie | Counselor | 51 Sw Lee St, Newport, OR 97365-3823 | 2018-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036101 | Integrity Women's Health & Wellness, LLC | Obstetrics & Gynecology | 594 Se Running Springs, Newport, OR 97365 | 2020-06-04 |
| 1538799333 | Big Creek Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1664 N Coast Hwy, Newport, OR 97365 | 2020-01-21 |
| 1710527999 | Costal Support Services | Case Management | 125 Se Mast Ave #55, Lincoln City, OR 97365 | 2020-01-15 |
| 1821650169 | Darren Lee Taylor | Peer Specialist | 35 North Cottage Street, Newport, OR 97365 | 2019-07-08 |
| 1518405091 | The City of Newport 60 Plus Activity Center | Clinic/Center | 20 Se 2nd St, Newport, OR 97365 | 2017-02-06 |
| 1982020384 | Kristine Elizabeth Foley | Dental Hygienist | 123 Se Douglas Street, Family Dental, Newport, OR 97365 | 2014-03-10 |
| 1245655075 | Catherine Marie Vickers | Registered Nurse | 36 Sw Nye Street, Lincoln County Health and Human Services, Newport, OR 97365 | 2014-03-04 |
| 1114295342 | Donna Cressy | Physical Therapist | 140 Nw 4th Street, Newport, OR 97365 | 2011-12-02 |
| 1063647949 | Wrazen & Rash PC, Physicians | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| 1194950048 | Stephen Macbain Burns, Md, PC | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| Find all providers in zip 97365 | ||||
| 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 |
|---|---|---|---|---|
| 1720232325 | Frederick Emerson Moe | Case Manager/Care Coordinator | 163 Summer St, Newport, NH 03773-1208 | 2008-11-10 |
| 1710196647 | Bobbi Lambert | Case Manager/Care Coordinator | 418 Beech St, Newport, AR 72112-3906 | 2007-05-21 |
| 1336271071 | Alice Louise Dalton | Case Manager/Care Coordinator | 215 Hedrick Drive, Newport, TN 37821 | 2007-03-09 |
| 1700918521 | Kristi Renee Hansel | Case Manager/Care Coordinator | 215 Hendrick Drive, Newport, TN 37821 | 2007-03-09 |
| 1114065083 | Deanna Dawn Browning | Case Manager/Care Coordinator | 1509 N Pecan St, Newport, AR 72112 | 2007-02-02 |
| 1790821510 | Thel Latitia Jackson-earls | Case Manager/Care Coordinator | 1507 Pecan Street, Newport, AR 72112-0571 | 2007-01-29 |
| 1275132425 | Peter Carroll | Case Manager/Care Coordinator | 163 Summer St, Newport, NH 03773-1208 | 2020-10-20 |
| 1407462427 | Jessie Harris | Case Manager/Care Coordinator | 210 Third St, Newport, AR 72112-3302 | 2020-09-16 |
| 1023636040 | Megan Dunn | Case Manager/Care Coordinator | 163 Summer St, Newport, NH 03773-1208 | 2020-07-07 |
| 1962038638 | Eddie Jackson | Case Manager/Care Coordinator | 210 Third St, Newport, AR 72112-3302 | 2020-03-13 |
| Find all providers in NEWPORT | ||||
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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.