CLARISSA BOBERG (NPI# 1124542527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124542527 |
| Entity Type | Individual |
| Full Name | CLARISSA BOBERG |
| Practice Address |
4805 W 67th St Prairie Village KS 66208-1434 |
| Practice Telephone | (913) 432-5454 |
| Practice Fax Number | 9132730588 |
| Mailing Telephone | 9134325454 |
| Mailing Fax Number | 9132730588 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |
| 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 |
4805 W 67TH ST |
| City | PRAIRIE VILLAGE |
| State | KS |
| Zip Code | 66208-1434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235489212 | Julia Rankin | Case Manager/Care Coordinator | 4805 W 67th St, Prairie Village, KS 66208-1434 | 2012-09-17 |
| 1790209591 | Melissa Christine Mccrary | Case Manager/Care Coordinator | 4805 W 67th St, Prairie Village, KS 66208-1434 | 2017-08-02 |
| 1407370802 | Cara Christine Edwards | Case Manager/Care Coordinator | 4805 W 67th St, Prairie Village, KS 66208-1434 | 2017-07-28 |
| 1376994517 | Christopher Thompson | Case Manager/Care Coordinator | 4805 W 67th St, Prairie Village, KS 66208-1434 | 2016-06-29 |
| 1932558947 | Nathaniel Murken | Case Manager/Care Coordinator | 4805 W 67th St, Prairie Village, KS 66208-1434 | 2016-06-09 |
| 1144677865 | Jessica Allan | Case Manager/Care Coordinator | 4805 W 67th St, Prairie Village, KS 66208-1434 | 2016-05-23 |
| 1861849903 | Allie Roy | Case Manager/Care Coordinator | 4805 W 67th St, Prairie Village, KS 66208-1434 | 2016-05-18 |
| 1588026207 | Sarah Minshull | Case Manager/Care Coordinator | 4805 W 67th St, Prairie Village, KS 66208-1434 | 2016-03-22 |
| 1407220056 | Laura Highland | Case Manager/Care Coordinator | 4805 W 67th St, Prairie Village, KS 66208-1434 | 2015-11-19 |
| 1306214036 | Anna-marie Gallo | Case Manager/Care Coordinator | 4805 W 67th St, Prairie Village, KS 66208-1434 | 2015-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627940 | Arena Health LLC | Clinic/Center | 8010 Stateline Road, Suite 100, Prairie Village, KS 66208 | 2020-07-27 |
| 1780222414 | Tracy Licausi | Counselor | 4907 W 69th Ter, Prairie Village, KS 66208 | 2019-12-12 |
| 1699294959 | Meredith Arends | Physician Assistant | 2904 W 73rd Street, Prairie Village, KS 66208 | 2017-09-18 |
| 1861914616 | Pardeep Kaur Gill | Dentist | 7501 Mission Rd Ste 102, Prairie Village, KS 66208 | 2017-07-13 |
| 1366821977 | Wineteer, Inc. | Durable Medical Equipment & Medical Supplies | 3500 W 75th St, Suite 100, Prairie Village, KS 66208 | 2015-05-28 |
| 1972913374 | Julia Nguyen | Dentist | 7301 Mission Rd Ste 317, Prairie Village, KS 66208 | 2014-05-07 |
| 1063859650 | Joseph Charles Glenn | Chiropractor | 8016 State Line Rd, Suite 100, Leawood, KS 66208 | 2013-05-23 |
| 1104172337 | Julie Anne Budke | Psychologist | 3965 W 83rd Street Suite 233, Prairie Village, KS 66208 | 2012-07-25 |
| 1700149952 | Julia K Thomas | Specialist | 5111 W. 64th St, Prairie Village, KS 66208 | 2012-06-22 |
| 1255624227 | Carl S Cleveland Iv | Chiropractor | 8016 State Line Rd, Ste 100, Leawood, KS 66208 | 2011-05-24 |
| Find all providers in zip 66208 | ||||
| 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 |
|---|---|---|---|---|
| 1891247094 | Joanna Rose Bretches | Case Manager/Care Coordinator | 8340 Mission Rd #230, Prairie Village, KS 66206-2008 | 2016-11-04 |
| 1891033031 | Aimee L Evans | Case Manager/Care Coordinator | 8042 Mohawk St, # 201, Prairie Village, KS 66208-5127 | 2013-01-23 |
| 1235489212 | Julia Rankin | Case Manager/Care Coordinator | 4805 W 67th St, Prairie Village, KS 66208-1434 | 2012-09-17 |
| 1790209591 | Melissa Christine Mccrary | Case Manager/Care Coordinator | 4805 W 67th St, Prairie Village, KS 66208-1434 | 2017-08-02 |
| 1407370802 | Cara Christine Edwards | Case Manager/Care Coordinator | 4805 W 67th St, Prairie Village, KS 66208-1434 | 2017-07-28 |
| 1376994517 | Christopher Thompson | Case Manager/Care Coordinator | 4805 W 67th St, Prairie Village, KS 66208-1434 | 2016-06-29 |
| 1932558947 | Nathaniel Murken | Case Manager/Care Coordinator | 4805 W 67th St, Prairie Village, KS 66208-1434 | 2016-06-09 |
| 1144677865 | Jessica Allan | Case Manager/Care Coordinator | 4805 W 67th St, Prairie Village, KS 66208-1434 | 2016-05-23 |
| 1861849903 | Allie Roy | Case Manager/Care Coordinator | 4805 W 67th St, Prairie Village, KS 66208-1434 | 2016-05-18 |
| 1588026207 | Sarah Minshull | Case Manager/Care Coordinator | 4805 W 67th St, Prairie Village, KS 66208-1434 | 2016-03-22 |
| Find all providers in PRAIRIE VILLAGE | ||||
| City | PRAIRIE VILLAGE |
| Zip Code | 66208 |
Please comment or provide details below to improve the information on CLARISSA BOBERG.
| 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.