MS. CHRISTINE D IBARRA (NPI# 1144865882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144865882 |
| Entity Type | Individual |
| Full Name | MS. CHRISTINE D IBARRA |
| Credential | DV ADVOCATE |
| Practice Address |
5915 Orchard St W Tacoma WA 98467-3824 |
| Mailing Address |
10504 196th St E Graham WA 98338-8466 |
| Practice Telephone | 2534147461 |
| Practice Fax Number | 2536278387 |
| Mailing Telephone | 2067854275 |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |
| 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 |
|---|---|---|---|---|
| 1851946206 | Christine Ibarra | Pharmacist | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2019-08-02 |
| 1982057055 | Christine Ibarra | Behavior Technician | 2630 W Rumble Rd, Modesto, CA 95350-0155 | 2016-07-13 |
| Street Address |
5915 ORCHARD ST W |
| City | TACOMA |
| State | WA |
| Zip Code | 98467-3824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437357761 | Yvonne M Deponty | Counselor | 5915 Orchard St W, Building B, Tacoma, WA 98467-3824 | 2007-07-09 |
| 1679191340 | Jessica Karol Franco | Counselor | 5915 Orchard St W, Tacoma, WA 98467-3824 | 2020-07-09 |
| 1619517364 | Ana Teresa Alcala-calderon | Counselor | 5915 Orchard St W, Tacoma, WA 98467-3824 | 2020-01-10 |
| 1811535636 | Carlos Gonzalez Razo | Counselor | 5915 Orchard St W, Tacoma, WA 98467-3824 | 2019-12-11 |
| 1932750809 | Derek Anthony Duarte | Counselor | 5915 Orchard St W, Tacoma, WA 98467-3824 | 2019-09-23 |
| 1649829920 | Isabelle Valdez Duarte | Counselor | 5915 Orchard St W, Tacoma, WA 98467-3824 | 2019-09-09 |
| 1255988242 | Jessica Patricia Gonzalez | Counselor | 5915 Orchard St W, Tacoma, WA 98467-3824 | 2019-08-23 |
| 1114574514 | Sylvia May Sabon | Counselor | 5915 Orchard St W, Tacoma, WA 98467-3824 | 2019-08-20 |
| 1780236182 | Janna Bushaw Crist | Counselor | 5915 Orchard St W, Tacoma, WA 98467-3824 | 2019-07-15 |
| 1326602822 | Kenneth Stephen Bourque | Counselor | 5915 Orchard St W, Tacoma, WA 98467-3824 | 2019-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689218927 | Juliette Gallardo-zamora | Behavioral Analyst | 5915 Orchard St. W, Tacoma, WA 98467 | 2019-10-30 |
| 1306310925 | Nancy Rubi Rosas Rodriguez | Counselor | 5915 Orchard St W., Tacoma, WA 98467 | 2019-01-16 |
| 1801309091 | Penny L Crawford | Registered Nurse | 5424 57th Ave Ct. W., G8, University Place, WA 98467 | 2017-11-09 |
| 1316465578 | C.f. Bridgeport, LLC | Assisted Living Facility | 5250 Bridgeport Way W., University Place, WA 98467 | 2017-09-07 |
| 1265950422 | University Place Rehabilitation Center, LLC | Skilled Nursing Facility | 5520 Bridgeport Way W., University Place, WA 98467 | 2017-09-07 |
| 1689127037 | Rachel Ann Cruz | Counselor | 5915 Orcahrd St W, Tacoma, WA 98467 | 2016-08-02 |
| 1396099313 | Ryan Jack Holbrook | Massage Therapist | 6915 Lakewood Dr W Unit A2, Tacoma, WA 98467 | 2012-10-29 |
| 1740519701 | Laura Jean Hubert | Physical Therapist | 5520 Bridgeport Way, University Place, WA 98467 | 2009-12-21 |
| 1437395548 | Karen Marie Noyes | Occupational Therapy Assistant | 5520 Bridgeport Way West, University Place, WA 98467 | 2008-12-18 |
| 1770751083 | Orchard Medical Clinic | Internal Medicine | 5320 Orchard St W, University Place, WA 98467 | 2008-02-20 |
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| 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 |
|---|---|---|---|---|
| 1457972945 | Phyllis Lizetta Jordan | Case Manager/Care Coordinator | 721 Fawcett Ave Ste 101721s, Tacoma, WA 98402-5502 | 2020-05-06 |
| 1376180745 | Adriana Guzman | Case Manager/Care Coordinator | 1305 Tacoma Ave S Ste 202, Tacoma, WA 98402-1903 | 2019-12-04 |
| 1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
| 1174167688 | Carmen Banks | Case Manager/Care Coordinator | 721 Fawcett Ave Fl 3, Tacoma, WA 98402-5502 | 2019-10-29 |
| 1891357539 | Jeannette Twitty | Case Manager/Care Coordinator | 1127 Broadway Ste 10, Tacoma, WA 98402-3519 | 2019-07-02 |
| 1841755840 | Chelsea Perry | Case Manager/Care Coordinator | 721 Fawcett Ave Ste 200, Tacoma, WA 98402-5502 | 2019-02-04 |
| 1265944326 | Erlinda Vergara | Case Manager/Care Coordinator | Bldg 2103 North Division, Tacoma, WA 98433 | 2017-10-30 |
| 1013429216 | Theresa A Gallo | Case Manager/Care Coordinator | Madigan Army Medical Center Hospital Dental Clinic, Tacoma, WA 98431-0001 | 2017-10-27 |
| 1235641598 | Solecia Lizama Cruz | Case Manager/Care Coordinator | 11572 17th & C St, Tacoma, WA 98433 | 2017-10-26 |
| 1477082121 | Annalise Hertler | Case Manager/Care Coordinator | 5410 N 44th Street, Tacoma, WA 98407 | 2017-06-07 |
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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.