JILL MARIE SPADE (NPI# 1164023198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164023198 |
| Entity Type | Individual |
| Full Name | JILL MARIE SPADE |
| Practice Address |
709 W Burke St Martinsburg WV 25401-2709 |
| Mailing Address |
58 Broadway St # 25411 Berkeley Springs WV 25411-1056 |
| Practice Telephone | 3049015172 |
| Mailing Telephone | 1304616689 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| 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 |
709 W BURKE ST |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942416979 | Harris Community Care Inc | Custodial Care Facility | 709 W Burke St, Martinsburg, WV 25401-2709 | 2007-05-15 |
| 1164023917 | David Robert Hardy | Case Manager/Care Coordinator | 709 W Burke St, Martinsburg, WV 25401-2709 | 2020-11-06 |
| 1528669470 | Stephen Hite | Case Manager/Care Coordinator | 709 W Burke St, Martinsburg, WV 25401-2709 | 2020-11-06 |
| 1538760467 | Kaelie Davey | Case Manager/Care Coordinator | 709 W Burke St, Martinsburg, WV 25401-2709 | 2020-11-06 |
| 1043811961 | Kimberly Rose | Case Manager/Care Coordinator | 709 W Burke St, Martinsburg, WV 25401-2709 | 2020-11-06 |
| 1417558354 | Kaitlyn Utz | Case Manager/Care Coordinator | 709 W Burke St, Martinsburg, WV 25401-2709 | 2020-11-06 |
| 1073160701 | Abc Case Management,llc | Clinic/Center | 709 W Burke St, Martinsburg, WV 25401-2709 | 2019-08-19 |
| 1538409628 | Harris Community Care, Inc | Custodial Care Facility | 709 W Burke St, Martinsburg, WV 25401-2709 | 2013-02-26 |
| 1659611747 | Harris Community Care, Inc | Custodial Care Facility | 709 W Burke St, Martinsburg, WV 25401-2709 | 2013-02-26 |
| 1851530034 | Harris Community Care, Inc | Case Management | 709 W Burke St, Martinsburg, WV 25401-2709 | 2009-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
| 1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
| 1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
| 1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
| 1023569449 | Heidi Crawford | Registered Nurse | 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 | 2016-10-20 |
| 1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
| 1578926549 | Barathy Radhakrishnan | Speech-Language Pathologist | 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2016-03-29 |
| 1972985638 | Wellco Dme LLC | Durable Medical Equipment & Medical Supplies | 107 Tavern Rd, Martinsburg, WV 25401 | 2015-06-18 |
| 1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
| 1801296330 | Terry Harden | Massage Therapist | 601 South Raliegh St., Martinsburg, WV 25401 | 2014-09-03 |
| Find all providers in zip 25401 | ||||
| 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 |
|---|---|---|---|---|
| 1023618576 | Julianna Christine Hayden | Case Manager/Care Coordinator | 3501 Winchester Avenue, Martinsburg, WV 25405-3187 | 2020-10-26 |
| 1679108138 | Chani Carroll | Case Manager/Care Coordinator | 2468 Rock Cliff Dr, Martinsburg, WV 25403-5062 | 2020-03-05 |
| 1689205148 | Center for Service Coordination, LLC | Case Manager/Care Coordinator | 630 Winchester Ave Ste E, Martinsburg, WV 25401-2102 | 2020-02-03 |
| 1164023917 | David Robert Hardy | Case Manager/Care Coordinator | 709 W Burke St, Martinsburg, WV 25401-2709 | 2020-11-06 |
| 1528669470 | Stephen Hite | Case Manager/Care Coordinator | 709 W Burke St, Martinsburg, WV 25401-2709 | 2020-11-06 |
| 1538760467 | Kaelie Davey | Case Manager/Care Coordinator | 709 W Burke St, Martinsburg, WV 25401-2709 | 2020-11-06 |
| 1043811961 | Kimberly Rose | Case Manager/Care Coordinator | 709 W Burke St, Martinsburg, WV 25401-2709 | 2020-11-06 |
| 1417558354 | Kaitlyn Utz | Case Manager/Care Coordinator | 709 W Burke St, Martinsburg, WV 25401-2709 | 2020-11-06 |
| 1972138444 | Tabitha Nicole Larrimore | Case Manager/Care Coordinator | 2468 Rock Cliff Dr, Martinsburg, WV 25403-5062 | 2020-03-05 |
| 1619502184 | Amanda Nicole Sonday | Case Manager/Care Coordinator | 2468 Rock Cliff Dr, Martinsburg, WV 25403-5062 | 2020-03-05 |
| Find all providers in MARTINSBURG | ||||
| City | MARTINSBURG |
| Zip Code | 25401 |
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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.