EDISON URRUTIA (NPI# 1164056073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164056073 |
| Entity Type | Individual |
| Full Name | EDISON URRUTIA |
| Practice Address |
222 Broadway Unit 211 Kissimmee FL 34741-5760 |
| Mailing Address |
3003 Conner Ln Kissimmee FL 34741-7727 |
| Practice Telephone | 4073293464 |
| Mailing Telephone | 3218463189 |
| Enumeration Date | 2020-02-29 |
| Last Update Date | 2020-02-29 |
| Gender Code | M |
| 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 |
222 BROADWAY UNIT 211 |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34741-5760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568807121 | Christina Louise Hernandez | Counselor | 222 Broadway Unit 211, Kissimmee, FL 34741-5760 | 2013-05-08 |
| 1427675248 | Marie D Pradieu | Marriage & Family Therapist | 222 Broadway Unit 211, Kissimmee, FL 34741-5760 | 2020-06-27 |
| 1003450263 | Dianet Valdes Llerena | Behavior Technician | 222 Broadway Unit 211, Kissimmee, FL 34741-5760 | 2019-10-31 |
| 1467857003 | Joan Berliz Quinones | Case Manager/Care Coordinator | 222 Broadway Unit 211, Kissimmee, FL 34741-5760 | 2014-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239834 | Kathia I Torres Cintron | Occupational Therapy Assistant | 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 | 2020-06-08 |
| 1992340046 | Zynia Spencer | Marriage & Family Therapist | 345 W. Oak St., Kissimmee, FL 34741 | 2019-11-13 |
| 1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
| 1235610312 | Yashirah Castillo | Behavior Technician | 230 Country Blvd, Apt 6, Kissimmee, FL 34741 | 2018-08-27 |
| 1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
| 1245724715 | Sonia Teresa Rodriguez | Counselor | 3438 W. Vine Street, Kissimmee, FL 34741 | 2018-06-19 |
| 1700376316 | Jessica Mateo | Social Worker | 111 E Monument Ave Unit 412, Kissimmee, FL 34741 | 2018-05-18 |
| 1306340880 | George Gianakakos | Psychiatry & Neurology | 720 W. Oak St., Suite 360, Kissimmee, FL 34741 | 2018-03-20 |
| 1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
| 1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
| Find all providers in zip 34741 | ||||
| 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 |
|---|---|---|---|---|
| 1538768072 | Emma Eloisa Cruz | Case Manager/Care Coordinator | 1105 Cobblestone Cir Apt B, Kissimmee, FL 34744-5563 | 2020-10-24 |
| 1194330746 | Lucy Martinez | Case Manager/Care Coordinator | 870 Perth Pl Apt 104, Kissimmee, FL 34758-3323 | 2020-09-10 |
| 1669083317 | Doris N Owah | Case Manager/Care Coordinator | 765 Gila Dr, Kissimmee, FL 34759-5930 | 2020-08-14 |
| 1629689120 | Norma I Gonzalez | Case Manager/Care Coordinator | 318 Anchovie Ct, Kissimmee, FL 34759-4706 | 2020-08-10 |
| 1134769763 | Yilka Paola Ibarra | Case Manager/Care Coordinator | 2910 Windmill Dr, Kissimmee, FL 34741-7860 | 2020-01-11 |
| 1033757562 | Astrid Elizabeth Fernandez Acosta | Case Manager/Care Coordinator | 3008 Bonfire Beach Dr Apt 102, Kissimmee, FL 34746-5547 | 2019-12-16 |
| 1366092496 | Lissie L Williams | Case Manager/Care Coordinator | 1975 S John Young Pkwy Ste 203, Kissimmee, FL 34741-0605 | 2019-09-20 |
| 1215583547 | Ivan David Arvelo | Case Manager/Care Coordinator | 108 Viola St, Kissimmee, FL 34741-5540 | 2019-08-13 |
| 1740848043 | Desiree Soto | Case Manager/Care Coordinator | 120 Broadway Ste 204, Kissimmee, FL 34741-5705 | 2019-05-31 |
| 1952967168 | Sierra Owens | Case Manager/Care Coordinator | 808 Woodfield Ct, Kissimmee, FL 34744-4649 | 2019-05-13 |
| Find all providers in KISSIMMEE | ||||
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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.