SEAN MAGNUS GORDA (NPI# 1184164709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184164709 |
| Entity Type | Individual |
| Full Name | SEAN MAGNUS GORDA |
| Credential | QMHA |
| Practice Address |
151 W 7th Ave Ste 163 Eugene OR 97401-2676 |
| Mailing Address |
5315 Leota St Springfield OR 97478-6259 |
| Practice Telephone | 5416824464 |
| Mailing Telephone | 5412286348 |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2019-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172V00000X | Community Health Worker | THW 1681 | OR | Other Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | OR | Other Service Providers | |
| N | 175T00000X | Peer Specialist | THW 1681 | OR | Other Service Providers |
| Street Address |
151 W 7TH AVE STE 163 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-2676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184978900 | Dana Carolyn Fleming | Counselor | 151 W 7th Ave Ste 163, Eugene, OR 97401-2676 | 2012-10-31 |
| 1972068278 | Melissa S Wallace | Licensed Practical Nurse | 151 W 7th Ave Ste 163, Eugene, OR 97401-2676 | 2019-01-31 |
| 1932617032 | Wendy Ann Short | Licensed Practical Nurse | 151 W 7th Ave Ste 163, Eugene, OR 97401-2676 | 2018-01-11 |
| 1013325612 | Kevin Mishler | Registered Nurse | 151 W 7th Ave Ste 163, Eugene, OR 97401-2676 | 2014-07-27 |
| 1902230063 | Robyn Lyn Mcgregor | Counselor | 151 W 7th Ave Ste 163, Eugene, OR 97401-2676 | 2013-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| 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 |
|---|---|---|---|---|
| 1083176481 | Kaitlyn Ruth Grady | Case Manager/Care Coordinator | 931 W 7th Ave, Eugene, OR 97402-4611 | 2019-04-03 |
| 1922507938 | Debra Lee Taylor | Case Manager/Care Coordinator | 1265 Risden Pl, Eugene, OR 97404-4044 | 2018-02-05 |
| 1952812216 | Elizabeth Rose Whitesides | Case Manager/Care Coordinator | 2945 Timberline Dr, Eugene, OR 97405-1233 | 2017-10-13 |
| 1366795924 | Jeannie M Hubbard | Case Manager/Care Coordinator | 655 Goodpasture Island Rd Apt 147, Eugene, OR 97401-1532 | 2012-10-19 |
| 1437328267 | Brian Christopher Peterson | Case Manager/Care Coordinator | 2485 Roosevelt Blvd, Eugene, OR 97402-2562 | 2008-02-26 |
| 1043343197 | Della Ann Williams | Case Manager/Care Coordinator | 1530 Corum Ave, Eugene, OR 97401-1704 | 2007-03-14 |
| 1871193813 | Lisa Marie Mowrer Miller | Case Manager/Care Coordinator | 1255 Pearl St Ste 102, Eugene, OR 97401-3570 | 2020-10-29 |
| 1275132334 | Tiphany Mcclanahan | Case Manager/Care Coordinator | 2411 Mlk Jr Blvd, Eugene, OR 97401-5824 | 2020-10-20 |
| 1962019943 | Christina Lenczuk | Case Manager/Care Coordinator | 1255 Pearl St, Eugene, OR 97401-3570 | 2020-09-24 |
| 1144867011 | Tracey Eppler | Case Manager/Care Coordinator | 2145 Centennial Plz, Eugene, OR 97401-2421 | 2019-12-10 |
| Find all providers in EUGENE | ||||
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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.