LYRIC ALISHA LONG (NPI# 1194368969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194368969 |
Entity Type | Individual |
Full Name | LYRIC ALISHA LONG |
Practice Address |
748 14th Ave Longview WA 98632-2315 |
Practice Telephone | 3602005419 |
Mailing Telephone | 3602005419 |
Enumeration Date | 2019-10-23 |
Last Update Date | 2020-02-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 164W00000X | Licensed Practical Nurse | NC60854968 | WA | Nursing Service Providers |
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Street Address |
748 14TH AVE |
City | LONGVIEW |
State | WA |
Zip Code | 98632-2315 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104823699 | Debbie C. Anderson | Registered Nurse | 748 14th Ave, Longview, WA 98632-2315 | 2005-06-30 |
1780283283 | Oscar Gonzalez | Counselor | 748 14th Ave, Longview, WA 98632-2315 | 2020-10-26 |
1083213268 | Amanda M Kersteter | Counselor | 748 14th Ave, Longview, WA 98632-2315 | 2020-10-20 |
1598362246 | Jamie Lucas | Peer Specialist | 748 14th Ave, Longview, WA 98632-2315 | 2020-10-06 |
1851998595 | Elizabeth Magnuson | Counselor | 748 14th Ave, Longview, WA 98632-2315 | 2020-10-06 |
1093322877 | Elizabeth O'brien | Counselor | 748 14th Ave, Longview, WA 98632-2315 | 2020-09-25 |
1255947719 | Leilani Grasser | Counselor | 748 14th Ave, Longview, WA 98632-2315 | 2020-09-21 |
1184230542 | Rachael Tilton | Counselor | 748 14th Ave, Longview, WA 98632-2315 | 2020-09-21 |
1245845593 | Caleb Idlett | Counselor | 748 14th Ave, Longview, WA 98632-2315 | 2020-09-14 |
1801400676 | Maria Alba-estrada | Counselor | 748 14th Ave, Longview, WA 98632-2315 | 2020-08-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
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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 |
---|---|---|---|---|
1942854179 | Jamie Wick | Case Manager/Care Coordinator | 1338 Commerce Ave Ste 212, Longview, WA 98632-3726 | 2019-07-25 |
1497318067 | Gerry Lee Bailey | Case Manager/Care Coordinator | 1338 Commerce Ave # H, Longview, WA 98632-3732 | 2019-04-18 |
1598275364 | Cindy N Rollins | Case Manager/Care Coordinator | 801 S Mobberly Ave, Longview, TX 75602-2037 | 2017-10-06 |
1043638851 | Leshia Jones | Case Manager/Care Coordinator | 1908 N 4th St, Longview, TX 75601-3202 | 2014-03-31 |
1467698522 | Eric D Willie | Case Manager/Care Coordinator | 411 N Fredonia St Ste 109, Longview, TX 75601-6467 | 2008-12-19 |
1912175431 | East Texas Case Management Referral Service | Case Manager/Care Coordinator | 2300 Bill Owens Pkwy Apt 915, Longview, TX 75604-3060 | 2008-02-19 |
1598390619 | Crystal Howard | Case Manager/Care Coordinator | 748 14th Ave, Longview, WA 98632-2315 | 2020-03-09 |
1730713694 | Kristine Gonyon | Case Manager/Care Coordinator | 748 14th Ave, Longview, WA 98632-2315 | 2020-02-28 |
1801420773 | Hannah Grasser | Case Manager/Care Coordinator | 748 14th Ave, Longview, WA 98632-2315 | 2020-02-28 |
1265064869 | Taylor Voth | Case Manager/Care Coordinator | 748 14th Ave, Longview, WA 98632-2315 | 2020-02-11 |
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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.