SUSAN WAIDE


Address: 1100 Sugar Loaf Rd Apt 2, Winona, MN 55987-5552
Phone: 5074588567

SUSAN WAIDE (NPI# 1225437288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225437288
Entity Type Individual
Full Name SUSAN WAIDE
Practice Address 1100 Sugar Loaf Rd Apt 2
Winona
MN 55987-5552
Practice Telephone 5074588567
Mailing Telephone 5074588567
Enumeration Date 2014-08-15
Last Update Date 2014-08-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator 1074219-1-HCBS MN Other Service Providers

Office Location

Street Address 1100 SUGAR LOAF RD APT 2
City WINONA
State MN
Zip Code 55987-5552

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891277232 Jamie Sanders Social Worker 51 East 4th St Suite 307, Winona, MN 55987 2018-09-01
1841727823 Stacey A Czaplewski Specialist/Technologist 175 West Mark Street, Winona State University-139 Memorial Hall, Winona, MN 55987 2017-05-22
1083145361 Kevin Lee Knack Counselor 902 E. Second St. Suite 326, Acumen Counseling, Winona, MN 55987 2017-03-27
1467993865 Melissa Lee Peterson Specialist/Technologist 23559 Co. Rd. 20, Winona, MN 55987 2017-03-17
1790226280 Nikolas Porter Lyon Specialist/Technologist 634 Franklin St, East Lake B 306-4, Winona, MN 55987 2017-03-16
1821424953 Sara Beth Borchardt Chiropractor 1423 West Service Drive, Winona, MN 55987 2013-09-20
1952614273 Kristin Janelle Noble Chiropractor 117 W. 3rd St., Winona, MN 55987 2010-07-15
1033435615 Christine E. Clark Pharmacist 1122 Hwy 61, Winona, MN 55987 2010-04-08
1346401544 Andrew Dean Mork Dentist 50 W Second Street, Winona, MN 55987 2008-06-19
1508073693 Lawrence J Green Psychologist 61 W 4th St, Winona, MN 55987 2007-05-17
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

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Competitor

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City WINONA
Zip Code 55987

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Dataset Information

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.

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