AUDREY PORTLEY (NPI# 1235475443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235475443 |
| Entity Type | Individual |
| Full Name | AUDREY PORTLEY |
| Practice Address |
2853 Groom Dr Richmond CA 94806-2664 |
| Practice Telephone | 5102432360 |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2012-12-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
2853 GROOM DR |
| City | RICHMOND |
| State | CA |
| Zip Code | 94806-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912324542 | Anabel Rodriguez Hill | Counselor | 2853 Groom Dr, Richmond, CA 94806-2664 | 2014-03-20 |
| 1821415456 | Simone Larson | Counselor | 2853 Groom Dr, Richmond, CA 94806-2664 | 2014-03-20 |
| 1952727927 | Adrian Mendoza | Counselor | 2853 Groom Dr, Richmond, CA 94806-2664 | 2014-03-13 |
| 1699197947 | Liza Taylor | Counselor | 2853 Groom Dr, Richmond, CA 94806-2664 | 2014-01-06 |
| 1285055368 | Victor Lopez | Counselor | 2853 Groom Dr, Richmond, CA 94806-2664 | 2013-12-17 |
| 1275962946 | Brenda Leyva Dimas | Counselor | 2853 Groom Dr, Richmond, CA 94806-2664 | 2013-11-04 |
| 1932537388 | Branden Camarillo | Counselor | 2853 Groom Dr, Richmond, CA 94806-2664 | 2013-10-23 |
| 1962835140 | Raul Alberto Yepez | Counselor | 2853 Groom Dr, Richmond, CA 94806-2664 | 2013-08-12 |
| 1760814818 | Moses Akinlawon | Counselor | 2853 Groom Dr, Richmond, CA 94806-2664 | 2013-07-31 |
| 1346583978 | Jamal Meadors | Counselor | 2853 Groom Dr, Richmond, CA 94806-2664 | 2013-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574375 | Alejandra Valle | Behavior Technician | 2970 Hilltop Mall Rd Suite 104, Richmond, CA 94806 | 2019-05-22 |
| 1629535042 | Kaitlin Sue Oshiro | Specialist/Technologist | 16401 San Pablo Ave. Spc 153, San Pablo, CA 94806 | 2019-02-21 |
| 1114400561 | Alan Gonzalez | Pharmacist | 13691 San Pablo Ave., San Pablo, CA 94806 | 2018-09-12 |
| 1265918783 | Laurel Dunn | Student in an Organized Health Care Education/Training Program | 15501 San Pablo Ave # G317, Richmond, CA 94806 | 2018-07-17 |
| 1720503592 | Monika Tippie | Marriage & Family Therapist | West County Adult Mental Health, 13585 San Pablo Ave, 2nd Floor, San Pablo, CA 94806 | 2017-08-14 |
| 1225553902 | Charles Marco Aquilina | Student in an Organized Health Care Education/Training Program | Y Team, 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-08-03 |
| 1922538545 | Hui-teh Hsu | Pharmacist | 2714 Holly St, San Pablo, CA 94806 | 2017-06-15 |
| 1063942878 | Meng-ju Yang | Student in an Organized Health Care Education/Training Program | 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-06-14 |
| 1346780020 | Mae Mayfield | Social Worker | 3600 Sierra Ridge Drive Apt # 7304, Richmond, CA 94806 | 2017-03-01 |
| 1487000790 | Pasha Jackson | Family Medicine | 2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806 | 2016-05-05 |
| Find all providers in zip 94806 | ||||
| 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 |
|---|---|---|---|---|
| 1558961102 | Melanie Welzel | Case Manager/Care Coordinator | 500 Hull St Apt 314, Richmond, VA 23224-4348 | 2020-10-31 |
| 1205469814 | Raymon Ward | Case Manager/Care Coordinator | 3813 Old Post Rd, Richmond, VA 23234-2023 | 2020-02-21 |
| 1285277467 | Shamika Melton | Case Manager/Care Coordinator | 6316 Oak Middle Ct Apt 304, Richmond, VA 23231-4870 | 2019-10-21 |
| 1497305171 | Kenithia Evans | Case Manager/Care Coordinator | 6966 Chessgate Falls Ln, Richmond, TX 77469-1818 | 2019-09-16 |
| 1689226540 | Mercades Chevis | Case Manager/Care Coordinator | 19118 Cannon Hills Ln, Richmond, TX 77407-8608 | 2019-07-11 |
| 1609338268 | Nadine Deborah De La Torre | Case Manager/Care Coordinator | 244 S 47th St Apt B, Richmond, CA 94804-3498 | 2019-04-03 |
| 1861956708 | Marcy Williams | Case Manager/Care Coordinator | 312 Brook Rd, Richmond, VA 23220-4225 | 2019-01-24 |
| 1790278000 | Miranda Nicole Dobbs | Case Manager/Care Coordinator | 1081 Heathcliff Dr, Richmond, KY 40475-2659 | 2018-06-11 |
| 1477050433 | Maurie Dennis | Case Manager/Care Coordinator | 1600 Eagles Roost Ct, Richmond, VA 23223-1274 | 2018-04-06 |
| 1790284537 | Alicia Rashelle Harris | Case Manager/Care Coordinator | 151 W Commerce Rd Apt 322, Richmond, VA 23224-2374 | 2018-02-07 |
| Find all providers in RICHMOND | ||||
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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.