EBONY MIXON


Address: 9412 Big Horn Blvd, Elk Grove, CA 95758-1101
Phone: 9515257728

EBONY MIXON (NPI# 1245882265) 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) 1245882265
Entity Type Individual
Full Name EBONY MIXON
Practice Address 9412 Big Horn Blvd
Elk Grove
CA 95758-1101
Practice Telephone 9515257728
Mailing Telephone 9515257728
Enumeration Date 2019-07-10
Last Update Date 2019-07-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 9412 BIG HORN BLVD
City ELK GROVE
State CA
Zip Code 95758-1101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770647414 Laurie Marcine Barnes Counselor 9412 Big Horn Blvd, Elk Grove, CA 95758-1101 2006-12-20
1215542410 Felicia Carina Yanez Behavior Technician 9412 Big Horn Blvd, Elk Grove, CA 95758-1101 2020-09-14
1336757434 O'bryan M Dixon Behavior Technician 9412 Big Horn Blvd, Elk Grove, CA 95758-1101 2020-07-15
1942834338 Maria Guadalupe Mendez Behavior Technician 9412 Big Horn Blvd, Elk Grove, CA 95758-1101 2020-02-25
1720620628 Ashanty Bautista Behavior Technician 9412 Big Horn Blvd, Elk Grove, CA 95758-1101 2019-10-11
1134760531 Lauren Eugenia Mendes Assistant Behavior Analyst 9412 Big Horn Blvd, Elk Grove, CA 95758-1101 2019-10-07
1003457573 Oralia Harrison Behavior Technician 9412 Big Horn Blvd, Elk Grove, CA 95758-1101 2019-10-04
1710528690 Gabriel Espinoza Behavior Technician 9412 Big Horn Blvd, Elk Grove, CA 95758-1101 2019-10-02
1356998512 Laura Gabriela Murillo Behavior Technician 9412 Big Horn Blvd, Elk Grove, CA 95758-1101 2019-08-22
1659923860 Tamar Flowers Behavior Technician 9412 Big Horn Blvd, Elk Grove, CA 95758-1101 2019-07-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982244208 Obia Njoku Nurse Practitioner 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 2020-01-14
1992362362 Kimberly Abrahamson Student in an Organized Health Care Education/Training Program 9412 Big Horn Dr #6, Elk Grove, CA 95758 2019-05-21
1447737333 Elk Grove Rehab & Counseling Center Counselor 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 2018-07-24
1114424579 Arielle Mize Dietitian, Registered 8161 Sheldon Road, #103, Elk Grove, CA 95758 2018-04-11
1154822609 Eston Garcia Behavior Technician 2366 Martime Drive, Elk Grove, CA 95758 2018-02-21
1912406364 Nicole Torneros Behavior Technician 2336 Maritime Drive, Elk Grove, CA 95758 2018-02-12
1134628712 Northern California Vasectomy Family Medicine 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 2018-02-08
1083134399 Uchechi Mbonu Assisted Living Facility 7019 Mcgill Court, Elk Grove, CA 95758 2017-06-27
1922557362 Muhanad Aliakbar Driver 8275 Oakbriar Cir, Elk Grove, CA 95758 2016-09-27
1063868123 Teresa Vinciguerra Marriage & Family Therapist 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 2016-05-09
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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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932709359 Vue Moua Case Manager/Care Coordinator 4812 Conzelman Way, Elk Grove, CA 95757-2508 2020-10-26
1295351609 Jawad Raif Case Manager/Care Coordinator 7701 Chappelle Way, Elk Grove, CA 95757-1678 2020-06-22
1316569593 Takesha L Jackson Case Manager/Care Coordinator 9398 Rainbow Falls Way, Elk Grove, CA 95624-1262 2020-05-11
1598277246 Eric Stone Case Manager/Care Coordinator 8912 Bear Park Ct, Elk Grove, CA 95758-6239 2017-11-02
1275082521 Felicia Thomas Case Manager/Care Coordinator 9214 Fife Ranch Way, Elk Grove, CA 95624-3574 2016-09-28
1922551340 Louie Lomibao Case Manager/Care Coordinator 9262 Louis St, Elk Grove, CA 95624-3586 2016-08-02
1093268716 Gregorio Castellano Sabio X Case Manager/Care Coordinator 9204 Rainbow Creek Way, Elk Grove, CA 95624-4814 2016-07-28
1043630973 Solomon A Smith Case Manager/Care Coordinator 5820 Fire Poppy Dr, Elk Grove, CA 95757-2848 2014-04-17
1134568223 Onesimo Garcia Case Manager/Care Coordinator 8611 Elk Ridge Way, Elk Grove, CA 95624-2259 2013-06-21
1134303779 Ravinder Singh Case Manager/Care Coordinator 6705 Peninsula Way, Elk Grove, CA 95758-6282 2007-12-18
Find all providers in ELK GROVE

Competitor

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City ELK GROVE
Zip Code 95758

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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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