STACEY ISABEL CARRASCO (NPI# 1265508683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265508683 |
| Entity Type | Individual |
| Full Name | STACEY ISABEL CARRASCO |
| Practice Address |
592 Rio Lindo Ave. Chico CA 95926 |
| Mailing Address |
592 Rio Lindo Ave Chico CA 95926-1817 |
| Practice Telephone | 5308912999 |
| Practice Fax Number | 5308793325 |
| Mailing Telephone | 5308912999 |
| Mailing Fax Number | 5308960157 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
592 RIO LINDO AVE. |
| City | CHICO |
| State | CA |
| Zip Code | 95926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| 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 |
|---|---|---|---|---|
| 1407386006 | Martha Martinez | Case Manager/Care Coordinator | 10 Indepence Circle, Chico, CA 95973 | 2017-06-15 |
| 1205108628 | James Michael Ward | Case Manager/Care Coordinator | 1118 Nord Ave Apt 49, Chico, CA 95926-4325 | 2012-01-31 |
| 1093325631 | Piper Bravo | Case Manager/Care Coordinator | 10 Independence Cir, Chico, CA 95973-0381 | 2020-08-07 |
| 1225660988 | Muria Lurena Dilts | Case Manager/Care Coordinator | 10 Independence Cir, Chico, CA 95973-0381 | 2020-02-10 |
| 1477104313 | Rachael Elizabethe Hendry | Case Manager/Care Coordinator | 10 Independence Cir, Chico, CA 95973-0381 | 2019-09-23 |
| 1679123665 | Cynthia Dunn | Case Manager/Care Coordinator | 287 Rio Lindo Ave, Chico, CA 95926-1973 | 2019-09-12 |
| 1811550429 | Mary Elizabeth Parker | Case Manager/Care Coordinator | 10 Independence Cir, Chico, CA 95973-0381 | 2019-04-18 |
| 1770057358 | Logan Richard Williams | Case Manager/Care Coordinator | 287 Rio Lindo Ave, Chico, CA 95926-1973 | 2019-01-16 |
| 1134690902 | Sara Bundy | Case Manager/Care Coordinator | 287 Rio Lindo Ave, Chico, CA 95926-1973 | 2018-12-05 |
| 1336610104 | Christian Douglas Munns | Case Manager/Care Coordinator | 287 Rio Lindo Ave, Chico, CA 95926-1973 | 2018-12-05 |
| Find all providers in CHICO | ||||
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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.