MS. KELLY WEAVER (NPI# 1265610687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265610687 |
| Entity Type | Individual |
| Full Name | MS. KELLY WEAVER |
| Practice Address |
1300 S Grand Ave Ste C Santa Ana CA 92705-4434 |
| Mailing Address |
Po Box 11526 Santa Ana CA 92711-1526 |
| Practice Telephone | 7145677656 |
| Practice Fax Number | 7145677633 |
| Mailing Telephone | 7145677656 |
| Mailing Fax Number | 7145677633 |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1235657552 | Kelly Anne Weaver | Nurse Practitioner | 1012 N Mills Ave, Arcadia, FL 34266-8811 | 2017-09-07 |
| 1477915098 | Kelly Egan Weaver | Physician Assistant | 1201 Broad Rock Blvd Richmond Va 23224, Richmond, VA 23249-4915 | 2016-03-23 |
| 1295101384 | Kelly Weaver | Physical Therapist | 892 Oak Knoll Dr, Perrysburg, OH 43551-2910 | 2015-08-12 |
| 1316232234 | Kelly Weaver | Speech-Language Pathologist | 709 Goodrich Ct, Platteville, CO 80651-7586 | 2011-06-20 |
| 1164713186 | Kelly M Weaver | Licensed Practical Nurse | 17915 Wildcat Rd, Danville, OH 43014-9560 | 2011-04-25 |
| 1821115015 | Kelly Ann Weaver | Registered Nurse | 13660 Jog Road Suite 2, Delray Beach, FL 33446-3806 | 2007-03-23 |
| 1275575334 | Kelly M Weaver | Psychologist | 3011 Bethel Rd Ste 100, Columbus, OH 43220-6104 | 2006-06-12 |
| 1528684750 | Kelly Weaver | Pharmacist | 125 Hall Rd, Seagoville, TX 75159-2915 | 2020-06-23 |
| 1609429695 | Kelly L Weaver | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-07-19 |
| Street Address |
1300 S GRAND AVE STE C |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-4434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962593616 | Alexis Victoria Moulton | Licensed Psychiatric Technician | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4402 | 2006-09-27 |
| 1629532874 | Jennifer Tracy Lesser | Registered Nurse | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4434 | 2019-01-22 |
| 1669857710 | Ana Rosa Melendez | Counselor | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4402 | 2015-07-29 |
| 1962807727 | Cristina Madory | Social Worker | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4434 | 2014-10-22 |
| 1932410925 | Edwin Alexander Cruz | Counselor | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4402 | 2010-06-24 |
| 1477723856 | Brett David Williams | Case Manager/Care Coordinator | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4434 | 2008-03-03 |
| 1841469103 | Ithamar Young | Case Manager/Care Coordinator | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4434 | 2008-02-20 |
| 1881862795 | Monique Rochelle Nilsen | Case Manager/Care Coordinator | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4434 | 2008-02-13 |
| 1326226705 | John C. Claxton | Case Manager/Care Coordinator | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4434 | 2008-02-07 |
| 1063690444 | Darren Anthony Tan | Case Manager/Care Coordinator | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4434 | 2008-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| 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 |
|---|---|---|---|---|
| 1063987097 | Bridgetthe Correa | Case Manager/Care Coordinator | 2001 E 4th St # 200205, Santa Ana, CA 92705-3916 | 2018-10-05 |
| 1023509643 | Scott Wesley Kennifer | Case Manager/Care Coordinator | 1300 S Grand Ave Ste 213, Santa Ana, CA 92705-4434 | 2018-05-21 |
| 1265920698 | Elecia P Weathersby | Case Manager/Care Coordinator | 1300 S Grand Ave Ste C-213, Santa Ana, CA 92705-4434 | 2018-05-01 |
| 1538667860 | Micaela Hassan | Case Manager/Care Coordinator | 2720 S Bristol St # 200, Santa Ana, CA 92704-6207 | 2018-02-01 |
| 1841711934 | Irene Juanita Herrera | Case Manager/Care Coordinator | 1300 S Grand Ave Ste C213, Santa Ana, CA 92705-4434 | 2017-06-29 |
| 1922559319 | Nancy Segovia | Case Manager/Care Coordinator | 2520 Red Hill Suite 100, Santa Ana, CA 92705 | 2016-10-20 |
| 1568813152 | Michael Anthony Maxey | Case Manager/Care Coordinator | 3922 S Timber St, Santa Ana, CA 92707-4953 | 2016-06-25 |
| 1326446139 | Irene Warkentine | Case Manager/Care Coordinator | 1300 S Grand Ave Bldg C-213, Santa Ana, CA 92705-4434 | 2014-12-10 |
| 1194128728 | Angelica Molina | Case Manager/Care Coordinator | 1140 W Santa Ana Blvd, Santa Ana, CA 92703-3833 | 2014-09-26 |
| 1679911341 | Milton Mucker | Case Manager/Care Coordinator | 302 N Tustin Ave, Suite 100, Santa Ana, CA 92705-3838 | 2013-06-04 |
| Find all providers in SANTA ANA | ||||
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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.