KELLI WASMUND (NPI# 1275046823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275046823 |
| Entity Type | Individual |
| Full Name | KELLI WASMUND |
| Practice Address |
15 N 3rd St Newark OH 43055-5550 |
| Practice Telephone | 7403497511 |
| Mailing Telephone | 7403497511 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | OH | Other Service Providers |
| Street Address |
15 N 3RD ST |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-5550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851665574 | Kelly A Vacca | Social Worker | 15 N 3rd St, Ste 300, Newark, OH 43055-5550 | 2012-02-27 |
| 1891328464 | Paula Bruesch | Licensed Practical Nurse | 15 N 3rd St, Newark, OH 43055-5550 | 2020-02-21 |
| 1477101962 | Rob Hare | Counselor | 15 N 3rd St, Newark, OH 43055-5550 | 2019-08-28 |
| 1134692338 | Andrea Sargent Hughes | Social Worker | 15 N 3rd St, Newark, OH 43055-5550 | 2019-01-10 |
| 1629559950 | Stella Mae Pegan | Case Manager/Care Coordinator | 15 N 3rd St, Newark, OH 43055-5550 | 2018-08-24 |
| 1225523681 | Amy Elizabeth Davis | Social Worker | 15 N 3rd St, Newark, OH 43055-5550 | 2018-06-28 |
| 1285124800 | Ashton Lee Bowens | Social Worker | 15 N 3rd St, Newark, OH 43055-5550 | 2018-05-18 |
| 1265922413 | Amy B Huffer | Counselor | 15 N 3rd St, Newark, OH 43055-5550 | 2018-05-14 |
| 1740709328 | Jessica Marie Gray | Social Worker | 15 N 3rd St, Newark, OH 43055-5550 | 2017-09-14 |
| 1790202877 | Courtney Montell Vi | Social Worker | 15 N 3rd St, Newark, OH 43055-5550 | 2017-08-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
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| 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 |
|---|---|---|---|---|
| 1982223897 | Verne Taylor | Case Manager/Care Coordinator | 36397 Dijon Dr, Newark, CA 94560-2458 | 2020-04-10 |
| 1669006698 | Kennedy Asa Smith | Case Manager/Care Coordinator | 15 N 3rd St # 200, Newark, OH 43055-5550 | 2020-02-28 |
| 1942848403 | Amia J Pinckney | Case Manager/Care Coordinator | 243 South 11th Street, Newark, NJ 07103-0710 | 2019-12-16 |
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1730735473 | Valllery Supplice | Case Manager/Care Coordinator | 218 Sherman Ave, Newark, NJ 07114-1650 | 2019-08-16 |
| 1497233084 | Leighanna Wagner | Case Manager/Care Coordinator | 1547 Crystal Ct Apt D, Newark, OH 43055-6184 | 2018-08-06 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1154857779 | Julian King | Case Manager/Care Coordinator | 2590 Loper Rd Ne, Newark, OH 43055-9728 | 2017-05-02 |
| 1548617103 | Jose Andres Morales | Case Manager/Care Coordinator | 541 Roseville Av., Newark, NJ 07107 | 2016-05-24 |
| 1619324563 | Juliana N Dasilva | Case Manager/Care Coordinator | 59 Wilson Ave, #3, Newark, NJ 07105-3216 | 2016-05-20 |
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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.