KELSY TIMAS (NPI# 1275172298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275172298 |
| Entity Type | Individual |
| Full Name | KELSY TIMAS |
| Practice Address |
143 Skateway Dr Fayetteville NC 28304-2640 |
| Practice Telephone | 9108646257 |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 51053404 | NC | Other Service Providers |
| Street Address |
143 SKATEWAY DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588293658 | Coral Esparza | Massage Therapist | 143 Skateway Dr, Fayetteville, NC 28304-2640 | 2020-04-02 |
| 1043849128 | Rachel Beam | Case Manager/Care Coordinator | 143 Skateway Dr, Fayetteville, NC 28304-2640 | 2020-04-02 |
| 1891324976 | Elyse Parrish | Massage Therapist | 143 Skateway Dr, Fayetteville, NC 28304-2640 | 2020-04-02 |
| 1649809666 | Guiding Wellness Institute | Community/Behavioral Health | 143 Skateway Dr, Fayetteville, NC 28304-2640 | 2020-04-02 |
| 1588292973 | Brittany Moore | Psychologist | 143 Skateway Dr, Fayetteville, NC 28304-2640 | 2020-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| 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 |
|---|---|---|---|---|
| 1700495595 | Brittany Huerta | Case Manager/Care Coordinator | 5649 Gatewood Rd, Fayetteville, WV 25840-5135 | 2020-07-28 |
| 1508474867 | Anna L Kincaid | Case Manager/Care Coordinator | 1257 Terry Ave, Fayetteville, WV 25840-5444 | 2020-07-22 |
| 1619501087 | 1 Source Senior Care | Case Manager/Care Coordinator | 1820 Shelby Ln, Fayetteville, AR 72704-5255 | 2020-02-25 |
| 1326679473 | Megan Thomas | Case Manager/Care Coordinator | 3715 N Business Dr Ste 201, Fayetteville, AR 72703-5288 | 2020-01-28 |
| 1679131726 | Scharmane Porter | Case Manager/Care Coordinator | 110 Westbridge Cir, Fayetteville, GA 30214-2638 | 2019-06-04 |
| 1790259117 | Mackenzie Birdsong | Case Manager/Care Coordinator | 3715 N Business Dr Ste 105, Fayetteville, AR 72703-5287 | 2019-01-18 |
| 1134659162 | Sheila May Reynolds | Case Manager/Care Coordinator | 1872 N Cannondale Dr, Fayetteville, AR 72704-6931 | 2017-06-13 |
| 1528596285 | Alexander Garcia II | Case Manager/Care Coordinator | 1687 W Lodge Way Apt 100a, Fayetteville, AR 72701-5084 | 2017-05-25 |
| 1619414786 | Markese Ware | Case Manager/Care Coordinator | 3715 N Business Dr, Ste 104, Fayetteville, AR 72703-5204 | 2017-01-26 |
| 1245786177 | Joseph James Defrange | Case Manager/Care Coordinator | 3005 W Dorothy Jeanne St Apt 9, Fayetteville, AR 72704-8704 | 2016-08-31 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on KELSY TIMAS.
| 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.