SHANNON LIAT IRVING


Address: 460 Ridgecrest Ave, Family Infant Toddler Program-suite 214, Bethel, AK 99559-0281
Phone: 9075431778

SHANNON LIAT IRVING (NPI# 1285909770) 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) 1285909770
Entity Type Individual
Full Name SHANNON LIAT IRVING
Practice Address 460 Ridgecrest Ave
Family Infant Toddler Program-suite 214
Bethel
AK 99559-0281
Mailing Address Po Box 281
Bethel
AK 99559-0281
Practice Telephone 9075431778
Practice Fax Number 9075431276
Mailing Telephone 9075455716
Enumeration Date 2012-03-15
Last Update Date 2013-12-11
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

Other Provider Identifier

State Issuer Identifier Type Code
AK 1002573 05

Office Location

Street Address 460 RIDGECREST AVE
FAMILY INFANT TODDLER PROGRAM-SUITE 214
City BETHEL
State AK
Zip Code 99559-0281

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194337519 Michael P Nicolai Case Manager/Care Coordinator 829 Chief Eddie Hoffman Hey, Bethel, AK 99559 2020-08-18
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1780229609 Laline Knox Massage Therapist 107 Alex Hatley Ste 1, Bethel, AK 99559 2019-11-14
1659920502 Ana Celina Sebastian Counselor 1380 Calista Dr, Bethel, AK 99559 2019-09-04
1639730484 Jerri Linda Moran-gentle Massage Therapist 430 A 7th Ave, Bethel, AK 99559 2019-06-24
1528625381 Jennifer Peeks Social Worker 631 4th Ave. & Main St., Bethel, AK 99559 2019-05-28
1710451190 Mary Theresa Thibeault Registered Nurse Bethel Public Health Center, 1490 Eddie Hoffman Highway, Bethel, AK 99559 2019-01-18
1659846210 Freda Lizann Jimmie Counselor 829 Eddie Hoffman Highway, Bethel, AK 99559 2018-10-10
1073093977 Romeo Mullai Counselor 1630 Calista Drive, Bethel, AK 99559 2018-08-20
1235623794 Brian Justin Moses Day Training/Habilitation Specialist 841 Chief Eddie Hoffman Highway, Bethel, AK 99559 2018-06-19
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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
1194337519 Michael P Nicolai Case Manager/Care Coordinator 829 Chief Eddie Hoffman Hey, Bethel, AK 99559 2020-08-18
1447606710 Sophie Jenkins Case Manager/Care Coordinator 185 Hoffman Subdivision, Bethel, AK 99558-0528 2016-05-05
1245607217 Willie John Case Manager/Care Coordinator 185 Hoffman Road, Bethel, AK 99559-0528 2015-08-26
1487068847 Julia Agnes Street Case Manager/Care Coordinator 460 Ridgecrest Drive Suite 215, Bethel, AK 99559-0528 2014-06-13
1689084733 Jaimie Lynn Kassman Case Manager/Care Coordinator 833 Cheif Eddie Hoffman Hwy, Bethel, AK 99559 2014-04-29
1063843233 Gracie Nelson Case Manager/Care Coordinator 700 Cheif Eddie Hoffman Hwy, Bethel, AK 99559-7000 2013-12-12
1346686045 Stephanie Pauline Moses Case Manager/Care Coordinator 829 Cheif Eddie Hoffman Highway, Bethel, AK 99559 2013-05-21
1386997286 Kristin K Peterson Case Manager/Care Coordinator 831 Chief Eddie Hoffman Highway, Bethel, AK 99559 2012-10-17
1538490198 Barbara G. Liu Case Manager/Care Coordinator 460 Ridgecrest Dr., Suite 214, Bethel, AK 99559 2010-01-21
1922284413 Evelyn Patsy Day Case Manager/Care Coordinator 839 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 2008-01-14
Find all providers in BETHEL

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City BETHEL
Zip Code 99559

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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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