KIMBERLY KATELNIKOFF (NPI# 1295365732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295365732 |
| Entity Type | Individual |
| Full Name | KIMBERLY KATELNIKOFF |
| Practice Address |
717 E Rezanof Dr Kodiak AK 99615-6416 |
| Mailing Address |
Po Box 3290 Portland OR 97208-3290 |
| Practice Telephone | 9074812400 |
| Practice Fax Number | 9074812419 |
| Mailing Telephone | 8669071068 |
| Mailing Fax Number | 4259179141 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | AK | Other Service Providers |
| Street Address |
717 E REZANOF DR |
| City | KODIAK |
| State | AK |
| Zip Code | 99615-6416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477563344 | Providence Health & Services Washington | Psychiatry & Neurology | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2006-08-09 |
| 1376141929 | Providence Kodiak Island Counseling Center | Community/Behavioral Health | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2020-10-15 |
| 1467079442 | Alexandra S Woodside | Counselor | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2020-06-25 |
| 1518507029 | Starr Shanley | Case Manager/Care Coordinator | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2020-01-13 |
| 1265915193 | Christine L Foster | Counselor | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2018-09-06 |
| 1285115832 | Laura Lynette Griffin | Case Manager/Care Coordinator | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2018-08-22 |
| 1679053391 | Cynthia Clogston | Case Manager/Care Coordinator | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2018-08-21 |
| 1104310200 | Stephanie M Mccarter | Counselor | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2018-06-21 |
| 1124545991 | Maria Theresa Vitor Cabrera | Registered Nurse | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2017-08-23 |
| 1235676545 | Pureza Villaran | Case Manager/Care Coordinator | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2017-01-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864232 | Linda Irene Dunlap | Spec/Tech, Pathology | 1915 E. Remanof Drive, Kodiak, AK 99615 | 2019-10-31 |
| 1639638190 | Stephanie Brenteson | Community Health Worker | 125 Airport Way, Akhiok, AK 99615 | 2019-03-14 |
| 1609351022 | Desiree Alexis Wheeler | Optometrist | 3450 E Rezanof Dr, Kodiak, AK 99615 | 2018-10-02 |
| 1417479072 | Elaine Loomis Olsen | Case Manager/Care Coordinator | 1111 Purtov St., Kodiak, AK 99615 | 2017-07-14 |
| 1750828414 | Mary Jean Francisco | Case Manager/Care Coordinator | 717 East Rezanof Drive, Kodiak, AK 99615 | 2017-01-19 |
| 1558818112 | Carolyn Hawes | Case Manager/Care Coordinator | 717 Rezanof Dr, Kodiak, AK 99615 | 2016-09-01 |
| 1285083683 | Amanda Wilson | Community Health Worker | 124 Akhiok Street, Akhiok, AK 99615 | 2016-06-07 |
| 1447612056 | Kailee Champion | Massage Therapist | 3449 Rezanof Drive East, Kodiak, AK 99615 | 2016-03-23 |
| 1376891069 | Krystyna Mcrobert | Technician, Other | Cape Sarichef Road Bldg N46, Rockmore King Clinic, Kodiak, AK 99615 | 2012-08-28 |
| 1164778619 | Mark Anthony Johnson | Pharmacist | 3449 Rezanof Drive, Kodiak, AK 99615 | 2012-08-01 |
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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 |
|---|---|---|---|---|
| 1417479072 | Elaine Loomis Olsen | Case Manager/Care Coordinator | 1111 Purtov St., Kodiak, AK 99615 | 2017-07-14 |
| 1750828414 | Mary Jean Francisco | Case Manager/Care Coordinator | 717 East Rezanof Drive, Kodiak, AK 99615 | 2017-01-19 |
| 1558818112 | Carolyn Hawes | Case Manager/Care Coordinator | 717 Rezanof Dr, Kodiak, AK 99615 | 2016-09-01 |
| 1386067460 | Katherine Buchinger | Case Manager/Care Coordinator | 194 Alimaq Dr, Kodiak, AK 99615-6389 | 2014-01-27 |
| 1326310269 | Rheanna Davis | Case Manager/Care Coordinator | 1623 Mill Bay Rd Ste 1, Kodiak, AK 99615-6200 | 2012-02-08 |
| 1265766943 | Gennifer Lynn Moreau | Case Manager/Care Coordinator | 1623 Mill Bay Rd Ste 2, Kodiak, AK 99615-6200 | 2009-09-28 |
| 1811136120 | Holly Jean Hunter | Case Manager/Care Coordinator | 914 E Rezanof Dr, Lower Level-unit By W/d, Kodiak, AK 99615-6724 | 2009-02-10 |
| 1578731691 | Rosemary S. Donnelly | Case Manager/Care Coordinator | 302 Erskine, Kodiak, AK 99615 | 2008-02-11 |
| 1366041915 | Janna Lacroix | Case Manager/Care Coordinator | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2020-10-23 |
| 1518507029 | Starr Shanley | Case Manager/Care Coordinator | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2020-01-13 |
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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.