MS. MACKENZIE DEE GISH (NPI# 1306213236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306213236 |
| Entity Type | Individual |
| Full Name | MS. MACKENZIE DEE GISH |
| Credential | RADT-1 |
| Practice Address |
7240 E Southgate Dr Suite G Sacramento CA 95823-2627 |
| Mailing Address |
419 Cherry Ave Roseville CA 95678-3211 |
| Practice Telephone | 9163914293 |
| Practice Fax Number | 9163914247 |
| Mailing Telephone | 9165320044 |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |
| 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 |
| Street Address |
7240 E SOUTHGATE DR SUITE G |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447242516 | Tam Hoang Nguyen | Pharmacist | 7240 E Southgate Dr, Suite # A, Sacramento, CA 95823-2627 | 2005-08-16 |
| 1891264867 | Robin Michelle Keller | Counselor | 7240 E Southgate Dr, Sacramento, CA 95823-2627 | 2018-11-19 |
| 1386175669 | Paul Gill | Counselor | 7240 E Southgate Dr, Sacramento, CA 95823-2627 | 2017-03-27 |
| 1033656319 | Jerold Arthur Hassel | Counselor | 7240 E Southgate Dr, Suite G, Sacramento, CA 95823-2627 | 2017-01-25 |
| 1518313527 | Frank Vang | Counselor | 7240 E Southgate Dr, Sacramento, CA 95823-2627 | 2016-05-09 |
| 1235503251 | Maydy Lo | Counselor | 7240 E Southgate Dr, Sacramento, CA 95823-2627 | 2015-11-16 |
| 1306212576 | Nai Fow Saephan | Counselor | 7240 E Southgate Dr, Sacramento, CA 95823-2627 | 2015-08-11 |
| 1285023630 | Jeffrey Lo | Counselor | 7240 E Southgate Dr, Sacramento, CA 95823-2627 | 2015-01-22 |
| 1932504065 | Salvador Cruz X | Counselor | 7240 E Southgate Dr, Sacramento, CA 95823-2627 | 2014-10-31 |
| 1770909533 | Kathryn Fry | Counselor | 7240 E Southgate Dr, Suite G, Sacramento, CA 95823-2627 | 2014-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| 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 |
|---|---|---|---|---|
| 1932709458 | Andre Howard | Case Manager/Care Coordinator | 2281 Hurley Way Apt 10, Sacramento, CA 95825-2337 | 2020-10-26 |
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1891392676 | Natalie V Galaviz | Case Manager/Care Coordinator | 3815 Marconi Ave # 52, Sacramento, CA 95821-3867 | 2020-10-05 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1093332579 | David Lynch | Case Manager/Care Coordinator | 700 H St Ste 270, Sacramento, CA 95814-1289 | 2020-06-30 |
| 1770126906 | Chrysanthia D Leggett | Case Manager/Care Coordinator | 7415 Henrietta Dr Unit A, Sacramento, CA 95822-5142 | 2019-10-21 |
| 1558904870 | Larry Carter | Case Manager/Care Coordinator | 3700 Watt Ave Apt 13, Sacramento, CA 95821-2661 | 2019-10-18 |
| 1255982443 | Valerie Bishop | Case Manager/Care Coordinator | 5691 Boyton Way, Sacramento, CA 95823-3811 | 2019-09-27 |
| 1720637689 | Ayana Nuno | Case Manager/Care Coordinator | 1616 El Monte Ave, Sacramento, CA 95815-2903 | 2019-09-04 |
| 1154980597 | Nosazena Leo Uyigue | Case Manager/Care Coordinator | Sacramento County Mental Health Treatment Center, 2150 Stockton Boulevard, Sacramento, CA 95817-1337 | 2019-06-10 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
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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.