MRS. KIMBERLY RENEE PACKARD (NPI# 1326295585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326295585 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY RENEE PACKARD |
| Practice Address |
190 N Van Ness Ave Fresno CA 93701-1672 |
| Practice Telephone | 5592378337 |
| Practice Fax Number | 5592378342 |
| Mailing Telephone | 5592378337 |
| Mailing Fax Number | 5592378342 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164692083 | Kimberly Dawn Packard | Dietitian, Registered | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2008-03-06 |
| Street Address |
190 N VAN NESS AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93701-1672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225154214 | Mary Ann Lopez | Specialist | 190 N Van Ness Ave, Fresno, CA 93701-1672 | 2007-03-21 |
| 1669628202 | Lawanda Marie Green | Case Manager/Care Coordinator | 190 N Van Ness Ave, Fresno, CA 93701-1672 | 2008-08-14 |
| 1902062102 | Celia M Cruz | Case Manager/Care Coordinator | 190 N Van Ness Ave, Fresno, CA 93701-1672 | 2008-08-06 |
| 1184880486 | Mental Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 190 N Van Ness Ave, Fresno, CA 93701-1672 | 2008-08-06 |
| 1700067766 | Sandy Lynn Armstrong | Specialist | 190 N Van Ness Ave, Fresno, CA 93701-1672 | 2007-11-19 |
| 1326229394 | Rachel Ann Chaffin | Specialist | 190 N Van Ness Ave, Fresno, CA 93701-1672 | 2007-11-19 |
| 1841402948 | Linda Condon | Specialist | 190 N Van Ness Ave, Fresno, CA 93701-1672 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
| 1144849829 | Katelyn Nicole Van Leir | Student in an Organized Health Care Education/Training Program | Surabian Dental Care Center - Suite 2500, 290 N. Wayte Lane, Fresno, CA 93701 | 2020-04-13 |
| 1003445693 | Michelle Edwardson | Registered Nurse | 215 North Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-06 |
| 1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
| 1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
| 1275026585 | Yesenia Gonzalez | Nurse Practitioner | 311 Abby Street, Fresno, CA 93701 | 2018-06-11 |
| 1710474606 | Amanda Juarez | Dietitian, Registered | 215 N Fresno, Suite 370, Fresno, CA 93701 | 2018-04-17 |
| 1235650391 | Plastic Surgery Partners of Fresno Inc | Plastic Surgery | 215 N Fresno St, Ste 490, Fresno, CA 93701 | 2017-06-29 |
| 1205369790 | Amy Alagh | Student in an Organized Health Care Education/Training Program | 155 N Fresno Street, Fresno, CA 93701 | 2017-04-11 |
| 1922462159 | Henry Matthew Dunn | Student in an Organized Health Care Education/Training Program | Ucsf Fresno, 155 N. Fresno St., Department of Orthopaedic Surgery, Fresno, CA 93701 | 2016-04-13 |
| Find all providers in zip 93701 | ||||
| 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 |
|---|---|---|---|---|
| 1679173835 | Cristina Palacios-gomez | Case Manager/Care Coordinator | 1834 E Lester Ave, Fresno, CA 93720-1963 | 2020-10-27 |
| 1588272876 | Avarita Shari Henry | Case Manager/Care Coordinator | 3710 Iris Ridge Way, Fresno, TX 77545-6040 | 2020-07-22 |
| 1780201954 | Sabrina Syvankham | Case Manager/Care Coordinator | 4789 E Kings Canyon Rd, Fresno, CA 93702-4069 | 2020-07-02 |
| 1487270658 | Choua Yang | Case Manager/Care Coordinator | 4861 E Kings Canyon Rd, Fresno, CA 93727-3811 | 2020-06-23 |
| 1801428834 | Alicia Danielle Sanchez | Case Manager/Care Coordinator | 7029 N Oratorio Dr, Fresno, CA 93711-0146 | 2020-02-07 |
| 1689136350 | Marissa Carrillo | Case Manager/Care Coordinator | 1797 E Dorothy St, Fresno, CA 93706-5430 | 2019-04-02 |
| 1902363609 | Ma Irene Sanchez Sanchez | Case Manager/Care Coordinator | 4411 E Kings Canyon Rd Ste 319, Fresno, CA 93702-3604 | 2019-02-28 |
| 1144790411 | Garfield Jermyuer Spencer | Case Manager/Care Coordinator | 3433 W Shaw Ave Ste 103, Fresno, CA 93711-3229 | 2018-11-29 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| Find all providers in FRESNO | ||||
Please comment or provide details below to improve the information on MRS. KIMBERLY RENEE PACKARD.
| 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.