MISS STACEY MARIE DOERNER (NPI# 1326515438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326515438 |
| Entity Type | Individual |
| Full Name | MISS STACEY MARIE DOERNER |
| Practice Address |
1650 Sw 45th Pl Corvallis OR 97333-1768 |
| Practice Telephone | 5417578068 |
| Mailing Telephone | 5417578068 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 128715 | 05 |
| Street Address |
1650 SW 45TH PL |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97333-1768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780651018 | Pamela Hood Szivek | Occupational Therapist | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2006-03-06 |
| 1154928422 | Molly Marie Paeth | Case Manager/Care Coordinator | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2020-10-08 |
| 1174120141 | Sophia R Shorten | Counselor | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2020-10-02 |
| 1689288987 | Randi Shea Hendricks | Counselor | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2020-09-03 |
| 1992323968 | Alexandra E Moore | Case Manager/Care Coordinator | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2020-07-07 |
| 1932724952 | Sonny Shawn Goodnature | Counselor | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2020-06-15 |
| 1932738077 | Amanda Jean Christensen | Counselor | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2020-04-01 |
| 1306476999 | Kimberly Dawn Vanhorn | Case Manager/Care Coordinator | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2020-01-22 |
| 1790325967 | Erin Zurbrugg | Counselor | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2020-01-15 |
| 1538704895 | Angela Patricia Quintero | Counselor | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2019-11-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
| 1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
| 1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
| 1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
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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 |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1154928422 | Molly Marie Paeth | Case Manager/Care Coordinator | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2020-10-08 |
| 1992323968 | Alexandra E Moore | Case Manager/Care Coordinator | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2020-07-07 |
| 1396364170 | Anthony D Williams | Case Manager/Care Coordinator | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-04-13 |
| 1306476999 | Kimberly Dawn Vanhorn | Case Manager/Care Coordinator | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2020-01-22 |
| 1972147668 | Rachael Fields | Case Manager/Care Coordinator | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2019-11-05 |
| 1629585492 | Story Edison | Case Manager/Care Coordinator | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2018-01-03 |
| 1558878306 | Liesl Ione Rolston | Case Manager/Care Coordinator | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2018-01-02 |
| 1457860926 | Amanda Yutzie | Case Manager/Care Coordinator | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2017-09-27 |
| 1477078491 | Prema Kusra Kapuler | Case Manager/Care Coordinator | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2017-08-10 |
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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.