AMY PENDERGAST (NPI# 1356839450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356839450 |
| Entity Type | Individual |
| Full Name | AMY PENDERGAST |
| Practice Address |
33 W 1st St Ste 100 Dayton OH 45402-1243 |
| Practice Telephone | 9372931945 |
| Practice Fax Number | 9372938150 |
| Mailing Telephone | 9372931945 |
| Mailing Fax Number | 9372938150 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |
| 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 |
| Street Address |
33 W 1ST ST STE 100 |
| City | DAYTON |
| State | OH |
| Zip Code | 45402-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982114203 | Vickie Ann Hellmich-bozdech | Social Worker | 33 W 1st St Ste 100, Dayton, OH 45402-1243 | 2017-10-02 |
| 1114577129 | Kymberley Elayne Boone | Case Manager/Care Coordinator | 33 W 1st St Ste 100, Dayton, OH 45402-1243 | 2019-09-12 |
| 1376192591 | Shanica Wheeler | Case Manager/Care Coordinator | 33 W 1st St Ste 100, Dayton, OH 45402-1243 | 2019-09-10 |
| 1417412578 | Teresa Fleagle | Social Worker | 33 W 1st St Ste 100, Dayton, OH 45402-1243 | 2019-02-04 |
| 1285108126 | Stephanie Clower | Case Manager/Care Coordinator | 33 W 1st St Ste 100, Dayton, OH 45402-1243 | 2019-01-14 |
| 1588144992 | Tyler J Ackerman | Case Manager/Care Coordinator | 33 W 1st St Ste 100, Dayton, OH 45402-1243 | 2018-08-15 |
| 1215423736 | Michelle Christine Miller | Case Manager/Care Coordinator | 33 W 1st St Ste 100, Dayton, OH 45402-1243 | 2018-07-09 |
| 1437645058 | Gary L Coleman Jr. | Case Manager/Care Coordinator | 33 W 1st St Ste 100, Dayton, OH 45402-1243 | 2018-07-06 |
| 1346736964 | Shelby Carpenter | Case Manager/Care Coordinator | 33 W 1st St Ste 100, Dayton, OH 45402-1243 | 2018-07-06 |
| 1073009692 | Kathryn Michelle Ford | Case Manager/Care Coordinator | 33 W 1st St Ste 100, Dayton, OH 45402-1243 | 2018-07-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902314750 | Sierra D Hamilton | Student in an Organized Health Care Education/Training Program | 1222 S Patterson Blvd Ste 120, Dayton, OH 45402 | 2018-01-15 |
| 1043738693 | Andrea Enterline | Pharmacist | 230 North Main Street, Dayton, OH 45402 | 2017-09-05 |
| 1407377427 | Felicia Renee Barefield | Registered Nurse | 1222 Vernon Drive, Dayton, OH 45402 | 2017-06-29 |
| 1306377924 | Organization1 | Chronic Disease Hospital | 230 N Main Street, Dayton, OH 45402 | 2017-03-24 |
| 1801336144 | Affect Consulting, LLC | Social Worker | 131 N. Ludlow Street, 248, Dayton, OH 45402 | 2017-03-06 |
| 1669910261 | Latrisha Benson | Nurse's Aide | 326 Middle St., Dayton, OH 45402 | 2017-02-03 |
| 1417404849 | Five Rivers Health Center | Clinic/Center | 725 S. Ludlow St, Dayton, OH 45402 | 2016-09-01 |
| 1780130609 | Christine Hotz-steward | Social Worker | 660 S Main St Gesmv, Dayton, OH 45402 | 2016-08-31 |
| 1942655618 | Cindy Warner | Counselor | 444 West 3rd St, Dayton, OH 45402 | 2016-04-29 |
| 1700250248 | Womack Army Medical Center | Rehabilitation Unit | 215 Ice Ave, 100, Dayton, OH 45402 | 2015-11-20 |
| Find all providers in zip 45402 | ||||
| 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 |
|---|---|---|---|---|
| 1871193706 | Brooke Siggers | Case Manager/Care Coordinator | 829 S Gettysburg Ave # 45416, Dayton, OH 45417-3569 | 2020-10-29 |
| 1790396240 | Joanne Davis | Case Manager/Care Coordinator | 829 S Gettysburg Ave # 45424, Dayton, OH 45417-3569 | 2020-08-10 |
| 1083233548 | Lee Wagner | Case Manager/Care Coordinator | 829 S Gettysburg Ave # 45404, Dayton, OH 45417-3569 | 2020-04-14 |
| 1639703655 | Karmeika Michelle Mcintosh | Case Manager/Care Coordinator | 117 Ashwood Ave, Dayton, OH 45405-2643 | 2020-02-28 |
| 1043869126 | Joshua Hawes | Case Manager/Care Coordinator | 1258 Catalpa Dr, Dayton, OH 45402-5847 | 2019-09-10 |
| 1154970580 | Dorothy Robinson | Case Manager/Care Coordinator | 5342 Deer Path Ln, Dayton, OH 45415-2807 | 2019-09-09 |
| 1376191080 | Cara Sandell | Case Manager/Care Coordinator | 7691 Poe Ave, Dayton, OH 45414-2552 | 2019-08-27 |
| 1609434844 | Latosha Scott | Case Manager/Care Coordinator | 1442 Swinger Dr, Dayton, OH 45417-8225 | 2019-06-03 |
| 1407410608 | James Darwin Muir | Case Manager/Care Coordinator | 30 Hannah Dr, Dayton, NJ 08810-1365 | 2019-04-24 |
| 1851865703 | Katherine Bernadette Brossart | Case Manager/Care Coordinator | 33 West 1st St, Suite 100, Dayton, OH 45402-1298 | 2019-01-14 |
| Find all providers in DAYTON | ||||
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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.