MRS. KATHLEEN ANN KEPHART (NPI# 1417251851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417251851 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN ANN KEPHART |
| Practice Address |
10610 Main St Suite 224 Hayward WI 54843-6595 |
| Practice Telephone | 7156383296 |
| Practice Fax Number | 7156345387 |
| Mailing Telephone | 7156383296 |
| Mailing Fax Number | 7156345387 |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861796534 | Kathleen Marie Kephart | Physician Assistant | 202 Cove Forge Rd, Williamsburg, PA 16693-7138 | 2011-01-10 |
| Street Address |
10610 MAIN ST SUITE 224 |
| City | HAYWARD |
| State | WI |
| Zip Code | 54843-6595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679566327 | County of Sawyer | Case Management | 10610 Main St, Suite 224, Hayward, WI 54843-6595 | 2005-08-29 |
| 1053585695 | Susan Kay Pearson | Speech-Language Pathologist | 10610 Main St, Hayward, WI 54843-6595 | 2008-04-15 |
| 1013116250 | Patricia Anne Harrington | Registered Nurse | 10610 Main St, Hayward, WI 54843-6595 | 2007-07-17 |
| 1881801173 | Randy A Young | Counselor | 10610 Main St, Hayward, WI 54843 | 2007-05-17 |
| 1417164716 | Patricia J Sanchez | Counselor | 10610 Main St, Hayward, WI 54843 | 2007-05-17 |
| 1881806149 | Thomas Erwin Tadysak | Dentist | 10610 Main St, Hayward, WI 54843 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
| 1245687417 | Gary Girard | Counselor | 15655 W County Hwy B, Hayward, WI 54843 | 2016-05-18 |
| 1164844379 | Elizabeth Anne Johnson | Counselor | 10594 Main Street #1021, Hayward, WI 54843 | 2014-01-08 |
| 1376776922 | Amy Marilyn Billman | Massage Therapist | 11128n Highway 27/77, Hayward, WI 54843 | 2009-08-31 |
| 1700016516 | Kyra Rhodes Larson | Dentist | 15541w Hwy 77 East, Hayward, WI 54843 | 2009-07-15 |
| 1235383985 | Sara Jane Drost | Dental Hygienist | 15910 W Company Lake Road, Hayward, WI 54843 | 2008-11-07 |
| 1982856076 | Align Therapy,llc | In Home Supportive Care | 10767 Nyman Avenue, Hayward, WI 54843 | 2008-10-21 |
| 1316112477 | Michael John Larson | Hearing Instrument Specialist | 15612 Windrose Lane, #200, Hayward, WI 54843 | 2008-04-29 |
| 1679748966 | Gwendolyn Vinopal | Physical Therapist | 16014w Sleepy Hollow Drive, Hayward, WI 54843 | 2008-04-28 |
| 1558546523 | Ruth Anne Gillmor | Social Worker | 10610 Main, Hayward, WI 54843 | 2008-01-08 |
| Find all providers in zip 54843 | ||||
| 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 |
|---|---|---|---|---|
| 1447877881 | Linda N Bui | Case Manager/Care Coordinator | 24085 Amador St Ste 310, Hayward, CA 94544-1222 | 2020-07-01 |
| 1922625615 | Vannesa Imperial | Case Manager/Care Coordinator | 24085 Amador St Ste 400, Hayward, CA 94544-1226 | 2020-06-29 |
| 1639795677 | Fedilynn Radovan Basobas-cacao | Case Manager/Care Coordinator | 24085 Amador St Fl 4, Hayward, CA 94544-1226 | 2020-06-24 |
| 1841768488 | Ayesha Zahoor | Case Manager/Care Coordinator | 24371 Anna St, Hayward, CA 94545-2049 | 2018-11-12 |
| 1124258561 | Shirley Jean Walker | Case Manager/Care Coordinator | 21757 Meekland Ave, Hayward, CA 94541-3854 | 2009-07-20 |
| 1952902280 | Andy Tran | Case Manager/Care Coordinator | 24085 Amador St Fl 4, Hayward, CA 94544-1226 | 2020-11-03 |
| 1396343240 | Danella Ruth Mckinnon | Case Manager/Care Coordinator | 22211 Foothill Blvd, Hayward, CA 94541-2712 | 2020-10-13 |
| 1740887165 | Daisy Jacqueline Orozco | Case Manager/Care Coordinator | 22211 Foothill Blvd, Hayward, CA 94541-2712 | 2020-10-08 |
| 1033722343 | Clifford Chin | Case Manager/Care Coordinator | 24085 Amador St, Hayward, CA 94544-1222 | 2020-08-26 |
| 1477166171 | Vycelka Gatto | Case Manager/Care Coordinator | 24085 Amador St, Hayward, CA 94544-1222 | 2020-08-24 |
| Find all providers in HAYWARD | ||||
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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.