ELLEN GANTLY (NPI# 1437376506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437376506 |
| Entity Type | Individual |
| Full Name | ELLEN GANTLY |
| Practice Address |
831 S Chugach St Palmer AK 99645-6605 |
| Practice Telephone | 9077456294 |
| Practice Fax Number | 9077455489 |
| Mailing Telephone | 9077456294 |
| Mailing Fax Number | 9077455489 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-09 |
| 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 |
|---|---|---|---|
| AK | CM9747 | 05 |
| Street Address |
831 S CHUGACH ST |
| City | PALMER |
| State | AK |
| Zip Code | 99645-6605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407907629 | Palmer Senior Citizens Center, Inc. | Case Management | 831 S Chugach St, Palmer, AK 99645-6605 | 2007-01-15 |
| 1891096327 | Daniel Thornton | Case Manager/Care Coordinator | 831 S Chugach St, Palmer, AK 99645-6605 | 2010-11-15 |
| 1043538051 | Karen L Ripley | Case Manager/Care Coordinator | 831 S Chugach St, Palmer, AK 99645-6605 | 2010-05-14 |
| 1699004119 | Elizabeth Dawn Smith | Case Manager/Care Coordinator | 831 S Chugach St, Palmer, AK 99645-6605 | 2009-12-11 |
| 1417286931 | Angels K Elliott Scott | Case Manager/Care Coordinator | 831 S Chugach St, Palmer, AK 99645-6605 | 2009-12-11 |
| 1134362668 | Melissa Ann Benoy | Case Manager/Care Coordinator | 831 S Chugach St, Palmer, AK 99645-6605 | 2009-04-14 |
| 1952572232 | Samuel Meneses | Case Manager/Care Coordinator | 831 S Chugach St, Palmer, AK 99645-6605 | 2008-03-14 |
| 1548458748 | Merrie D Zucconi | Case Manager/Care Coordinator | 831 S Chugach St, Palmer, AK 99645-6605 | 2007-10-12 |
| 1003001637 | Clara Marie Bailey | Case Manager/Care Coordinator | 831 S Chugach St, Palmer, AK 99645-6605 | 2007-09-06 |
| 1770701013 | Hope Haag | Case Manager/Care Coordinator | 831 S Chugach St, Palmer, AK 99645-6605 | 2007-04-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
| 1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
| 1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
| 1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
| 1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
| Find all providers in zip 99645 | ||||
| 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 |
|---|---|---|---|---|
| 1376198069 | Care Coordination Advocates of Alaska | Case Manager/Care Coordinator | 901 N Richmond Ln # B, Palmer, AK 99645-8472 | 2019-08-08 |
| 1841705662 | Amy L Anderson | Case Manager/Care Coordinator | 10355 E Palmer Wasilla Hwy Ste 100, Palmer, AK 99645-8876 | 2017-12-04 |
| 1619420395 | Audrianna Nicole Lee | Case Manager/Care Coordinator | 10355 E Palmer Wasilla Hwy, Suite 110, Palmer, AK 99645-8876 | 2016-07-28 |
| 1528470416 | Katrina Stimson | Case Manager/Care Coordinator | 6177 E Mountain Heather Rd Ste 105, Palmer, AK 99645-8428 | 2014-05-27 |
| 1093148058 | Charlene Renae Dullum | Case Manager/Care Coordinator | 7610 Palmer Wasilla Hyw, Palmer, AK 99645-1907 | 2013-08-14 |
| 1669805651 | Cory Terpening | Case Manager/Care Coordinator | 7610 E Palmer Wasilla Highway, Palmer, AK 99645 | 2013-08-14 |
| 1679828016 | Nancy Mattie Koval | Case Manager/Care Coordinator | 1132 S Chugach St, Palmer, AK 99645-6608 | 2012-07-23 |
| 1013213750 | Laura Crum | Case Manager/Care Coordinator | 6177 E Mountain Heather Rd Ste 5, Palmer, AK 99645-8442 | 2011-01-27 |
| 1881862837 | Jerry Watkins | Case Manager/Care Coordinator | 427 N Alaska St, Palmer, AK 99645-6215 | 2008-02-12 |
| 1194901843 | Kathleen H. Ashmore Roberts | Case Manager/Care Coordinator | 9520 N Wolverine Rd, Palmer, AK 99645-8734 | 2008-01-11 |
| Find all providers in PALMER | ||||
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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.