STEPHANIE G DWYER (NPI# 1447455951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447455951 |
| Entity Type | Individual |
| Full Name | STEPHANIE G DWYER |
| Practice Address |
509 Ne Alberta St Portland OR 97211-3976 |
| Mailing Address |
4905 Ne 11th Ave Portland OR 97211-4527 |
| Practice Telephone | 5032497767 |
| Mailing Telephone | 5034425409 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2007-07-08 |
| 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 |
|---|---|---|---|---|
| 1578125829 | Stephanie Dwyer | Physician Assistant | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2019-07-07 |
| 1295110724 | Stephanie Dwyer | Pharmacist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2015-07-27 |
| 1649494485 | Stephanie R Dwyer | Registered Nurse | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2007-04-12 |
| Street Address |
509 NE ALBERTA ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97211-3976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376659987 | Debra Jean Cullen | Counselor | 509 Ne Alberta St, Portland, OR 97211-3976 | 2006-08-23 |
| 1952921736 | Lillian E Moffitt | Adult Companion | 509 Ne Alberta St, Portland, OR 97211-3976 | 2020-04-21 |
| 1841690005 | Jacki Penny | Adult Companion | 509 Ne Alberta St, Portland, OR 97211-3976 | 2014-08-25 |
| 1043635329 | Michael Phelps | Case Manager/Care Coordinator | 509 Ne Alberta St, Portland, OR 97211-3976 | 2014-02-24 |
| 1598180879 | Robert Nicholas | Adult Companion | 509 Ne Alberta St, Portland, OR 97211-3976 | 2014-02-24 |
| 1689096489 | Allissa Andersen | Case Manager/Care Coordinator | 509 Ne Alberta St, Portland, OR 97211-3976 | 2014-01-13 |
| 1730523648 | Leandro Alberto Lopez | Case Manager/Care Coordinator | 509 Ne Alberta St, Portland, OR 97211-3976 | 2013-04-22 |
| 1720323694 | La Treca Phillips | Adult Companion | 509 Ne Alberta St, Portland, OR 97211-3976 | 2012-12-04 |
| 1013268549 | David Bowman Volker | Adult Companion | 509 Ne Alberta St, Portland, OR 97211-3976 | 2012-09-24 |
| 1124377841 | Carol L Nieman | Adult Companion | 509 Ne Alberta St, Portland, OR 97211-3976 | 2012-09-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386104586 | Rachel Joy Kendall | Counselor | 5257 Nw Martin Luther King Jr. Blvd, 202e, Portland, OR 97211 | 2019-03-22 |
| 1073014601 | Kelli Minton | Behavior Technician | 7035 Ne 9th Ave, Portland, OR 97211 | 2018-02-28 |
| 1083145726 | Warren H Baumann | Registered Nurse | 854 Ne Simpson St, Portland, OR 97211 | 2017-03-24 |
| 1407277411 | Regina Barnett | Case Manager/Care Coordinator | 509 Ne Alberta St., Portland, OR 97211 | 2013-12-17 |
| 1578905964 | Carmel Therese Irving | Social Worker | 5912 Ne 16th Ave, Portland, OR 97211 | 2013-07-25 |
| 1629310990 | Lisa Peacock | Counselor | 4433 Ne 35 Place, Portland, OR 97211 | 2013-03-25 |
| 1285907915 | Michele Karen Koder | Pharmacist | 3529 Ne Martin Luther King, Jr. Blvd., Portland, OR 97211 | 2012-02-10 |
| 1629368196 | Alexis Miranda Barker | Massage Therapist | 4929 Ne 30th Ave, Zen Space Healing, Portland, OR 97211 | 2011-04-18 |
| 1396041760 | Kara Ann Fuerst | Specialist | 3325 Ne Prescott, Portland, OR 97211 | 2011-02-02 |
| 1063746337 | Laura K Elvers | Pharmacist | 6116 Ne Mlk, Portland, OR 97211 | 2009-09-18 |
| Find all providers in zip 97211 | ||||
| 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 |
|---|---|---|---|---|
| 1437775558 | John Alan Varner | Case Manager/Care Coordinator | 5833 N Lombard St, Portland, OR 97203-4115 | 2020-06-24 |
| 1750906228 | Dwell Care LLC. | Case Manager/Care Coordinator | 1720 Nw Lovejoy St Ste 202, Portland, OR 97209-2341 | 2020-06-10 |
| 1871138453 | Kedrick Starr | Case Manager/Care Coordinator | 14600 Nw Cornell Rd., Portland, OR 97229 | 2019-11-07 |
| 1477102077 | Joslyn Bailey Gheen | Case Manager/Care Coordinator | 1032 Sw Main St, Portland, OR 97205-2407 | 2019-09-05 |
| 1497311773 | Ali Tareq Ashour | Case Manager/Care Coordinator | 980 Forest Ave Ste 106, Portland, ME 04103-3357 | 2019-05-13 |
| 1427540202 | Amber Tracy Ware | Case Manager/Care Coordinator | 30 Ne Martin Luther King Jr Blvd, Portland, OR 97232-2941 | 2018-06-06 |
| 1710479209 | Katherine Anne Kerr | Case Manager/Care Coordinator | 4307 Ne 102nd Ave, Portland, OR 97220-3439 | 2018-05-31 |
| 1194230664 | Ankita Guchait | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229 | 2017-12-06 |
| 1083137459 | David Sague | Case Manager/Care Coordinator | 7820 Ne Holman St Ste B5, Portland, OR 97218-2841 | 2017-07-18 |
| 1538601885 | Gabriela Simone Sargent | Case Manager/Care Coordinator | 4109 Se 113th Ave, Portland, OR 97266-2226 | 2016-11-16 |
| Find all providers in PORTLAND | ||||
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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.