CORY DALE PAULOS (NPI# 1447626304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447626304 |
| Entity Type | Individual |
| Full Name | CORY DALE PAULOS |
| Practice Address |
406 Airport Dr Farmington NM 87401-5518 |
| Mailing Address |
807 W Apache St Farmington NM 87401-5527 |
| Practice Telephone | 5053255358 |
| Practice Fax Number | 5055648368 |
| Mailing Telephone | 5053255358 |
| Mailing Fax Number | 5055648368 |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |
| Gender Code | M |
| 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 |
406 AIRPORT DR |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-5518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306124425 | Pamela J Wright | Social Worker | 406 Airport Dr, Farmington, NM 87401-5518 | 2011-07-22 |
| 1003461963 | Jami Smith | Social Worker | 406 Airport Dr, Farmington, NM 87401-5518 | 2019-08-07 |
| 1447737267 | Melodi Polach | Case Manager/Care Coordinator | 406 Airport Dr, Farmington, NM 87401-5518 | 2018-07-24 |
| 1780170001 | Mykalynn Chamblee | Case Manager/Care Coordinator | 406 Airport Dr, Farmington, NM 87401-5518 | 2018-07-10 |
| 1528556024 | Eusebio Victor Valdez | Case Manager/Care Coordinator | 406 Airport Dr, Farmington, NM 87401-5518 | 2018-04-30 |
| 1043665565 | Sandra Lou Ki | Counselor | 406 Airport Dr, Farmington, NM 87401-5518 | 2016-05-03 |
| 1831585082 | Cheryl Ann Smiley | Counselor | 406 Airport Dr, Farmington, NM 87401-5518 | 2015-04-14 |
| 1629466693 | Cristina Duran | Case Manager/Care Coordinator | 406 Airport Dr, Farmington, NM 87401-5518 | 2014-12-29 |
| 1336544360 | Jesus Esparza | Case Manager/Care Coordinator | 406 Airport Dr, Farmington, NM 87401-5518 | 2014-11-04 |
| 1245574136 | Melissa Ann Tarazon | Counselor | 406 Airport Dr, Farmington, NM 87401-5518 | 2012-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| 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 |
|---|---|---|---|---|
| 1245872498 | Shannon Haley Kirkness | Case Manager/Care Coordinator | 4 Cope Farms Rd, Farmington, CT 06032-3153 | 2019-10-09 |
| 1629564091 | Kaibah Gorman | Case Manager/Care Coordinator | 815 W Apache St, Farmington, NM 87401-5527 | 2018-07-09 |
| 1013456243 | Adam Blum | Case Manager/Care Coordinator | 876 Electric St, Farmington, MO 63640-9215 | 2017-02-21 |
| 1376901603 | William Jackson | Case Manager/Care Coordinator | 1001 W Broadway Ste B, Farmington, NM 87401-5638 | 2016-02-01 |
| 1134546526 | Georgina Guadalupe Hernandez I | Case Manager/Care Coordinator | 818 E Main St Trlr 91, Farmington, NM 87401-2734 | 2014-03-24 |
| 1417298746 | Chelsie Lynn Stewart | Case Manager/Care Coordinator | 807 W. Apache, Farmington, NM 87401 | 2013-03-12 |
| 1336406479 | Lavee Keoni | Case Manager/Care Coordinator | 807 W Apace St, Farmington, NM 87401 | 2012-04-13 |
| 1255651998 | Megan Hill | Case Manager/Care Coordinator | 1615 Ojo Ct., Farmington, NM 87401 | 2010-06-04 |
| 1376142679 | Michelle M Medina | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-10-19 |
| 1972117729 | Valaria Lisa Kee | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-08-31 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on CORY DALE PAULOS.
| 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.