KENDRA M LATIMER


Address: 12607 Se Mill Plain Blvd, Vancouver, WA 98684
Phone: 3604491749

KENDRA M LATIMER (NPI# 1447883020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447883020
Entity Type Individual
Full Name KENDRA M LATIMER
Credential CCSH RPSGT
Practice Address 12607 Se Mill Plain Blvd
Vancouver
WA 98684
Mailing Address 12607 Se Mille Plain Blvd
Vancouver
WA 98684-6055
Practice Telephone 3604491749
Mailing Telephone 3604491749
Enumeration Date 2020-02-21
Last Update Date 2020-02-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator 863 WA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 863 05

Office Location

Street Address 12607 SE MILL PLAIN BLVD
City VANCOUVER
State WA
Zip Code 98684

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659340735 Richard M Shuey Psychiatry & Neurology 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2006-03-14
1285273086 Leayn N Vandeven Student in an Organized Health Care Education/Training Program 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2019-12-27
1528605342 Jeff Cooksey Student in an Organized Health Care Education/Training Program 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2019-12-01
1104461961 Fidel Hernandez Jr. Nurse Practitioner 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2019-11-15
1518516822 Tameca Vernee Pryce Respiratory Therapist, Certified 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2019-09-09
1700348042 Beredu Abraham Geleto Registered Nurse 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2019-04-04
1942772660 Patricia Maria Rivera Psychologist 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2018-12-19
1992288328 Irene Moulton Pharmacist 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2018-09-12
1962982348 Christina Kirkpatrick Student in an Organized Health Care Education/Training Program 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2018-08-15
1346729589 Megan Breanne Short Student in an Organized Health Care Education/Training Program 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2018-08-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285291849 Pacifica Sylvan Park LLC Alzheimer Center (Dementia Center) 2400 Ne 112th Avenue, Vancouver, WA 98684 2019-05-20
1699242826 Heidi Ericka Jackson Registered Nurse 15606 Ne 12th Way, Vancouver, WA 98684 2018-10-25
1477076727 Brian Benasa Bardeloza Dentist 605 Se 164th Ave Ste 103, Vancouver, WA 98684 2017-07-19
1992226062 Judith Moreno-castro Massage Therapist 2501 Ne 138th Ave., #60, Vancouver, WA 98684 2017-06-29
1346790706 Samuel Joonsang Lee Registered Nurse 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 2016-10-10
1912353178 Cheryl A. Hamilton-jefferson Counselor 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 2016-05-06
1063866424 Kim Forgione Optometrist 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 2016-04-21
1700254257 Desiree Haggart Registered Nurse 406 Se 131st St., Suite A101, Vancouver, WA 98684 2015-09-14
1215318068 Paige M. King Behavioral Analyst 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 2015-06-17
1417354366 Amanda Hilkey, Lmp Massage Therapist 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 2014-11-20
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316551989 Nicole Buckner Case Manager/Care Coordinator 1601 E Fourth Plain Blvd Bldg 5, Vancouver, WA 98661-3717 2020-09-01
1568016475 Lauren Edelstein Case Manager/Care Coordinator 100 E 33rd St Ste 201a, Vancouver, WA 98663-2776 2019-07-29
1558823534 Tamara Bernal Aguilar Case Manager/Care Coordinator 13300 Ne 44th St, Vancouver, WA 98682-6909 2019-04-01
1922569409 Ignacia Alex Gordon Case Manager/Care Coordinator 11801 Ne 65th St # A, Vancouver, WA 98662-5527 2019-03-27
1366927428 Emma Martinez Case Manager/Care Coordinator 100 E 33rd St Ste 201b, Vancouver, WA 98663-2776 2018-09-25
1710407143 Christie Lee Chapin Case Manager/Care Coordinator 1601 E Mcloughlin Blvd, Vancouver, WA 98663-3528 2017-06-27
1154873511 Mariya Grizhinku Case Manager/Care Coordinator 7709 Ne 140th Ave, Vancouver, WA 98682-1304 2016-11-01
1194277038 Tiana Annalice Stroup Case Manager/Care Coordinator 11818 Se Mill Plain Blvd Ste 307, Vancouver, WA 98684-7017 2016-10-26
1174071997 Paris Quincy-jamal Heart-hester Case Manager/Care Coordinator 1701 Broadway St # 212, Vancouver, WA 98663-3436 2016-09-21
1659709343 Daniela Vese Case Manager/Care Coordinator 12909 Se Laver St, Vancouver, WA 98683-6335 2013-10-16
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Competitor

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City VANCOUVER
Zip Code 98684

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Dataset Information

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.

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