MS. MIRIAM L NISENBAUM (NPI# 1467784454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467784454 |
| Entity Type | Individual |
| Full Name | MS. MIRIAM L NISENBAUM |
| Credential | ACSW, LMSW |
| Practice Address |
1611 Headway Cir Austin TX 78754-5160 |
| Mailing Address |
4804 Misty Brook Cv Austin TX 78727-6817 |
| Practice Telephone | 5126156802 |
| Practice Fax Number | 5126157121 |
| Mailing Telephone | 5126156802 |
| Mailing Fax Number | 5126157121 |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 00632 | TX | Other Service Providers |
| Street Address |
1611 HEADWAY CIR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78754-5160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033280680 | Theresa M Spong | Physical Therapist | 1611 Headway Cir, Bldg. 2, Austin, TX 78754-5160 | 2006-11-13 |
| 1912387556 | Minying Gu | Family Medicine | 1611 Headway Cir, Bldg 2, Austin, TX 78754-5165 | 2015-06-08 |
| 1184001430 | Keith Hunt | Occupational Therapist | 1611 Headway Cir, Building 2, Austin, TX 78754-5160 | 2015-05-06 |
| 1104254390 | Megan Kathleen Scanlon | Occupational Therapist | 1611 Headway Cir, Austin, TX 78754-5160 | 2013-10-24 |
| 1942641253 | Belkis Naranjo | Occupational Therapist | 1611 Headway Cir, Building 2, Austin, TX 78754-5160 | 2013-07-15 |
| 1245570688 | Sara Leyton Duplantis | Speech-Language Pathologist | 1611 Headway Cir, - Bldg. 2, Austin, TX 78754-5160 | 2013-02-21 |
| 1891040705 | Brittany Kristine Stager | Physical Therapist | 1611 Headway Cir, Building 02, Austin, TX 78754-5160 | 2012-07-17 |
| 1447546742 | Alice Marie Johnson | Speech-Language Pathologist | 1611 Headway Cir, Building 2, Austin, TX 78754-5160 | 2011-06-24 |
| 1003136425 | Trisha Lee Wade | Physical Therapist | 1611 Headway Cir, Austin, TX 78754-5160 | 2010-06-08 |
| 1184943458 | Tara Elizabeth Hawthorne | Speech-Language Pathologist | 1611 Headway Cir, Building 2, Austin, TX 78754-5160 | 2010-05-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425214 | Paul Lewis Duffy | Counselor | Counseling Services, 1625 Rutherford Ln., Austin, TX 78754 | 2020-10-20 |
| 1174006324 | Lannie Hood | Licensed Practical Nurse | 9017 Wellesley Dr, Austin, TX 78754 | 2018-09-13 |
| 1013499680 | Angela Mccaughey | Physical Therapy Assistant | 6513 Boyce Ln, Austin, TX 78754 | 2018-08-30 |
| 1518484351 | St. Teresa of Calcutta Home Health, LLC | Home Health Aide | 12609 Dessau Rd. Lot 313, Austin, TX 78754 | 2017-08-23 |
| 1386050573 | Tuyen Dao | Pharmacist | 11403 Birchover Lane, Austin, TX 78754 | 2014-07-08 |
| 1568895829 | Cameron Diagnostic Center, Inc | Contractor | 7901 Cameron Rd.bldg.2 Suite 143, Austin, TX 78754 | 2013-08-09 |
| 1427495415 | Universal Diagnostic Services Inc | Specialist | 7901 Cameron Rd Bldg 2, Suite 144, Austin, TX 78754 | 2013-05-30 |
| 1598044414 | Sleiman Weight Loss Centers Pa | Family Medicine | 7901 Cameron Rd Bldg 3, Suite 105, Austin, TX 78754 | 2011-08-09 |
| 1922321462 | Nowling Home Healthcare Inc | Hospice Care, Community Based | 7901 Cameron, Building 3 Suite 135, Austin, TX 78754 | 2010-03-11 |
| 1760714240 | Shireen Connor | Social Worker | 1611 Headway Circle, Bldg. 2, Austin, TX 78754 | 2010-02-08 |
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| 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 |
|---|---|---|---|---|
| 1699380881 | Margarita Williams | Case Manager/Care Coordinator | 111 W Anderson Ln # D202-b, Austin, TX 78752-1132 | 2020-09-14 |
| 1962974899 | Amanda Brittnie Melendez | Case Manager/Care Coordinator | 111 W Anderson Ln # D202b, Austin, TX 78752-1132 | 2018-12-17 |
| 1891147039 | Annette Rios | Case Manager/Care Coordinator | 3300 Wells Branch Pkwy Apt 11306, Austin, TX 78728-6727 | 2016-07-12 |
| 1548614712 | Rebekah Lauren Davis | Case Manager/Care Coordinator | 10616 Mellow Mdws, #8a, Austin, TX 78750-1251 | 2016-04-14 |
| 1790194801 | Scott Gaffney | Case Manager/Care Coordinator | 4407 N Whitsett Rd, Austin, IN 47102-8468 | 2014-08-04 |
| 1699182428 | Stellamaris Bonney | Case Manager/Care Coordinator | 10005 E Rutland Vlg, Austin, TX 78758-5511 | 2014-07-14 |
| 1740609296 | Monica Leche | Case Manager/Care Coordinator | 102 E Mockingbird Ln, Austin, TX 78745-3202 | 2014-04-14 |
| 1356780316 | Edmund Francis Seys | Case Manager/Care Coordinator | 1806 5th Ave Ne, Austin, MN 55912-4521 | 2013-06-22 |
| 1316284086 | Sally Degollado Howard | Case Manager/Care Coordinator | 5120 Bantom Woods Bnd, Austin, TX 78724-6235 | 2013-01-14 |
| 1174807655 | Jacqueline Lawson | Case Manager/Care Coordinator | 10617 Glass Mountain Trl, Austin, TX 78750-2502 | 2011-10-03 |
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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.