MS. SHELLY BENNETT (NPI# 1477167138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477167138 |
| Entity Type | Individual |
| Full Name | MS. SHELLY BENNETT |
| Credential | MS |
| Practice Address |
2640 Breslauer Way Redding CA 96001-4246 |
| Practice Telephone | 5302255200 |
| Mailing Telephone | 5302255200 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| 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 |
| Street Address |
2640 BRESLAUER WAY |
| City | REDDING |
| State | CA |
| Zip Code | 96001-4246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881692390 | County of Shasta | Community/Behavioral Health | 2640 Breslauer Way, Redding, CA 96001-4246 | 2005-07-08 |
| 1962018416 | Jacob Nathaniel Mccoard | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-09-21 |
| 1871109322 | Lovely Lobo | Registered Nurse | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-09-21 |
| 1033727896 | Rachel Puleo-chankin | Assistant Behavior Analyst | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-07-17 |
| 1518593078 | Teaanna Wood | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-03-17 |
| 1992331789 | Juanita L Garcia | Counselor | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-03-12 |
| 1306486469 | Charles Markham | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-01-07 |
| 1215574165 | Karah Annmarie Harbuck | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2019-12-10 |
| 1437796372 | Chante Charae Hopper | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2019-12-10 |
| 1003452905 | Omar Tejada | Clinic/Center | 2640 Breslauer Way, Redding, CA 96001-4246 | 2019-11-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| 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 |
|---|---|---|---|---|
| 1508479643 | Remi Vista Inc | Case Manager/Care Coordinator | 10387 Porta Dego Way, Redding, CA 96003-9289 | 2020-08-28 |
| 1730551813 | Melinda Jaggers | Case Manager/Care Coordinator | 3650 Lake Forest Dr, Redding, CA 96003-1869 | 2015-10-28 |
| 1164800611 | Marcus Baker | Case Manager/Care Coordinator | 1906 Saltu Dr, Redding, CA 96002-1488 | 2015-05-15 |
| 1699167494 | Lyndi Ann Henderson | Case Manager/Care Coordinator | 805 Cally Ct Apt 3, Redding, CA 96003-9522 | 2015-03-03 |
| 1851739296 | Laurie Ann Hicks | Case Manager/Care Coordinator | 4971 Bonnyview Ave, Redding, CA 96001-4217 | 2013-06-07 |
| 1962018416 | Jacob Nathaniel Mccoard | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-09-21 |
| 1487276390 | Amber Stevens | Case Manager/Care Coordinator | 1506 Market St, Redding, CA 96001-1023 | 2020-05-13 |
| 1518593078 | Teaanna Wood | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-03-17 |
| 1689208662 | Lydia Mcgaffee | Case Manager/Care Coordinator | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2020-02-27 |
| 1255965703 | Treva Forrister | Case Manager/Care Coordinator | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2020-02-24 |
| Find all providers in REDDING | ||||
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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.