GAYLENE MOYERS (NPI# 1508319922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508319922 |
| Entity Type | Individual |
| Full Name | GAYLENE MOYERS |
| Credential | CCMA |
| Practice Address |
3975 Midway Drive Baker City OR 97814-1005 |
| Mailing Address |
Po Box 1005 Baker City OR 97814-1005 |
| Practice Telephone | 5415249070 |
| Practice Fax Number | 5415249077 |
| Mailing Telephone | 5415249070 |
| Mailing Fax Number | 5415249077 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
3975 MIDWAY DRIVE |
| City | BAKER CITY |
| State | OR |
| Zip Code | 97814-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578707998 | Tammie R. Blessing | Social Worker | 3975 Midway Drive, Baker City, OR 97814 | 2009-04-29 |
| 1558988808 | Dylan Joseph-edward Chaves | Counselor | 3975 Midway Drive, Baker City, OR 97814 | 2020-07-02 |
| 1962027532 | Matthew Useda | Counselor | 3975 Midway Drive, Baker City, OR 97814-9781 | 2020-06-10 |
| 1265051726 | Mae Lynn Corwin | Counselor | 3975 Midway Drive, Baker City, OR 97814 | 2020-04-14 |
| 1528691680 | Michelle Lynn Dix | Community Health Worker | 3975 Midway Drive, Baker City, OR 97814 | 2020-02-18 |
| 1770144396 | Ronda Kissire | Counselor | 3975 Midway Drive, Baker City, OR 97814 | 2019-06-25 |
| 1679134209 | Marla Vivian Petrik | Counselor | 3975 Midway Drive, Baker City, OR 97814 | 2019-06-25 |
| 1841779741 | Nancy Alexandra Johnson | Counselor | 3975 Midway Drive, Baker City, OR 97814 | 2018-08-10 |
| 1558729350 | Cynthia Flynn | Counselor | 3975 Midway Drive, Baker City, OR 97814 | 2016-02-08 |
| 1811222680 | Deidre Gestrin | Counselor | 3975 Midway Drive, Baker City, OR 97814 | 2009-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279871 | Charles Henry Campos | Counselor | 2021 Court Street, Baker City, OR 97814 | 2019-05-07 |
| 1831546217 | Veronica Crowder | Physician Assistant | Samg Orthopedics Baker City, 3325 Pocahontas Rd, Baker City, OR 97814 | 2016-05-16 |
| 1013389956 | Dara Michelle Fields | Counselor | 2200 4th Street, Baker City, OR 97814 | 2015-10-29 |
| 1003223694 | Colleen Davenport | Nurse Practitioner | 3975 N Midway Dr, Baker City, OR 97814 | 2014-07-16 |
| 1629418363 | Sherry Melena Zacharias Forsyth | Counselor | 2100 Main St., New Directions, Baker City, OR 97814 | 2013-06-26 |
| 1609215573 | Logan Clay Frederickson | Family Medicine | 3820 17th Street, Baker City, OR 97814 | 2013-06-24 |
| 1790124485 | James Lee Morris | Counselor | 3610 Midway, Baker City, OR 97814 | 2013-06-17 |
| 1881955656 | New Directions Northwest, Inc | Substance Abuse Rehabilitation Facility | 3610 Midway Drive, Baker City, OR 97814 | 2012-06-07 |
| 1972864759 | New Directions Northwest, Inc. | Substance Abuse Rehabilitation Facility | 3700 Midway Drive, Baker City, OR 97814 | 2012-06-07 |
| 1659671113 | Al H Brickman | Pharmacist | 1205 Campbell St., Baker City, OR 97814 | 2010-10-29 |
| Find all providers in zip 97814 | ||||
| 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 |
|---|---|---|---|---|
| 1295106821 | Christina Barnes | Case Manager/Care Coordinator | 3165 10th St, Baker City, OR 97814-1478 | 2015-10-08 |
| 1366003147 | Jordyn Marie Hobson | Case Manager/Care Coordinator | 2200 4th St, Baker City, OR 97814-2615 | 2019-06-24 |
| 1447566096 | Michele A Hauser | Case Manager/Care Coordinator | 2200 4th St, Baker City, OR 97814-2615 | 2010-08-20 |
| 1962718528 | Shannon Thornton | Case Manager/Care Coordinator | 2200 4th St, Baker City, OR 97814-2615 | 2010-08-20 |
| 1518280528 | Allison Deputy | Case Manager/Care Coordinator | 2200 4th St, Baker City, OR 97814-2615 | 2010-03-04 |
| 1821228834 | Paula Southwick | Case Manager/Care Coordinator | 2200 4th St, Baker City, OR 97814-2615 | 2009-07-24 |
| 1003050428 | Jay D Berryman | Case Manager/Care Coordinator | 2200 4th St, Baker City, OR 97814-2615 | 2009-04-29 |
| 1447494869 | Valerie Williams | Case Manager/Care Coordinator | 2200 4th St, 2200 Fourth Street, Baker City, OR 97814-2615 | 2009-04-29 |
| 1518101930 | Donna Helman | Case Manager/Care Coordinator | 2200 4th St, Baker City, OR 97814-2615 | 2009-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104539 | Jessica Laine | Case Manager/Care Coordinator | 1724 Maple St Apt 7, North Bend, OR 97459-2171 | 2020-08-14 |
| 1083232862 | Olivia Suzanne Botsford | Case Manager/Care Coordinator | 2369 Nw Schmidt Way Apt 117, Beaverton, OR 97006-4775 | 2020-07-08 |
| 1255958674 | Kathy Hays | Case Manager/Care Coordinator | 17887 Sw Bryan Way, Beaverton, OR 97007-6728 | 2020-07-01 |
| 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 |
| 1275169393 | Celina N Taylor | Case Manager/Care Coordinator | 103 Or-82, Enterprise, OR 97828 | 2020-03-20 |
| 1710512736 | Dominic Townsend | Case Manager/Care Coordinator | 18715 Sw Blanton St, Aloha, OR 97078-1234 | 2020-03-10 |
| 1659910073 | Kristin Anne Contreras | Case Manager/Care Coordinator | 4850 Sw 11th St Apt 110, Gresham, OR 97080-7312 | 2020-01-02 |
| 1871138453 | Kedrick Starr | Case Manager/Care Coordinator | 14600 Nw Cornell Rd., Portland, OR 97229 | 2019-11-07 |
| 1043853716 | Heidi Marie Davis | Case Manager/Care Coordinator | 635 3rd Ave Sw Unit 151, Albany, OR 97321-2625 | 2019-10-24 |
| Find all providers with the same taxonomy | ||||
| City | BAKER CITY |
| Zip Code | 97814 |
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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.