MS. COLLETTA M. JONES (NPI# 1508986019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508986019 |
| Entity Type | Individual |
| Full Name | MS. COLLETTA M. JONES |
| Credential | BS |
| Practice Address |
296 Monroe St Twin Falls ID 83301-5137 |
| Practice Telephone | 2087331318 |
| Practice Fax Number | 2087331766 |
| Mailing Telephone | 2087331318 |
| Mailing Fax Number | 2087331766 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 8076658 | 05 |
| Street Address |
296 MONROE ST |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| 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 |
|---|---|---|---|---|
| 1093180895 | Melissa Goeckner | Case Manager/Care Coordinator | 233 Gooding St. N, Twin Falls, ID 83301-6179 | 2015-12-04 |
| 1467693499 | Michelle Lea Thomas | Case Manager/Care Coordinator | 795 Walnut St N, Twin Falls, ID 83301-4140 | 2009-03-21 |
| 1831512169 | John Kaufman | Case Manager/Care Coordinator | 233 Gooding St N, Twin Falls, ID 83301-6179 | 2014-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104453950 | Shane Robinson | Case Manager/Care Coordinator | 131 W Bridge St, Blackfoot, ID 83221-2704 | 2020-03-23 |
| 1386295517 | Diane Miller | Case Manager/Care Coordinator | 601 N San Juan Way, Boise, ID 83712-6524 | 2019-09-29 |
| 1932631207 | Sarah Louise Price | Case Manager/Care Coordinator | 1018 Briarwood Dr, Nampa, ID 83651-2115 | 2017-03-28 |
| 1184082638 | Sandi Francis | Case Manager/Care Coordinator | 1271 W Quinn Rd, Pocatello, ID 83202-2755 | 2016-01-29 |
| 1124492863 | Jessica Anne Logan | Case Manager/Care Coordinator | 1522 Michael St, Emmett, ID 83617-9442 | 2015-11-18 |
| 1184016610 | Danica Williams | Case Manager/Care Coordinator | 8644 Mason Lane, Bruneau, ID 89832 | 2015-02-20 |
| 1225433956 | Lori Petersen | Case Manager/Care Coordinator | 518 S 13th St, Coeur D Alene, ID 83814-3919 | 2014-10-23 |
| 1023411121 | Kelly Rodkey | Case Manager/Care Coordinator | 6795 N Mineral Dr, Coeur D Alene, ID 83815-8700 | 2014-10-02 |
| 1467796540 | Susan Marie Amaral | Case Manager/Care Coordinator | 2120 N Lakewood Dr Ste B, Coeur D Alene, ID 83814-2638 | 2012-11-15 |
| 1285997908 | Kimberly Ann Carruthers | Case Manager/Care Coordinator | 1991 S Doe Creek Way, Boise, ID 83709-8518 | 2012-06-18 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
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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.