SHELLY WILSON (NPI# 1538281266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538281266 |
| Entity Type | Individual |
| Full Name | SHELLY WILSON |
| Practice Address |
445 3rd Ave Sw Albany OR 97321-2272 |
| Mailing Address |
Po Box 100 Albany OR 97321-0031 |
| Practice Telephone | 5419673866 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801234695 | Shelly A Wilson | Physical Therapy Assistant | 154 Hindman Rd, Butler, PA 16001-2417 | 2013-06-13 |
| 1316381460 | Shelly Renee Wilson | Student in an Organized Health Care Education/Training Program | 13001 E. 17th Place, University of Colorado School of Medicine Gme, Aurora, CO 80045-2581 | 2013-04-19 |
| 1821333964 | Shelly Wilson | Occupational Therapy Assistant | 150 Spring St, Morrison, CO 80465-2532 | 2012-11-30 |
| 1538413414 | Shelly Ann Wilson | Behavioral Analyst | 500 Broad St, Wichita Falls, TX 76301-3109 | 2012-10-31 |
| 1275712812 | Shelly Wilson | Physical Therapist | 790 Remington Blvd, Bolingbrook, IL 60440-4909 | 2007-10-31 |
| Street Address |
445 3RD AVE SW |
| City | ALBANY |
| State | OR |
| Zip Code | 97321-2272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275626251 | Carol N Berlin | Social Worker | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2006-10-02 |
| 1942823760 | Domininque Lea Corellas | Counselor | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2020-05-27 |
| 1336785492 | Stephanie Galford | Case Manager/Care Coordinator | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2019-11-25 |
| 1215578646 | Cheyenne Brook Morales | Counselor | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2019-10-07 |
| 1255811329 | Marcella Renee Elliott | Counselor | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2018-08-18 |
| 1942709613 | Brian Joseph Moore | Case Manager/Care Coordinator | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2018-02-07 |
| 1801317078 | Dana Mcglohn | Registered Nurse | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2017-06-28 |
| 1972036150 | Laura Harkins | Counselor | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2017-04-05 |
| 1275071425 | Casey Elise Hough | Counselor | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2017-02-08 |
| 1023554714 | Christopher Michael Schwarz | Case Manager/Care Coordinator | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2017-01-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| Find all providers in zip 97321 | ||||
| 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 |
|---|---|---|---|---|
| 1043853716 | Heidi Marie Davis | Case Manager/Care Coordinator | 635 3rd Ave Sw Unit 151, Albany, OR 97321-2625 | 2019-10-24 |
| 1649737180 | Susan B Steen | Case Manager/Care Coordinator | 1306 S Slappey Blvd Ste A, Albany, GA 31701-2635 | 2019-02-20 |
| 1245737774 | Deborah Lea Cordoba | Case Manager/Care Coordinator | 229 Danbury Lane, Albany, GA 31721-3172 | 2018-04-11 |
| 1093225286 | Frank Eugene Glover IIi | Case Manager/Care Coordinator | 4562 Lacosta Dr, Albany, GA 31721-9433 | 2017-10-02 |
| 1053831529 | Maria Foglia | Case Manager/Care Coordinator | 112 State St Rm 300, Albany, NY 12207-2034 | 2017-06-26 |
| 1184175457 | Sherrie Truelove | Case Manager/Care Coordinator | 2111 Juniper Dr, Albany, GA 31721-5239 | 2016-10-20 |
| 1598213944 | Samantha Elaine Akinnubi | Case Manager/Care Coordinator | 1737 Pineknoll Ln, Albany, GA 31707-3778 | 2016-09-14 |
| 1295189967 | Sue Rowland | Case Manager/Care Coordinator | 134 Silver Leaf Dr, Albany, GA 31721-7806 | 2016-04-19 |
| 1821400391 | Remika Christian | Case Manager/Care Coordinator | 2805 Partridge Dr, Apt A, Albany, GA 31721-6244 | 2014-06-02 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
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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.