TYRESHA WILLIAMS (NPI# 1588160865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588160865 |
| Entity Type | Individual |
| Full Name | TYRESHA WILLIAMS |
| Practice Address |
1640 Tyrol Ln Apt 102 Stockton CA 95207-6687 |
| Mailing Address |
729 N California St Stockton CA 95202-1817 |
| Practice Telephone | 5107981760 |
| Mailing Telephone | 2099296700 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |
| 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 |
1640 TYROL LN APT 102 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-6687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| 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 |
|---|---|---|---|---|
| 1518507821 | Ashlee Frazier | Case Manager/Care Coordinator | 4219 Heirloom Ct, Stockton, CA 95219-2508 | 2020-01-14 |
| 1841844982 | Imroz Sandhu | Case Manager/Care Coordinator | 1803 W March Ln, Stockton, CA 95207-6414 | 2019-07-26 |
| 1326408303 | Dewayne Thomas Zachary Jr. | Case Manager/Care Coordinator | 6508 Danny Dr Unit 227, Stockton, CA 95210-5352 | 2016-03-03 |
| 1891175592 | Tracy Ford | Case Manager/Care Coordinator | 1839 S El Dorado Street, Stockton, CA 95206 | 2015-06-08 |
| 1972991982 | Toni Tse | Case Manager/Care Coordinator | 2009 De La Vega Ct, Stockton, CA 95206-4750 | 2014-12-27 |
| 1013331131 | Cecilia Arredondo | Case Manager/Care Coordinator | 729 N. California St., Stockton, CA 95202 | 2014-02-10 |
| 1235476946 | Sonia D Oliver | Case Manager/Care Coordinator | 1764 W Rose St, Stockton, CA 95203-1526 | 2013-01-15 |
| 1528305273 | Shiawana A Hayes | Case Manager/Care Coordinator | 2119 Red Oak Ct, Stockton, CA 95205-2668 | 2013-01-14 |
| 1518231471 | Rhonda M. Bryant | Case Manager/Care Coordinator | 662 Dave Brubeck Way, # 4, Stockton, CA 95204-1835 | 2012-02-23 |
| 1902177132 | Yvette Rodriguez Palacio | Case Manager/Care Coordinator | 555 W. Benjamin Holt Dr, Suite 400, Stockton, CA 95207-3839 | 2012-01-19 |
| Find all providers in STOCKTON | ||||
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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.