HOLLY LISA GRAY (NPI# 1588202535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588202535 |
| Entity Type | Individual |
| Full Name | HOLLY LISA GRAY |
| Practice Address |
930 F St Wasco CA 93280-2040 |
| Practice Telephone | 6616743377 |
| Practice Fax Number | 6612405840 |
| Mailing Telephone | 6616743377 |
| Mailing Fax Number | 6612405840 |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |
| 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 |
|---|---|---|---|---|
| 1023665601 | Holly Gray | Dentist | 1812 Fitzwater St, Philadelphia, PA 19146-1852 | 2019-08-20 |
| 1861867798 | Holly Gray | Nurse Practitioner | 5 Linville Dr Ste 105, Paris, KY 40361-2165 | 2015-12-03 |
| 1689864670 | Holly R Gray | Marriage & Family Therapist | 11417 Cranston Dr, Peyton, CO 80831-6869 | 2007-07-26 |
| 1245687698 | Holly Gray | Anesthesiology | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2016-05-16 |
| 1730565011 | Holly Crystal Gray | Social Worker | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2015-08-10 |
| 1548424880 | Holly Gray | Social Worker | 1112 Nodak Dr S, Suite 200, Fargo, ND 58103-2366 | 2008-07-16 |
| 1497979199 | Holly Ann Gray | Speech-Language Pathologist | 316 Donohoe Rd, Greensburg, PA 15601-6988 | 2007-04-12 |
| Street Address |
930 F ST |
| City | WASCO |
| State | CA |
| Zip Code | 93280-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326175456 | Camilo Alejandro Vasquez Jr. | Case Manager/Care Coordinator | 930 F St, Wasco, CA 93280-2040 | 2007-02-27 |
| 1598376311 | Ashley Sanchez | Social Worker | 930 F St, Wasco, CA 93280-2040 | 2020-08-14 |
| 1477174175 | Alanna Reyes | Case Manager/Care Coordinator | 930 F St, Wasco, CA 93280-2040 | 2020-05-04 |
| 1720610934 | Natalia Sotelo | Student in an Organized Health Care Education/Training Program | 930 F St, Wasco, CA 93280-2040 | 2020-02-05 |
| 1114568441 | Sherra Valdez | Peer Specialist | 930 F St, Wasco, CA 93280-2040 | 2019-10-08 |
| 1871144345 | Lisandra Herrera | Case Manager/Care Coordinator | 930 F St, Wasco, CA 93280-2040 | 2019-09-25 |
| 1699326769 | Karlene Chantel Hernandez | Case Manager/Care Coordinator | 930 F St, Wasco, CA 93280-2040 | 2019-09-20 |
| 1811542798 | Griselda Bernal Cormier | Social Worker | 930 F St, Wasco, CA 93280-2040 | 2019-08-07 |
| 1740832898 | Araceli Herrera | Physician Assistant | 930 F St, Wasco, CA 93280-2040 | 2019-07-09 |
| 1164084091 | Florence Antonio Cortez | Student in an Organized Health Care Education/Training Program | 930 F St, Wasco, CA 93280-2040 | 2019-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609411461 | Juan Louis Castillo Jr. | Case Manager/Care Coordinator | 29341 Kimberlina Road Suite 102, Wasco, CA 93280 | 2019-11-15 |
| 1346768108 | Crystal Magana | Case Manager/Care Coordinator | 930 F St., Wasco, CA 93280 | 2017-08-31 |
| 1669914099 | Noemi Elizondo | Marriage & Family Therapist | 29341 Suite 102 Kimberlina Road, Wasco, CA 93280 | 2016-11-16 |
| 1437431376 | Javier Barba | Counselor | 29325 Kimberlina Rd., Wasco, CA 93280 | 2011-09-16 |
| 1235381724 | Maribel Pelayo | Counselor | 1217 7th Street, Wasco, CA 93280 | 2008-10-16 |
| 1194909218 | Lourdes Garza I | Counselor | 29325 Kimberlina Rd, Wasco, CA 93280 | 2007-12-26 |
| 1396876397 | Mike Mais Sagarian | Dentist | 1229 7-th St., Wasco, CA 93280 | 2007-03-08 |
| 1588791495 | Walter Patton II | Counselor | 29325 Kimberlina Road, Wasco, CA 93280 | 2007-02-27 |
| 1982739298 | Donna Antoinette Rede | Social Worker | 29325 Kimberling Rd., Wasco, CA 93280 | 2007-02-23 |
| 1851877880 | Jessica Macias-cervantes | Counselor | 928 F St, Wasco, CA 93280 | 2018-07-12 |
| Find all providers in zip 93280 | ||||
| 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 |
|---|---|---|---|---|
| 1437785052 | Isha Renardo | Case Manager/Care Coordinator | 29341 Kimberlina Rd Ste 10, Wasco, CA 93280-7617 | 2020-03-15 |
| 1235778804 | Celeste Valdivia | Case Manager/Care Coordinator | 29341 Kimberlina Rd, Wasco, CA 93280-7617 | 2019-12-31 |
| 1609411461 | Juan Louis Castillo Jr. | Case Manager/Care Coordinator | 29341 Kimberlina Road Suite 102, Wasco, CA 93280 | 2019-11-15 |
| 1346768108 | Crystal Magana | Case Manager/Care Coordinator | 930 F St., Wasco, CA 93280 | 2017-08-31 |
| 1326175456 | Camilo Alejandro Vasquez Jr. | Case Manager/Care Coordinator | 930 F St, Wasco, CA 93280-2040 | 2007-02-27 |
| 1164034963 | Sandra Patricia Godinez | Case Manager/Care Coordinator | 29341 Kimberlina Rd Ste 102, Wasco, CA 93280-7617 | 2020-08-21 |
| 1992328215 | James X Soto | Case Manager/Care Coordinator | 29325 Kimberlina Rd, Wasco, CA 93280-7617 | 2020-05-20 |
| 1477174175 | Alanna Reyes | Case Manager/Care Coordinator | 930 F St, Wasco, CA 93280-2040 | 2020-05-04 |
| 1245864867 | Brie-jane Lynn Oliver | Case Manager/Care Coordinator | 29325 Kimberlina Rd, Wasco, CA 93280-7617 | 2020-02-24 |
| 1871144345 | Lisandra Herrera | Case Manager/Care Coordinator | 930 F St, Wasco, CA 93280-2040 | 2019-09-25 |
| Find all providers in WASCO | ||||
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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.