CHARISSE LYN SAGERS (NPI# 1588931950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588931950 |
| Entity Type | Individual |
| Full Name | CHARISSE LYN SAGERS |
| Practice Address |
650 Komas Dr 200 Slc UT 84108-1215 |
| Practice Telephone | 8015878181 |
| Practice Fax Number | 8015818979 |
| Mailing Telephone | 8015878181 |
| Mailing Fax Number | 8015818979 |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2011-11-29 |
| 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 |
650 KOMAS DR 200 |
| City | SLC |
| State | UT |
| Zip Code | 84108-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689941049 | Rebecca Glover | Case Manager/Care Coordinator | 650 Komas Dr, 200, Slc, UT 84108-1215 | 2011-11-29 |
| 1720355100 | Melissa Ann Brewer | Case Manager/Care Coordinator | 650 Komas Dr, 200, Slc, UT 84108-1215 | 2011-11-29 |
| 1477820843 | Mark Jefferson Lance | Case Manager/Care Coordinator | 650 Komas Dr, 200, Slc, UT 84108-1215 | 2011-11-29 |
| 1629345095 | Paula H Hansen | Case Manager/Care Coordinator | 650 Komas Dr, 200, Slc, UT 84108-1215 | 2011-11-29 |
| 1356618714 | Josette Therese Dorius | Case Manager/Care Coordinator | 650 Komas Dr, 200, Slc, UT 84108-1215 | 2011-11-29 |
| 1669749032 | Dean Weedon | Case Manager/Care Coordinator | 650 Komas Dr, 200, Slc, UT 84108-1215 | 2011-11-29 |
| 1700153186 | Jennifer Kristen Rust | Case Manager/Care Coordinator | 650 Komas Dr, 200, Slc, UT 84108-1215 | 2011-11-29 |
| 1649459488 | Jeanne Garfield | Social Worker | 650 Komas Dr, #200, Slc, UT 84108-1215 | 2007-10-29 |
| 1558550046 | Taryn Kathleen Nicksic-springer | Counselor | 650 Komas Dr, 200, Slc, UT 84108-1215 | 2007-10-19 |
| 1063553626 | William Martin Mcmahon | Psychiatry & Neurology | 650 Komas Dr, 206, Slc, UT 84108-1215 | 2007-02-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
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| 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 |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1144565391 | Emma N Chandler | Case Manager/Care Coordinator | 1131 W 400 N, Slc, UT 84116-2607 | 2012-11-28 |
| 1497361265 | Danielle Colvin | Case Manager/Care Coordinator | 344 E 100 S, Slc, UT 84111-1700 | 2020-09-17 |
| 1407462377 | Nichol Marie Arego | Case Manager/Care Coordinator | 344 E 100 S, Slc, UT 84111-1700 | 2020-09-16 |
| 1538772140 | Shelley J Sippel | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Slc, UT 84111-1727 | 2020-08-25 |
| 1134731771 | Amanda Dixon | Case Manager/Care Coordinator | 344 E 100 S, Slc, UT 84111-1700 | 2020-08-17 |
| 1679199657 | Karilee Shepherd | Case Manager/Care Coordinator | 344 E 100 S, Slc, UT 84111-1700 | 2020-06-24 |
| 1528680402 | Mary Johnston | Case Manager/Care Coordinator | 344 E 100 S, Slc, UT 84111-1700 | 2020-05-13 |
| 1437770898 | Christina P Mullins | Case Manager/Care Coordinator | 344 E 100 S, Slc, UT 84111-1700 | 2020-04-27 |
| 1952920936 | Ellyn M Murray | Case Manager/Care Coordinator | 344 E 100 S, Slc, UT 84111-1700 | 2020-04-10 |
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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.