HEATHER ELIZABETH PEDERSON (NPI# 1609390160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609390160 |
| Entity Type | Individual |
| Full Name | HEATHER ELIZABETH PEDERSON |
| Practice Address |
835 3rd Ave Ste C Chula Vista CA 91911-1352 |
| Practice Telephone | (619) 427-4661 |
| Practice Fax Number | 6194267849 |
| Mailing Telephone | 6194274661 |
| Mailing Fax Number | 6194267849 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | CA | Behavioral Health & Social Service Providers | |
| Y | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073847166 | Heather M. Pederson | Psychologist | 1880 John F Kennedy Blvd Fl18, Philadelphia, PA 19103 | 2009-09-23 |
| 1235346065 | Heather L Pederson | Speech-Language Pathologist | 210 S 6th St, Buckeye, AZ 85326-2830 | 2007-05-17 |
| Street Address |
835 3RD AVE STE C |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-1352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154495166 | Laura Patricia Reyes | Rehabilitation Counselor | 835 3rd Ave Ste C, Chula Vista, CA 91911-1352 | 2006-11-20 |
| 1700381811 | Dalia Ceniceros | Licensed Vocational Nurse | 835 3rd Ave Ste C, Chula Vista, CA 91911-1352 | 2018-03-29 |
| 1659886471 | Maria Salas | Student in an Organized Health Care Education/Training Program | 835 3rd Ave Ste C, Chula Vista, CA 91911-1352 | 2017-12-04 |
| 1437500816 | Molly Wheat | Counselor | 835 3rd Ave Ste C, Chula Vista, CA 91911-1352 | 2016-06-27 |
| 1164876140 | Arthur Bilbrey | Student in an Organized Health Care Education/Training Program | 835 3rd Ave Ste C, Chula Vista, CA 91911-1352 | 2016-04-15 |
| 1730571548 | Johanna Malaret | Counselor | 835 3rd Ave Ste C, Chula Vista, CA 91911-1352 | 2015-03-03 |
| 1649676057 | Danielle Bader | Peer Specialist | 835 3rd Ave Ste C, Chula Vista, CA 91911-1352 | 2014-11-12 |
| 1871938365 | Carmendina Gonzalez | Counselor | 835 3rd Ave Ste C, Chula Vista, CA 91911-1352 | 2013-05-09 |
| 1235473042 | Gricelda Cuevas-ruiz | Case Manager/Care Coordinator | 835 3rd Ave Ste C, Chula Vista, CA 91911-1352 | 2012-11-16 |
| 1679823199 | Janelle Gonzales | Marriage & Family Therapist | 835 3rd Ave Ste C, Chula Vista, CA 91911-1352 | 2012-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| 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 |
|---|---|---|---|---|
| 1164074910 | Isaiah Nigel Ledonne | Case Manager/Care Coordinator | 746 Ada St Ste 106, Chula Vista, CA 91911-2676 | 2019-07-11 |
| 1649835752 | Centro De Salud De La Comunidad De San Ysidro, Inc | Case Manager/Care Coordinator | 1800 Maxwell Rd, Chula Vista, CA 91911-6158 | 2019-05-03 |
| 1609331669 | Dayna Lopez | Case Manager/Care Coordinator | 865 Third Ave Ste 1110, Chula Vista, CA 91911-1300 | 2019-02-04 |
| 1437628732 | Angela Andrea Tomlinson | Case Manager/Care Coordinator | 1653 Albany Ave, Chula Vista, CA 91911-5801 | 2018-11-15 |
| 1932683158 | Laura Soto | Case Manager/Care Coordinator | 915 Fourth Ave, Chula Vista, CA 91911-2083 | 2018-09-24 |
| 1871092379 | Asuzena Larez | Case Manager/Care Coordinator | 746 Ada St, Chula Vista, CA 91911-2693 | 2018-02-09 |
| 1114374121 | Rosa Maria Arce | Case Manager/Care Coordinator | 430 F St., Chula Vista, CA 91910 | 2016-05-19 |
| 1023476645 | Gisela Moreno | Case Manager/Care Coordinator | 430 F. St, Chula Vista, CA 91910 | 2016-02-10 |
| 1639575558 | Denise Diaz | Case Manager/Care Coordinator | 430 F Street, Chula Vista, CA 91910 | 2014-11-05 |
| 1033514104 | Gabriela Huerta | Case Manager/Care Coordinator | 996 Bellflower Ct, Chula Vista, CA 91913-2873 | 2014-10-30 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
Please comment or provide details below to improve the information on HEATHER ELIZABETH PEDERSON.
| 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.