MAUREEN ANN SMITH (NPI# 1619291457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619291457 |
| Entity Type | Individual |
| Full Name | MAUREEN ANN SMITH |
| Practice Address |
410 Grass Valley Dr Evanston WY 82930-4818 |
| Mailing Address |
249 Mountain Rd Bear River WY 82930-9014 |
| Practice Telephone | 3077892991 |
| Practice Fax Number | 3077892991 |
| Mailing Telephone | 3077892991 |
| Mailing Fax Number | 3077892991 |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | WY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588209787 | Maureen P Smith | Specialist/Technologist | 23700 Samuel Adams Cir, Millsboro, DE 19966-8225 | 2019-11-12 |
| 1174070924 | Maureen Y Smith | Marriage & Family Therapist | 11100 San Pablo Ave Ste 205, El Cerrito, CA 94530-2100 | 2016-09-08 |
| 1093860694 | Maureen B Smith | Psychologist | 515 South Mountain Rd, Office, New City, NY 10956-0686 | 2007-01-24 |
| 1710037783 | Maureen Smith | Midwife | 721 Notch Rd, Hiram, ME 04041-3345 | 2007-01-11 |
| 1043234081 | Maureen Gail Smith | Counselor | 11050 Maple Run Blvd, Clio, MI 48420-2401 | 2006-07-26 |
| 1447735469 | Maureen Labern Smith | Case Manager/Care Coordinator | 1224 Vine St, Los Angeles, CA 90038-1612 | 2018-09-25 |
| 1508399692 | Maureen Smith | Registered Nurse | 1 Academy Park, Albany, NY 12207 | 2017-04-06 |
| 1871954420 | Maureen Carroll Smith | Psychologist | 3222 Chestnut Hill School Rd, Dandridge, TN 37725-7238 | 2016-03-10 |
| 1255755773 | Maureen A Smith | Nurse Practitioner | 535 N 27th St, Milwaukee, WI 53208-4029 | 2014-02-05 |
| 1417234261 | Maureen P Smith | Pharmacist | 683 High St, Westwood, MA 02090-2501 | 2011-11-08 |
| Street Address |
410 GRASS VALLEY DR |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930-4818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| 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 |
|---|---|---|---|---|
| 1013514132 | Bre Ann Brit Reinbold | Case Manager/Care Coordinator | 800 Walton Ave, Evanston, WY 82930-3460 | 2020-10-01 |
| 1477024149 | Kortney Booth Clark | Case Manager/Care Coordinator | 322 Gannett Dr, Evanston, WY 82930-8722 | 2018-12-06 |
| 1912459942 | Chicago House and Social Service Agency | Case Manager/Care Coordinator | 1612 Grove St, Evanston, IL 60201-4058 | 2016-10-25 |
| 1861856395 | Aaron Trammell | Case Manager/Care Coordinator | 1909 W Center St, Evanston, WY 82930-3151 | 2016-04-11 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1619360252 | Kathie (kc) Cobb | Case Manager/Care Coordinator | 1425 Highway 150 South, Suite 2, Evanston, WY 82930-1642 | 2015-03-06 |
| 1689015117 | Helen Mae Murillo | Case Manager/Care Coordinator | 1101 Center St, Evanston, WY 82930-3383 | 2013-07-12 |
| 1346681913 | Antoinette Mari Walworth | Case Manager/Care Coordinator | 219 7th St, Evanston, WY 82930-3537 | 2013-07-11 |
| 1487963575 | Lynda Kay Peace | Case Manager/Care Coordinator | 45 Straight and Narrow Dr, Evanston, WY 82930-4880 | 2010-10-07 |
| Find all providers in EVANSTON | ||||
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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.