KAYLA REVALLION (NPI# 1619351590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619351590 |
| Entity Type | Individual |
| Full Name | KAYLA REVALLION |
| Practice Address |
21 Valentine St 6 Cambridge MA 02139-4073 |
| Practice Telephone | 6178756571 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | S16482656 | MA | Other Service Providers |
| Street Address |
21 VALENTINE ST 6 |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02139-4073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316044 | Diane Greenleaf | Registered Nurse | Cha Windsor Clinic, 119 Windsor St, Cambridge, MA 02139 | 2019-09-26 |
| 1730738345 | Martin Bednar | Student in an Organized Health Care Education/Training Program | 350 Massachusetts Avenue, Cambridge, MA 02139 | 2019-09-06 |
| 1861050049 | Rebecca Marie Addison | Dietitian, Registered | 75 Auburn St, Cambridge, MA 02139 | 2019-06-03 |
| 1285103051 | Jenna Halloran | Social Worker | 929 Massaschusetts Ave, Cambridge, MA 02139 | 2018-11-21 |
| 1750859286 | Lisa Marie Keovongsa | Dietitian, Registered | 186 1/2 Hampshire St., Cambridge, MA 02139 | 2018-11-02 |
| 1245714237 | Eleanor Coffin | Occupational Therapist | 1483 Cambridge St, Cambridge, MA 02139 | 2018-09-17 |
| 1649758277 | Sariya Idriss | Social Worker | Cambridge Health Alliance, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1538647151 | Ari Pehkonen | Social Worker | Cambridge Health Alliance, Cambridge Hospital, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1972080893 | Esther Cazeau | Counselor | 237 Hampshire St., Cambridge, MA 02139 | 2018-07-24 |
| 1528596533 | Adam Liebling | Acupuncturist | 11 Fiske Pl., Cambridge, MA 02139 | 2017-06-03 |
| Find all providers in zip 02139 | ||||
| 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 |
|---|---|---|---|---|
| 1932696689 | Terry R Pontius | Case Manager/Care Coordinator | 2510 Glenn Hwy, Cambridge, OH 43725-9028 | 2018-04-18 |
| 1962796797 | Dawn Maria Shelton | Case Manager/Care Coordinator | 20 Ware St Apt 13, Cambridge, MA 02138-4015 | 2011-06-09 |
| 1073826673 | Isanti County Commission On Aging | Case Manager/Care Coordinator | 332 3rd Ave Nw, Cambridge, MN 55008-1108 | 2010-07-23 |
| 1891024857 | Caroline Mccabe | Case Manager/Care Coordinator | 99 Bishop Allen Dr, Cambridge, MA 02139-3428 | 2009-12-21 |
| 1558961680 | Courney Miller | Case Manager/Care Coordinator | 841 Steubenville Ave, Cambridge, OH 43725-2301 | 2020-10-28 |
| 1356941488 | Ember N Ridgley | Case Manager/Care Coordinator | 841 Steubenville Ave, Cambridge, OH 43725-2301 | 2020-10-28 |
| 1891395935 | Lisa G Langley | Case Manager/Care Coordinator | 841 Steubenville Ave, Cambridge, OH 43725-2301 | 2020-10-28 |
| 1053911198 | Marisa M Goodright | Case Manager/Care Coordinator | 841 Steubenville Ave, Cambridge, OH 43725-2301 | 2020-10-28 |
| 1831706969 | Heather Wells | Case Manager/Care Coordinator | 841 Steubenville Ave, Cambridge, OH 43725-2301 | 2020-09-23 |
| 1194332221 | Crystal L Bennington | Case Manager/Care Coordinator | 841 Steubenville Ave, Cambridge, OH 43725-2301 | 2020-09-23 |
| Find all providers in CAMBRIDGE | ||||
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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.