SHANNON GARRETT (NPI# 1619358215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619358215 |
| Entity Type | Individual |
| Full Name | SHANNON GARRETT |
| Practice Address |
101 Letton Dr Raton NM 87740-4366 |
| Mailing Address |
282 S Camino Del Pueblo Ste C Bernalillo NM 87004-5909 |
| Practice Telephone | 5754458568 |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |
| 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 |
|---|---|---|---|---|
| 1699035337 | Shannon M Garrett | Massage Therapist | 5005 Main Street, Suite 125, Tacoma, WA 98407-3168 | 2012-05-28 |
| 1013423870 | Shannon Garrett | Behavioral Analyst | 5446 N Academy Blvd Ste 105, Colorado Springs, CO 80918-3668 | 2017-12-15 |
| 1023567211 | Shannon Garrett | Specialist/Technologist, Other | 1801 W End Ave Ste 1610, Nashville, TN 37203-2532 | 2016-09-28 |
| 1194141838 | Shannon Garrett | Counselor | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2014-03-05 |
| 1699096057 | Shannon Coughlin Garrett | Nurse Practitioner | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2010-06-18 |
| Street Address |
101 LETTON DR |
| City | RATON |
| State | NM |
| Zip Code | 87740-4366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295886372 | Service Organization for Youth, Inc. | Social Worker | 101 Letton Dr, Raton, NM 87740-4366 | 2007-01-15 |
| 1932601085 | Kelly Dee Smith-yancey | Social Worker | 101 Letton Dr, Raton, NM 87740-4366 | 2018-03-05 |
| 1033632013 | April Naccarato | Case Manager/Care Coordinator | 101 Letton Dr, Raton, NM 87740-4366 | 2017-07-20 |
| 1639550080 | Crystal Encinias | Case Manager/Care Coordinator | 101 Letton Dr, Raton, NM 87740-4366 | 2015-06-11 |
| 1578944062 | Roxann Mares | Case Manager/Care Coordinator | 101 Letton Dr, Raton, NM 87740-4366 | 2015-06-10 |
| 1659752244 | Michelle Lewis | Case Manager/Care Coordinator | 101 Letton Dr, Raton, NM 87740-4366 | 2015-06-09 |
| 1821479411 | Albert Ortiz | Case Manager/Care Coordinator | 101 Letton Dr, Raton, NM 87740-4366 | 2015-06-09 |
| 1891176483 | Michael Tapia | Clinical Ethicist | 101 Letton Dr, Raton, NM 87740-4366 | 2015-06-09 |
| 1093196685 | Victoria Garcia | Case Manager/Care Coordinator | 101 Letton Dr, Raton, NM 87740-4366 | 2015-06-09 |
| 1528449121 | Judith Sena | Case Manager/Care Coordinator | 101 Letton Dr, Raton, NM 87740-4366 | 2015-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235634346 | Zia Healthcare Services LLC | Pathology | 168 Hospital Dr, Raton, NM 87740 | 2018-03-29 |
| 1538660428 | Sarah Rebecca Bales | Social Worker | 106 Cook Ave Apt 2-b, Raton, NM 87740 | 2018-02-26 |
| 1144695966 | Susanne Tripodi | Acupuncturist | 201 Cook Ave, Raton, NM 87740 | 2015-12-04 |
| 1942559588 | Candice Brook Adams | Psychologist | 101 North Second Street, Raton, NM 87740 | 2012-08-29 |
| 1184981227 | Jewel Berry | Counselor | 501 South Fourth Street, Raton, NM 87740 | 2012-04-13 |
| 1053696518 | William Stephen Stanley | Pharmacist | 955 South Second Street, Del Norte Pharmacy, Raton, NM 87740 | 2011-10-17 |
| 1144536459 | Karin M Murray | Pharmacist | 1275-a South 2nd St, Raton, NM 87740 | 2010-08-24 |
| 1043526361 | Troy N. Murray | Pharmacist | 1275-a South 2nd St., Raton, NM 87740 | 2010-08-24 |
| 1962730010 | Tiger Den Wellness Center | Local Education Agency (LEA) | 1535 Tiger Circle, Raton, NM 87740 | 2009-12-01 |
| 1407182678 | Billy Mastrantoni | Counselor | 130 N Second St, Raton, NM 87740 | 2009-10-23 |
| Find all providers in zip 87740 | ||||
| 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 |
|---|---|---|---|---|
| 1700406592 | Chantel Romero | Case Manager/Care Coordinator | 411 S 3rd St, Raton, NM 87740-4005 | 2020-04-21 |
| 1942835608 | Kayce L Bustos | Case Manager/Care Coordinator | 411 S 3rd St, Raton, NM 87740-4005 | 2020-03-03 |
| 1033632013 | April Naccarato | Case Manager/Care Coordinator | 101 Letton Dr, Raton, NM 87740-4366 | 2017-07-20 |
| 1639550080 | Crystal Encinias | Case Manager/Care Coordinator | 101 Letton Dr, Raton, NM 87740-4366 | 2015-06-11 |
| 1578944062 | Roxann Mares | Case Manager/Care Coordinator | 101 Letton Dr, Raton, NM 87740-4366 | 2015-06-10 |
| 1659752244 | Michelle Lewis | Case Manager/Care Coordinator | 101 Letton Dr, Raton, NM 87740-4366 | 2015-06-09 |
| 1821479411 | Albert Ortiz | Case Manager/Care Coordinator | 101 Letton Dr, Raton, NM 87740-4366 | 2015-06-09 |
| 1093196685 | Victoria Garcia | Case Manager/Care Coordinator | 101 Letton Dr, Raton, NM 87740-4366 | 2015-06-09 |
| 1528449121 | Judith Sena | Case Manager/Care Coordinator | 101 Letton Dr, Raton, NM 87740-4366 | 2015-06-09 |
| 1194106781 | Michael Garrett | Case Manager/Care Coordinator | 101 Letton Dr, Raton, NM 87740-4366 | 2015-06-09 |
| Find all providers in RATON | ||||
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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.