MR. ANDREW LYTLE BLOOD (NPI# 1629529839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629529839 |
| Entity Type | Individual |
| Full Name | MR. ANDREW LYTLE BLOOD |
| Practice Address |
4890 32nd Ave Se Salem OR 97317-9350 |
| Practice Telephone | 5035880509 |
| Practice Fax Number | 5035880509 |
| Mailing Telephone | 5035880509 |
| Mailing Fax Number | 5035880509 |
| Enumeration Date | 2016-10-23 |
| Last Update Date | 2016-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 3571712 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881126191 | Andrew Blood | Specialist/Technologist | 1500 Owens St, San Francisco, CA 94158-2334 | 2017-03-28 |
| Street Address |
4890 32ND AVE SE |
| City | SALEM |
| State | OR |
| Zip Code | 97317-9350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174698971 | Christian Community Placement Center | Foster Care Agency | 4890 32nd Ave Se, Salem, OR 97317 | 2006-11-21 |
| 1205466018 | Jake Gongora | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2020-01-21 |
| 1114483773 | Michelle J Zamarron | Case Manager/Care Coordinator | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2019-02-19 |
| 1164904124 | Miguel Gonzalez | Counselor | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-09-05 |
| 1679051692 | Kylie Tamiko Gumban | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-08-01 |
| 1003392515 | Alan Keith Gustafson | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-07-17 |
| 1679059182 | Nancy Diane Gustafson | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-07-17 |
| 1639665508 | Jaremy Calderon | Case Manager/Care Coordinator | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-07-03 |
| 1699267542 | Alyssa Hope Rice | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-06-05 |
| 1437641388 | Ellen Reece | Case Manager/Care Coordinator | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962932996 | Corinna Leona Zib | Counselor | 4726 Appaloosa Ct Se, Salem, OR 97317 | 2017-06-13 |
| 1639537889 | Nikole Stormo | Massage Therapist | 4675 Campbell Dr Se Apt267, Salem, OR 97317 | 2016-02-03 |
| 1114479128 | Jocelyn Gran | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97317 | 2016-10-26 |
| 1841410057 | Jennifer Krug | Specialist/Technologist | 5000 Deer Park Dr Se, Salem, OR 97317 | 2007-04-27 |
| 1649498262 | Carol Adams | Social Worker | 1164 63rd Ave Ne, Salem, OR 97317-2313 | 2007-04-20 |
| 1992114490 | Pathways - Child and Family Services - LLC | Community/Behavioral Health | 1164 63rd Ave Ne, Salem, OR 97317-2313 | 2014-08-08 |
| 1417513235 | James Matthew Conway | Social Worker | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
| 1043876865 | Home Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
| 1689086530 | Ruben Chekhov | Dental Hygienist | 4932 Turquoise Ave Se, Salem, OR 97317-4109 | 2014-05-27 |
| 1285636464 | Marion County Fire District No 1 | Ambulance | 300 Cordon Rd Ne, Salem, OR 97317-5203 | 2005-06-01 |
| Find all providers in zip 97317 | ||||
| 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 |
|---|---|---|---|---|
| 1336755586 | Emma Theresa Cox | Case Manager/Care Coordinator | 33 Upham St Apt 3, Salem, MA 01970-2460 | 2020-09-22 |
| 1407475064 | Yolanda Loyer | Case Manager/Care Coordinator | 2789 E State St Ste 7, Salem, OH 44460-9327 | 2020-04-14 |
| 1770121501 | Stacy Bush Phillips | Case Manager/Care Coordinator | 1501 Mill Race Dr, Salem, VA 24153-3137 | 2019-12-11 |
| 1528618659 | Linda Diane Pierce | Case Manager/Care Coordinator | 1724 Broadway St Ne, Salem, OR 97301-0509 | 2019-09-20 |
| 1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
| 1427576065 | Katherine Lingmai | Case Manager/Care Coordinator | 1790 23rd St. Ne, Salem, OR 97301 | 2017-09-04 |
| 1225577240 | Anjalique Benham | Case Manager/Care Coordinator | 5 Lancelot Ct, Apt#1, Salem, NH 03079-3555 | 2017-02-23 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1467810945 | Carl Walton Kapocias | Case Manager/Care Coordinator | 750 Front St Ne, Salem, OR 97301-1089 | 2016-01-29 |
| 1215339361 | Kaylor Ficklin | Case Manager/Care Coordinator | 188 E 300 S, Salem, UT 84653-9453 | 2014-09-19 |
| Find all providers in SALEM | ||||
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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.