SAMANTHA NICOLE TAYLOR (NPI# 1629580170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629580170 |
| Entity Type | Individual |
| Full Name | SAMANTHA NICOLE TAYLOR |
| Practice Address |
610 Elm St Ste 212 San Carlos CA 94070-3070 |
| Practice Telephone | 6505919623 |
| Mailing Telephone | 6505919623 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |
| 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 |
|---|---|---|---|---|
| 1801402086 | Samantha Taylor | Behavior Technician | 425 Martindale St, Sparta, MI 49345-1467 | 2020-09-22 |
| 1285258897 | Samantha Joyce Taylor | Counselor | 6313 Blushing Willow St, N Las Vegas, NV 89081-3325 | 2020-05-31 |
| 1740841303 | Samantha Taylor | Behavioral Analyst | 11797 Sw 134th Pl, Miami, FL 33186-4421 | 2019-06-25 |
| 1205384328 | Samantha Taylor | Counselor | 1519 Happiness Dr, Colorado Springs, CO 80909-2515 | 2016-09-18 |
| 1649680745 | Samantha Taylor | Counselor | 3 Owens Ct, Greensboro, NC 27405-3898 | 2014-04-29 |
| 1447859541 | Samantha Taylor | Counselor | 8400 Fair Oaks Blvd, Carmichael, CA 95608-2502 | 2020-10-20 |
| 1720602212 | Samantha Taylor | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-06-01 |
| 1932667722 | Samantha Taylor | Case Manager/Care Coordinator | 105 Highway 9, Oxford, AR 72565 | 2019-03-11 |
| 1639658594 | Samantha Kathryn Taylor | Case Manager/Care Coordinator | 125 Wellness Way, Hot Springs, AR 71913-6478 | 2018-08-11 |
| 1356827372 | Samantha Taylor | Social Worker | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2018-07-12 |
| Street Address |
610 ELM ST STE 212 |
| City | SAN CARLOS |
| State | CA |
| Zip Code | 94070-3070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720276413 | Mignon Page-broughton | Counselor | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2007-10-09 |
| 1215542279 | Richard G Mccauley | Counselor | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2020-09-15 |
| 1083228183 | Keely Augusta Angelo | Student in an Organized Health Care Education/Training Program | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2020-09-04 |
| 1083227193 | Fergie Rebeca Lopez | Counselor | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2020-08-28 |
| 1316550890 | Jobelle Padilla Huertas | Counselor | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2020-08-25 |
| 1942813423 | Roxanne Hayley Silver | Counselor | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2020-08-25 |
| 1467065946 | Analyn Abad | Counselor | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2020-08-25 |
| 1629680715 | Luz Alexandra Munevar | Student in an Organized Health Care Education/Training Program | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2020-08-19 |
| 1518586031 | Bailey Luna | Counselor | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2020-04-14 |
| 1659918365 | Bruna Emmerich Oliveira | Case Manager/Care Coordinator | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2019-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669943189 | Regina Rayz | Community Health Worker | Edgewood Center, 957 Industrial Rd B, San Carlos, CA 94070 | 2018-12-10 |
| 1275026668 | Zhimiao Wang | Acupuncturist | 1608 Laurel St, San Carlos, CA 94070 | 2018-06-11 |
| 1922508324 | Erica Garica Romero | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2018-02-13 |
| 1619482429 | Yicheng Han | Counselor | 527 Hillcrest Rd., San Carlos, CA 94070 | 2017-12-04 |
| 1679082192 | Enrique Francisco Delgado | Counselor | 610 Elm St. #212, San Carlos, CA 94070 | 2017-09-27 |
| 1871011379 | Melanie Schug | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2017-09-05 |
| 1891213393 | Teresa Wace | Counselor | 1303 San Carlos Avenue, San Carlos, CA 94070 | 2017-09-05 |
| 1437671344 | Ana Garcia | Counselor | 957 Industrial Road, Suite B, San Carlos, CA 94070 | 2017-07-12 |
| 1629527825 | Annette Waters | Speech-Language Pathologist | 1017 Cedar St, San Carlos, CA 94070 | 2016-09-28 |
| 1962831297 | Kathleen Lauren Mcspadden | Marriage & Family Therapist | 1303 San Carlos Ave., San Carlos, CA 94070 | 2013-11-07 |
| Find all providers in zip 94070 | ||||
| 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 |
|---|---|---|---|---|
| 1659918365 | Bruna Emmerich Oliveira | Case Manager/Care Coordinator | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2019-12-02 |
| 1588215099 | Carina Ramirez | Case Manager/Care Coordinator | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2019-09-25 |
| 1174001432 | Petra Carlos Arzate | Case Manager/Care Coordinator | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2018-07-30 |
| 1356891295 | Carissa Patel | Case Manager/Care Coordinator | 957 Industrial Rd Ste B, San Carlos, CA 94070 | 2016-10-04 |
| 1932659836 | Daniel Sandoval | Case Manager/Care Coordinator | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2016-10-04 |
| 1841748126 | Sara Zamudio Estrada | Case Manager/Care Coordinator | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2016-09-15 |
| 1194172056 | Corina Pena | Case Manager/Care Coordinator | 957 Industrial Rd Suite B, San Carlos, CA 94070 | 2016-05-20 |
| 1619336427 | Jason Miles | Case Manager/Care Coordinator | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2016-02-22 |
| 1083071781 | Jisselle Tercero | Case Manager/Care Coordinator | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2016-01-26 |
| 1265820666 | Humberto Diaz | Case Manager/Care Coordinator | 957 Industrial Rd, San Carlos, CA 94070-4151 | 2015-01-07 |
| Find all providers in SAN CARLOS | ||||
| City | SAN CARLOS |
| Zip Code | 94070 |
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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.