SHAAMARR GIST (NPI# 1639717200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639717200 |
| Entity Type | Individual |
| Full Name | SHAAMARR GIST |
| Practice Address |
649 Bronx River Rd Yonkers NY 10704-1700 |
| Practice Telephone | 9148855093 |
| Mailing Telephone | 9148855093 |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | NY | Other Service Providers |
| Street Address |
649 BRONX RIVER RD |
| City | YONKERS |
| State | NY |
| Zip Code | 10704-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154710275 | Raquel Johnson | Case Manager/Care Coordinator | 649 Bronx River Rd, Apt 3r, Yonkers, NY 10704-1700 | 2015-01-13 |
| 1295373975 | Audley Johnson | Case Manager/Care Coordinator | 649 Bronx River Rd, Yonkers, NY 10704-1700 | 2019-12-13 |
| 1073157681 | Promoting Opulence In Social Emotional Development Limited Liability | Case Management | 649 Bronx River Rd, Yonkers, NY 10704-1700 | 2019-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518482488 | Chaison Baker | Counselor | 648 Bronx River Road, Yonkers, NY 10704 | 2017-08-11 |
| 1144759432 | Simone Ferreira Parker | Nurse Practitioner | 40 College Place, 2nd Floor, Yonkers, NY 10704 | 2017-06-08 |
| 1457885295 | Jacky Mari Cervantes | Physical Therapist | 909 Midland Ave, Ground Floor, Yonkers, NY 10704 | 2017-04-19 |
| 1720512627 | Gould Chiropractic Pllc | Chiropractor | 125 Crescent Place, Yonkers, NY 10704 | 2017-04-18 |
| 1659828721 | Malgorzata Lukomska | Nurse Practitioner | 541n Bronx River Rd, 8e, Yonkers, NY 10704 | 2016-09-07 |
| 1073964987 | Mustafa Alkhandak | Dentist | 172 Murray Ave, Yonkers, NY 10704 | 2016-06-22 |
| 1497119754 | Arline Mangiamele | Hearing Instrument Specialist | 1006 Mclean Ave, Yonkers, NY 10704 | 2016-04-12 |
| 1396139887 | Sadaf Mumtaz | Family Medicine | 1010 Central Park Avenue, Yonkers, NY 10704 | 2015-03-24 |
| 1639577869 | Georgina M Puente | Registered Nurse | 73 Alexander Avenue, Yonkers, NY 10704 | 2014-12-22 |
| 1083033922 | Frances Nelson | Technician, Other | C/o 6 Pellbridge Drive, Hopewell, NY 10704 | 2014-04-08 |
| Find all providers in zip 10704 | ||||
| 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 |
|---|---|---|---|---|
| 1316587892 | Desiree B Lara | Case Manager/Care Coordinator | 73 Market St Ridge Hill, Suite 376, Yonkers, NY 10710-1071 | 2020-01-13 |
| 1184181133 | Joeamy Valdez | Case Manager/Care Coordinator | 60 Shoreview Dr, Yonkers, NY 10710-1930 | 2019-02-26 |
| 1134604101 | Valerie Nieves | Case Manager/Care Coordinator | 141 Oliver Ave, Yonkers, NY 10701-6107 | 2018-09-26 |
| 1003309287 | Lourdes Clark | Case Manager/Care Coordinator | 15 Crescent Pl Apt 2f, Yonkers, NY 10704-2529 | 2018-06-12 |
| 1245741883 | Alexis R Austin | Case Manager/Care Coordinator | 95 Ravine Ave Bldg 13, Yonkers, NY 10701-2163 | 2017-10-23 |
| 1598292609 | Rebecca Escoto | Case Manager/Care Coordinator | 1119 Mile Square Rd Apt 1l, Yonkers, NY 10704-1627 | 2017-05-19 |
| 1194274266 | Sarah Bennett Saragoca | Case Manager/Care Coordinator | 165 Oliver Ave Apt 2, Yonkers, NY 10701-6126 | 2016-09-29 |
| 1891144994 | Susan Dos Santos | Case Manager/Care Coordinator | 165 Westminster Dr, Yonkers, NY 10710-4219 | 2016-06-09 |
| 1013304195 | Tracy Parra | Case Manager/Care Coordinator | 31 Pelton St, Apt. 1b, Yonkers, NY 10705-4339 | 2015-04-16 |
| 1154710275 | Raquel Johnson | Case Manager/Care Coordinator | 649 Bronx River Rd, Apt 3r, Yonkers, NY 10704-1700 | 2015-01-13 |
| Find all providers in YONKERS | ||||
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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.