KRISTINA KORON KENDRICK (NPI# 1720520042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720520042 |
| Entity Type | Individual |
| Full Name | KRISTINA KORON KENDRICK |
| Practice Address |
1306 S Slappey Blvd Suite A Colony Square South Albany GA 31701-2699 |
| Practice Telephone | 2294302700 |
| Practice Fax Number | 2294305145 |
| Mailing Telephone | 2294302700 |
| Mailing Fax Number | 2294305145 |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |
| 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 |
| Street Address |
1306 S SLAPPEY BLVD SUITE A COLONY SQUARE SOUTH |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-2699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336217157 | Gail Ann Dorner | Dietitian, Registered | 1306 S Slappey Blvd, Suite G, Box 7, Albany, GA 31701-2699 | 2006-12-01 |
| 1215096813 | Teresa Terrell Graham | Dietitian, Registered | 1306 S Slappey Blvd, Suite-g, Box 7, Albany, GA 31701-2699 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| 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 |
|---|---|---|---|---|
| 1043853716 | Heidi Marie Davis | Case Manager/Care Coordinator | 635 3rd Ave Sw Unit 151, Albany, OR 97321-2625 | 2019-10-24 |
| 1649737180 | Susan B Steen | Case Manager/Care Coordinator | 1306 S Slappey Blvd Ste A, Albany, GA 31701-2635 | 2019-02-20 |
| 1245737774 | Deborah Lea Cordoba | Case Manager/Care Coordinator | 229 Danbury Lane, Albany, GA 31721-3172 | 2018-04-11 |
| 1093225286 | Frank Eugene Glover IIi | Case Manager/Care Coordinator | 4562 Lacosta Dr, Albany, GA 31721-9433 | 2017-10-02 |
| 1053831529 | Maria Foglia | Case Manager/Care Coordinator | 112 State St Rm 300, Albany, NY 12207-2034 | 2017-06-26 |
| 1184175457 | Sherrie Truelove | Case Manager/Care Coordinator | 2111 Juniper Dr, Albany, GA 31721-5239 | 2016-10-20 |
| 1598213944 | Samantha Elaine Akinnubi | Case Manager/Care Coordinator | 1737 Pineknoll Ln, Albany, GA 31707-3778 | 2016-09-14 |
| 1295189967 | Sue Rowland | Case Manager/Care Coordinator | 134 Silver Leaf Dr, Albany, GA 31721-7806 | 2016-04-19 |
| 1821400391 | Remika Christian | Case Manager/Care Coordinator | 2805 Partridge Dr, Apt A, Albany, GA 31721-6244 | 2014-06-02 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| Find all providers in ALBANY | ||||
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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.