JENNIFER LOUISE PATRICIA FADDIS (NPI# 1730692096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730692096 |
| Entity Type | Individual |
| Full Name | JENNIFER LOUISE PATRICIA FADDIS |
| Practice Address |
2380 Salvio St Ste 200 Concord CA 94520-2193 |
| Practice Telephone | 9256021750 |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |
| 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 |
|---|---|---|---|---|
| 1356706238 | Jennifer Faddis | Counselor | 3980 W Wedington Dr Ste 9, Fayetteville, AR 72704-5791 | 2015-12-21 |
| Street Address |
2380 SALVIO ST STE 200 |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-2193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265807051 | Ivena Simplice-colin | Social Worker | 2380 Salvio St Ste 200, Concord, CA 94520 | 2015-12-06 |
| 1699234336 | Dalia Rivera | Case Manager/Care Coordinator | 2380 Salvio St Ste 200, Concord, CA 94520-2193 | 2019-03-12 |
| 1932665429 | J Khaleedah Muhammad | Case Manager/Care Coordinator | 2380 Salvio St Ste 200, Concord, CA 94520-2193 | 2019-02-20 |
| 1437613619 | Eria M Alcocer | Case Manager/Care Coordinator | 2380 Salvio St Ste 200, Concord, CA 94520-2193 | 2019-01-22 |
| 1700365483 | Kelcee Kathleen O'daniel | Counselor | 2380 Salvio St Ste 200, Concord, CA 94520-2193 | 2018-08-13 |
| 1922511062 | Sashell Yates | Case Manager/Care Coordinator | 2380 Salvio St Ste 200, Concord, CA 94520-2193 | 2017-11-12 |
| 1285143206 | Colby Ben Grant | Case Manager/Care Coordinator | 2380 Salvio St Ste 200, Concord, CA 94520-2193 | 2017-09-21 |
| 1407373889 | Sara Tucker | Case Manager/Care Coordinator | 2380 Salvio St Ste 200, Concord, CA 94520-2193 | 2017-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| 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 |
|---|---|---|---|---|
| 1528681574 | Stephanie Nigrelli | Case Manager/Care Coordinator | 46 Fayette St, Concord, NH 03301-3713 | 2020-05-26 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1124507553 | Cameo Jamar Crumby | Case Manager/Care Coordinator | 3662 Patricia Dr Nw, Concord, NC 28027-5625 | 2018-08-07 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1063942472 | Bct, LLC | Case Manager/Care Coordinator | 1455 Galindo St, Concord, CA 94520-2899 | 2017-06-18 |
| 1013307990 | Dana Whorton | Case Manager/Care Coordinator | 1470 Civic Cout, Concord, CA 94520 | 2015-01-29 |
| 1528464047 | Elisha Griffin | Case Manager/Care Coordinator | 6 Fayette St, Concord, NH 03301-3708 | 2014-11-11 |
| 1861808222 | Elizabeth Weatherford | Case Manager/Care Coordinator | 300 Copperfield Blvd, Concord, NC 28025 | 2014-07-07 |
| 1285907402 | Katie Frances Anne Stuhlmacher | Case Manager/Care Coordinator | 3350 Clayton Rd, Ste 100, Concord, CA 94519-2837 | 2012-02-18 |
| 1780858738 | Erica Waegelein | Case Manager/Care Coordinator | 36 Pleasant St, Concord, NH 03301-4055 | 2008-04-21 |
| Find all providers in CONCORD | ||||
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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.