HAILEY A BOUTON (NPI# 1730740044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730740044 |
| Entity Type | Individual |
| Full Name | HAILEY A BOUTON |
| Other Name | HAILEY A GRIMM |
| Practice Address |
10200 Kenai Spur Hwy Kenai AK 99611-7807 |
| Practice Telephone | 9072833658 |
| Mailing Telephone | 9072833658 |
| Mailing Fax Number | 9072835046 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |
| 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 |
10200 KENAI SPUR HWY |
| City | KENAI |
| State | AK |
| Zip Code | 99611-7807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396897419 | Cook Inlet Council On Alcohol and Drug Abuse | Clinic/Center | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2007-01-17 |
| 1760089528 | Amanda M Hanson | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2020-10-05 |
| 1174173405 | Kimberly Ann Novak | Peer Specialist | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-09-18 |
| 1174171417 | Cook Inlet Council On Alcohol and Drug Abuse | Community/Behavioral Health | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-08-29 |
| 1376104687 | Diane Carol Ogilvie | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-06-26 |
| 1285299792 | Joni Gray | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-05-09 |
| 1528623741 | Spring E Larrow | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-05-02 |
| 1053974725 | Jill Hildebrandt | Social Worker | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-04-18 |
| 1144782657 | Alecia Ann Gottlob | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-04-03 |
| 1174792972 | Cook Inlet Council On Alcohol and Drug Abuse | Clinic/Center | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2008-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803099 | Guardian Flight LLC | Ambulance | 145 Granite Point Ct, Kenai, AK 99611 | 2020-02-13 |
| 1104482967 | James Daniel Hudson | Massage Therapist | 601 Frontage Rd Suite 103, Kenai, AK 99611 | 2019-05-16 |
| 1255996351 | Shelly Lynn Niblack | Counselor | 10200, Kenai Sour Hwy, Kenai, AK 99611 | 2019-05-03 |
| 1780142042 | Odyssey Family Practice LLC | Clinic/Center | 11595 Kenai Spur Highway, Kenai, AK 99611 | 2019-03-06 |
| 1043793656 | Jerri Ann Chivers | Massage Therapist | 10815 Kenai Spur Highway, Kenai, AK 99611 | 2018-09-10 |
| 1003320060 | Christine G. Morin | Massage Therapist | 1608 Tanga Circle, Kenai, AK 99611 | 2017-11-28 |
| 1013433259 | Amanda Mckinley | Registered Nurse | 630 Barnacle Way Suite A, Kenai, AK 99611 | 2017-08-18 |
| 1780132753 | Kenai Peninsula Imaging Center LLC | Clinic/Center | 100 Trading Bay Rd Ste 7, Kenai, AK 99611 | 2016-09-19 |
| 1376905000 | Savana Long | Licensed Practical Nurse | 1700 Cone Avenue, Kenai, AK 99611 | 2016-03-22 |
| 1477977684 | Jac Enterprises, Inc. | Assisted Living Facility | 701 North Forest Dr, Kenai, AK 99611 | 2014-02-07 |
| Find all providers in zip 99611 | ||||
| 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 |
|---|---|---|---|---|
| 1063012920 | Katie Kendrick | Case Manager/Care Coordinator | 510 Upland St, Kenai, AK 99611-8028 | 2020-10-29 |
| 1427505288 | Ann Strongheart | Case Manager/Care Coordinator | 129 Sprucewood Dr Apt 1, Kenai, AK 99611-6838 | 2016-09-08 |
| 1659738482 | Linda Leveque | Case Manager/Care Coordinator | 36404 Cork Line Dr, Kenai, AK 99611-8747 | 2016-01-25 |
| 1043559818 | Debra Harriman Hunt | Case Manager/Care Coordinator | 220 Main Street Loop, Suite A, Kenai, AK 99611-7724 | 2013-02-13 |
| 1831469469 | Carol Titus | Case Manager/Care Coordinator | 49840 Eider Dr, Kenai, AK 99611-6431 | 2012-01-12 |
| 1417244575 | Aurora Lelana Hawkins | Case Manager/Care Coordinator | 403 Cinderella St, Kenai, AK 99611-7833 | 2011-07-08 |
| 1811298771 | Renee Crystal Sherbondy | Case Manager/Care Coordinator | 47322 Sunflower St, Kenai, AK 99611-9664 | 2010-11-09 |
| 1881827582 | Jim Trombley | Case Manager/Care Coordinator | 805 Frontage Rd Ste 208, Kenai, AK 99611-9104 | 2009-08-27 |
| 1316170483 | Patricia Joan Stringer | Case Manager/Care Coordinator | 53884 Forest Ln, Kenai, AK 99611-9530 | 2009-08-24 |
| 1457528093 | Andrea L. Miller | Case Manager/Care Coordinator | 51045 Polaris Way, Kenai, AK 99611 | 2008-05-13 |
| Find all providers in KENAI | ||||
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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.