KERRI MARIE MCDERMOTT (NPI# 1740349166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740349166 |
| Entity Type | Individual |
| Full Name | KERRI MARIE MCDERMOTT |
| Credential | BS |
| Practice Address |
300 Crooks Street Green Bay WI 54301 |
| Mailing Address |
Po Box 22308 300 Crooks Street Green Bay WI 54305-2308 |
| Practice Telephone | 9204366800 |
| Practice Fax Number | 9204325966 |
| Mailing Telephone | 9204366800 |
| Mailing Fax Number | 9204325966 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-08 |
| 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 |
300 CROOKS STREET |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972568608 | Judith M Hodel | Social Worker | 300 Crooks Street, Green Bay, WI 54301 | 2006-04-18 |
| 1417006370 | Lori Warchol | Social Worker | 300 Crooks Street, Green Bay, WI 54305-2308 | 2007-01-09 |
| 1942387345 | Martha J Todd | Counselor | 300 Crooks Street, Green Bay, WI 54301 | 2006-11-01 |
| 1740367143 | Stephanie Lynn Adelman | Case Manager/Care Coordinator | 300 Crooks Street, Green Bay, WI 54301 | 2006-11-01 |
| 1821175225 | Marianne E Morris | Case Manager/Care Coordinator | 300 Crooks Street, Green Bay, WI 54301 | 2006-11-01 |
| 1164509576 | Houa D Yang | Case Manager/Care Coordinator | 300 Crooks Street, Green Bay, WI 54301 | 2006-11-01 |
| 1316023542 | Rachel Ann Monfils | Case Manager/Care Coordinator | 300 Crooks Street, Green Bay, WI 54301 | 2006-10-31 |
| 1043396278 | Mark Thomas Simonson | Case Manager/Care Coordinator | 300 Crooks Street, Green Bay, WI 54301 | 2006-10-31 |
| 1952487183 | Mary Meier | Case Manager/Care Coordinator | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-31 |
| 1942386172 | Jodi Ann Mathys | Counselor | 300 Crooks Street, Green Bay, WI 54301 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| 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 |
|---|---|---|---|---|
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1205480985 | Kate Christnot | Case Manager/Care Coordinator | 2517 N View Ct, Green Bay, WI 54303-6233 | 2019-07-30 |
| 1619538618 | Alyse Gregorius | Case Manager/Care Coordinator | 830 Edgewood Dr, Green Bay, WI 54311-5204 | 2019-06-21 |
| 1467925032 | Jessica Rebecca King | Case Manager/Care Coordinator | 217 N Madison St Ste 4, Green Bay, WI 54301-5103 | 2019-01-07 |
| 1699374447 | Heidi Van Sistine | Case Manager/Care Coordinator | 830 Edgewood Dr, Green Bay, WI 54311-5204 | 2020-10-22 |
| 1528675550 | Brenda Ann Skabroud | Case Manager/Care Coordinator | 830 Edgewood Dr, Green Bay, WI 54311-5204 | 2020-09-24 |
| 1932719663 | James Walker Jr. | Case Manager/Care Coordinator | 2517 N View Ct, Green Bay, WI 54303-6233 | 2020-08-07 |
| 1922637180 | Brianna Marie Hagenow | Case Manager/Care Coordinator | Lutheran Social Services of Wi, 830 Edgewood Drive, Green Bay, WI 54311 | 2020-04-08 |
| 1245876374 | Jacqueline Ebert | Case Manager/Care Coordinator | 830 Edgewood Dr, Green Bay, WI 54311-5204 | 2019-11-25 |
| 1396380622 | Anna Joll | Case Manager/Care Coordinator | 2517 N View Ct, Green Bay, WI 54303-6233 | 2019-11-11 |
| Find all providers in GREEN BAY | ||||
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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.