SHANE KILCHER (NPI# 1760083620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760083620 |
| Entity Type | Individual |
| Full Name | SHANE KILCHER |
| Practice Address |
3948 Ben Walters Ln Homer AK 99603-7708 |
| Practice Telephone | 9072357701 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1020987 | 05 |
| Street Address |
3948 BEN WALTERS LN |
| City | HOMER |
| State | AK |
| Zip Code | 99603-7708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285640961 | South Peninsula Behavioral Health Services Inc | Community/Behavioral Health | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2006-08-01 |
| 1235730029 | Margaret Mitchell | Case Manager/Care Coordinator | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1619578440 | Cody Davidson | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1104427913 | Holly Bliss | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1578164398 | Russell Campbell | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1003417825 | Nathan Chorman | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1992306724 | Sharron Cotogno | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1144821976 | Brian Duffy | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1770184509 | Richard Everett | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1528669314 | James Fisher | Case Manager/Care Coordinator | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572387 | Morgan Dwyer | Counselor | 51310 Timber Bay Ct, Homer, AK 99603 | 2020-09-09 |
| 1346859824 | John George Hetrick | Counselor | 51310 Timber Bay Ct., Homer, AK 99603 | 2020-07-30 |
| 1093352502 | Katieostrommd | Obstetrics & Gynecology | 205 W Fairview, Homer, AK 99603 | 2019-12-03 |
| 1023651965 | Melissa Elizabeth Malcolm | Physical Therapy Assistant | 4107 Hohe Ave, Homer, AK 99603 | 2019-10-23 |
| 1184143620 | Homer Birth and Wellness Center | Clinic/Center | 3902 Shelford Street, Homer, AK 99603 | 2017-09-15 |
| 1588913271 | Sharon Marie Gorman | Registered Nurse | 3959 Ben Walters, Homer, AK 99603 | 2012-09-10 |
| 1477802197 | Aldergrove Assisted Living | Community Based Residential Treatment Facility, Mental Illness | 41045 Denny Lane, Homer, AK 99603 | 2012-09-10 |
| 1194087551 | Stephen Michael Mueller | Pharmacist | 3858 Lake Street, Suite #5, Lakeside Mall, Homer, AK 99603 | 2012-06-12 |
| 1962778001 | Homer Dental Center Inc | Dentist | 4014 Lake St., Ste 210, Homer, AK 99603 | 2012-03-22 |
| 1346544368 | William R Easton | General Practice | 2495 Bayridge Rd, Homer, AK 99603 | 2011-01-05 |
| Find all providers in zip 99603 | ||||
| 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 |
|---|---|---|---|---|
| 1700359809 | Julia M Lutz | Case Manager/Care Coordinator | 126 W Pioneer Ave, Homer, AK 99603-7564 | 2019-01-10 |
| 1497295927 | Patricia Forquer | Case Manager/Care Coordinator | 825 Goldberry Ct, Homer, AK 99603-9264 | 2017-03-02 |
| 1366835118 | Sheryl Baechler | Case Manager/Care Coordinator | 295 E Fairview Ave, Homer, AK 99603-7549 | 2015-03-17 |
| 1558789420 | Tessa Drais | Case Manager/Care Coordinator | 332 E Pioneer Ave Ste 2, #2, Homer, AK 99603-7571 | 2014-03-28 |
| 1740582709 | Leigh C Smith-cloonan | Case Manager/Care Coordinator | 203 W Pioneer Ave Ste 1, Homer, AK 99603-7527 | 2010-11-24 |
| 1235730029 | Margaret Mitchell | Case Manager/Care Coordinator | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1528669314 | James Fisher | Case Manager/Care Coordinator | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1427659259 | Susan Donaldson | Case Manager/Care Coordinator | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1336740141 | Angela Armstrong | Case Manager/Care Coordinator | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1184225971 | Alissa Knott | Case Manager/Care Coordinator | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| Find all providers in HOMER | ||||
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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.