JESSICA LAINE (NPI# 1871104539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871104539 |
| Entity Type | Individual |
| Full Name | JESSICA LAINE |
| Practice Address |
1724 Maple St Apt 7 North Bend OR 97459-2171 |
| Practice Telephone | 5037299363 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |
| 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 |
1724 MAPLE ST APT 7 |
| City | NORTH BEND |
| State | OR |
| Zip Code | 97459-2171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
| 1629573977 | Heather M Coates | Counselor | 400 Virginia Ave Ste 100, North Bend, OR 97459 | 2018-03-28 |
| 1205257219 | Melissa Sperry | Health Educator | 510 Lockhart Street, North Bend, OR 97459 | 2013-12-17 |
| 1265862627 | Elizabeth Sylvester | Counselor | 1592 Monroe Street, North Bend, OR 97459 | 2013-11-22 |
| 1124370291 | Brian Noble Thompson | Pharmacist | 3411 Broadway St., North Bend, OR 97459 | 2012-10-12 |
| 1295081230 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3411 Broadway St, North Bend, OR 97459 | 2012-07-27 |
| 1366728370 | Melissa Jean Kovach | Occupational Therapy Assistant | 3959 Sheridan Ave., North Bend, OR 97459 | 2011-10-24 |
| 1295045052 | Mary Kay Weikel | Massage Therapist | 3229 Broadway St Suite G Serenity Therapy Center, North Bend, OR 97459 | 2010-10-14 |
| 1902080013 | Anthony Eugene Baldacci | Registered Nurse | 1836 Meade Street, North Bend, OR 97459 | 2007-12-26 |
| 1952595340 | Inland Point Senior Estates Jv LLC | Clinic/Center | 2265 Inland Drive, North Bend, OR 97459 | 2007-08-29 |
| Find all providers in zip 97459 | ||||
| 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 |
|---|---|---|---|---|
| 1437647393 | Serenity Joyce Lynne Epperson | Case Manager/Care Coordinator | 1840 Union Ave, North Bend, OR 97459-3422 | 2018-04-26 |
| 1265956866 | Victoria Jean Fielder | Case Manager/Care Coordinator | 1840 Union Ave, North Bend, OR 97459-3422 | 2017-07-26 |
| 1447707401 | Serina Thompson | Case Manager/Care Coordinator | 1840 Union Ave, North Bend, OR 97459-3422 | 2016-09-07 |
| 1962860858 | Anthony Drew Farmer | Case Manager/Care Coordinator | 1840 Union Ave, North Bend, OR 97459-3422 | 2016-02-05 |
| 1275991754 | Kimberly Kanies | Case Manager/Care Coordinator | 1840 Union Ave, North Bend, OR 97459-3422 | 2016-01-29 |
| 1871970434 | Brian Tarpy | Case Manager/Care Coordinator | 1840 Union Ave, North Bend, OR 97459-3422 | 2015-05-04 |
| 1801294228 | Connie Monahan | Case Manager/Care Coordinator | 1840 Union Ave, North Bend, OR 97459-3422 | 2014-12-17 |
| 1295143493 | Vanessa Toste | Case Manager/Care Coordinator | 1975 Mcpherson St Ste 2, North Bend, OR 97459-3482 | 2014-07-31 |
| 1558794255 | Bonnie Lynn Tamenreng | Case Manager/Care Coordinator | 1975 Mcpherson St Ste 2, North Bend, OR 97459-3482 | 2013-08-16 |
| 1801232889 | Daniel Glenn Davy | Case Manager/Care Coordinator | 1840 Union Ave, North Bend, OR 97459-3422 | 2013-05-16 |
| Find all providers in NORTH BEND | ||||
| City | NORTH BEND |
| Zip Code | 97459 |
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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.