RYAN DUANE TOLLACKSON (NPI# 1871144808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871144808 |
| Entity Type | Individual |
| Full Name | RYAN DUANE TOLLACKSON |
| Practice Address |
222 Wall St Seattle WA 98121-1431 |
| Practice Telephone | 2064413043 |
| Mailing Telephone | 2064413043 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | WA | Other Service Providers |
| Street Address |
222 WALL ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98121-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295880573 | Lexar Corporation | Pharmacy | 222 Wall St, Suite 100, Seattle, WA 98121 | 2007-01-24 |
| 1578164729 | Jessica Champ | Counselor | 222 Wall St, Seattle, WA 98121-1431 | 2020-11-04 |
| 1649878562 | Jay Thomas Scott | Peer Specialist | 222 Wall St, Seattle, WA 98121-1431 | 2020-10-13 |
| 1164036406 | Shannon Marie Scruggs | Counselor | 222 Wall St, Seattle, WA 98121-1431 | 2020-09-03 |
| 1114549748 | Ursula Neal | Counselor | 222 Wall St, Seattle, WA 98121-1431 | 2020-05-18 |
| 1558982454 | Miguel Plylar-moore | Counselor | 222 Wall St, Seattle, WA 98121-1431 | 2020-05-01 |
| 1619503703 | Jeanette Causey | Counselor | 222 Wall St, Seattle, WA 98121-1431 | 2020-03-20 |
| 1033682372 | Kassandra Sprenke Bradberry | Social Worker | 222 Wall St, Seattle, WA 98121-1431 | 2019-01-09 |
| 1235602202 | Caitlin Zeisig-walsh | Case Manager/Care Coordinator | 222 Wall St, Suite 100, Seattle, WA 98121-1431 | 2019-01-02 |
| 1689146623 | Stephanie Rose | Social Worker | 222 Wall St, Seattle, WA 98121-1431 | 2018-12-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963233 | Mehrangiz Peimai | Interpreter | 2020 Terry Ave #203, Seattle, WA 98121 | 2020-08-21 |
| 1649839614 | Lisa Williams | Counselor | El Ray, 2119 2nd Ave, Seattle, WA 98121 | 2019-06-12 |
| 1629634332 | Emmanuel K Acheampong Jr. | Physical Therapist | 2720 4th Ave Apt 115, Seattle, WA 98121 | 2019-05-17 |
| 1538650049 | Laura Rochelle Sauvage | Dentist | 2045 Westlake Ave, Seattle, WA 98121 | 2018-05-21 |
| 1407354657 | Vera Whole Health Wa PC | Clinic/Center | 2318 4th Avenue, Seattle, WA 98121 | 2018-01-23 |
| 1881114601 | Brandon Tyler Thompson | Counselor | 2119 2nd Ave., Seattle, WA 98121 | 2017-06-22 |
| 1255886677 | Nkiruka Aderogba | Nurse Practitioner | 300 Lenora Street, Seattle, WA 98121 | 2016-08-16 |
| 1770924227 | Virginia J. Washburn | Marriage & Family Therapist | 2021 - 1st Ave., #g2, Seattle, WA 98121 | 2013-07-12 |
| 1700139706 | Maxine K Anderson | Psychoanalyst | 2100 Western Ave, #69, Seattle, WA 98121 | 2012-10-16 |
| 1790036903 | Neal Christopher Raval | Dentist | 2801 1st Avenue, #509, Seattle, WA 98121 | 2012-09-27 |
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| 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 |
|---|---|---|---|---|
| 1013523737 | Christine Siebels-lindquist | Case Manager/Care Coordinator | 4039 9th Ave Ne, Seattle, WA 98105-6476 | 2020-09-17 |
| 1114549029 | Kathryn Larimore | Case Manager/Care Coordinator | 2100 24th Ave S Ste 250, Seattle, WA 98144-4644 | 2020-05-13 |
| 1205469152 | Davis Haywood | Case Manager/Care Coordinator | 325 9th Ave # 359607, Seattle, WA 98104-2420 | 2020-02-19 |
| 1932753241 | Marlene Rebecca Carricaburu | Case Manager/Care Coordinator | 325 9th Ave # 359859, Seattle, WA 98104-2499 | 2019-07-25 |
| 1518528173 | Michael Humphrey | Case Manager/Care Coordinator | 1119 E Fir St, Seattle, WA 98122-5415 | 2019-06-25 |
| 1801359377 | Maluofiti Valentino Le'iato | Case Manager/Care Coordinator | 12037 1st Ave S Apt B205, Seattle, WA 98168-5035 | 2019-04-10 |
| 1780156992 | Michelle Nayoung Kim | Case Manager/Care Coordinator | 1618 S Lane St, Seattle, WA 98144-2829 | 2018-12-28 |
| 1487125407 | Erin David Tate | Case Manager/Care Coordinator | 5444 Delridge Way Sw, Seattle, WA 98106-1534 | 2018-12-17 |
| 1710452362 | Carrie Jambresic | Case Manager/Care Coordinator | 5126 47th Ave Ne, Seattle, WA 98105-2925 | 2018-10-10 |
| 1063996601 | Laura Nagel | Case Manager/Care Coordinator | 2131 N 113th St Apt 3, Seattle, WA 98133-7644 | 2018-09-19 |
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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.