INO PERFECTO N GONZALES (NPI# 1891341756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891341756 |
| Entity Type | Individual |
| Full Name | INO PERFECTO N GONZALES |
| Other Name | INO GONZALES |
| Practice Address |
1007 Koala Dr Omak WA 98841-9247 |
| Practice Telephone | 5098266191 |
| Practice Fax Number | 5098263029 |
| Mailing Telephone | 5098266191 |
| Mailing Fax Number | 5098263029 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |
| 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 |
| Street Address |
1007 KOALA DR |
| City | OMAK |
| State | WA |
| Zip Code | 98841-9247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346638855 | Katie Mae Sommers | Counselor | 1007 Koala Dr, Omak, WA 98841 | 2015-01-06 |
| 1477185288 | Juan M Rodriguez | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2020-02-10 |
| 1306486337 | Jennifer Vazquez | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2020-01-07 |
| 1285273870 | Robbin E Kamphaus | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-12-30 |
| 1841845526 | Amy Allison Alter Jones | Social Worker | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-08-08 |
| 1417518960 | Diane N Foreman | Case Manager/Care Coordinator | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-06-25 |
| 1811555857 | Jaima Rose Jameson | Peer Specialist | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-06-04 |
| 1922661503 | Erica C Garcia | Case Manager/Care Coordinator | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-04-18 |
| 1538620901 | Shirley Kuchta | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-03-28 |
| 1649737917 | Brian Jamison | Case Manager/Care Coordinator | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093210908 | Kellie Davies | Registered Nurse | 34 Valley View Dr, Omak, WA 98841 | 2018-03-24 |
| 1356860399 | In-home Care of Central Washington | In Home Supportive Care | 130 N. Main St, Ste 2, Omak, WA 98841 | 2017-09-11 |
| 1538615158 | J.r. Craig Webster D.d.s. | Preferred Provider Organization | 204 West 1st. Street, Omak, WA 98841 | 2016-09-01 |
| 1659702157 | Omak Audiology Center, LLC | Audiologist-Hearing Aid Fitter | 506 Riverside Drive, # B, Omak, WA 98841 | 2013-12-09 |
| 1265878417 | Stephen Cavender | Counselor | 1007 Koala Dr., Omak, WA 98841 | 2013-05-15 |
| 1467793497 | Kenari Breshem | Massage Therapist | 25 Ash St, Omak, WA 98841 | 2013-03-15 |
| 1710282645 | Jodie Dawn Field | Counselor | 17 N. Ash, Omak, WA 98841 | 2011-01-25 |
| 1720391659 | Providence Health & Services | Internal Medicine | 629 Jasmine St, Omak, WA 98841 | 2010-07-20 |
| 1871826453 | Stephanie Dawn Swezey | Specialist | 670 Riverside Drive, Omak, WA 98841 | 2009-09-14 |
| 1407090996 | Prabath Priyantha Malluwa Wadu | Pharmacist | 617 5th and Benton, Po Box C, Omak, WA 98841 | 2009-04-28 |
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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 |
|---|---|---|---|---|
| 1417518960 | Diane N Foreman | Case Manager/Care Coordinator | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-06-25 |
| 1922661503 | Erica C Garcia | Case Manager/Care Coordinator | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-04-18 |
| 1649737917 | Brian Jamison | Case Manager/Care Coordinator | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-02-22 |
| 1699247999 | Elizabeth Ulloa | Case Manager/Care Coordinator | 1007 Koala Dr, Omak, WA 98841-9247 | 2018-12-26 |
| 1124590542 | Shayne Dianne Freeman | Case Manager/Care Coordinator | 1007 Koala Dr, Omak, WA 98841-9247 | 2018-12-24 |
| 1770055196 | Esther Margrethe Pomerantz | Case Manager/Care Coordinator | 1007 Koala Dr, Omak, WA 98841-9247 | 2018-12-24 |
| 1164926242 | Shalena Bent | Case Manager/Care Coordinator | 1007 Koala Dr, Omak, WA 98841-9247 | 2018-03-22 |
| 1851807341 | Ryan Willis | Case Manager/Care Coordinator | 1007 Koala Dr, Omak, WA 98841-9247 | 2017-12-19 |
| 1942559430 | Emelia Monreal | Case Manager/Care Coordinator | 1007 Koala Ave, Omak, WA 98841-9247 | 2012-08-30 |
| 1689905978 | Cheryl Lynn Matthynssens | Case Manager/Care Coordinator | 1007 Koala Ave, Omak, WA 98841-9247 | 2010-01-26 |
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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.