JILL WILLIAMS (NPI# 1902228687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902228687 |
| Entity Type | Individual |
| Full Name | JILL WILLIAMS |
| Practice Address |
12450 Van Nuys Blvd Suite 200 Pacoima CA 91331-1391 |
| Practice Telephone | 8188961161 |
| Practice Fax Number | 8188965069 |
| Mailing Telephone | 8188961161 |
| Mailing Fax Number | 8188965069 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 6758 | 05 | |
| CA | 7068 | 05 | |
| CA | 7420 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467658906 | Jill Anderson Williams | Speech-Language Pathologist | 13925 88th Pl N, West Palm Beach, FL 33412-2305 | 2007-06-22 |
| 1275651697 | Jill A. Williams | Counselor | 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751-7270 | 2007-03-26 |
| 1295229052 | Jill Ann Williams | Counselor | 770 Se Kane St, Roseburg, OR 97470-3943 | 2018-06-15 |
| 1346652682 | Jill Williams | Registered Nurse | 3074 Hickory Valley Rd, Chattanooga, TN 37421-1265 | 2014-05-21 |
| 1437404688 | Jill D Williams | Nurse Anesthetist, Certified Registered | 1340 Hal Greer Blvd, Huntington, WV 25701-3800 | 2012-07-13 |
| 1982975199 | Jill S Williams | Registered Nurse | 2080 W Arlington Blvd, Ste B, Greenville, NC 27834-3770 | 2012-01-19 |
| 1770877458 | Jill Williams | Psychologist | 215 Bassett St, Syracuse, NY 13210-2113 | 2011-05-31 |
| 1285942391 | Jill R Williams | Social Worker | 501 Biltmore Ave, Suite G276.1, Asheville, NC 28801-4601 | 2010-09-23 |
| 1477870715 | Jill Serdoncillo Williams | Family Medicine | 300 Rice Meadow Way, Columbia, SC 29229 | 2010-04-27 |
| 1558697037 | Jill Marie Williams | Nurse Practitioner | 6010 Pointe West Blvd, Bradenton, FL 34209-5531 | 2009-10-19 |
| Street Address |
12450 VAN NUYS BLVD SUITE 200 |
| City | PACOIMA |
| State | CA |
| Zip Code | 91331-1391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578506002 | Karl Bandyan | Psychiatry & Neurology | 12450 Van Nuys Blvd, 200, Pacoima, CA 91331-1391 | 2006-06-13 |
| 1912408857 | Sarah Sluder | Case Manager/Care Coordinator | 12450 Van Nuys Blvd, Pacoima, CA 91331-1391 | 2018-02-26 |
| 1043738370 | Sam Mavis | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd, Pacoima, CA 91331-1391 | 2017-09-07 |
| 1215467832 | Marcus Johnson | Case Manager/Care Coordinator | 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331 | 2017-06-15 |
| 1982139515 | Donna Brown | Licensed Vocational Nurse | 12450 Van Nuys Blvd, 200, Pacoima, CA 91331-1391 | 2017-04-20 |
| 1114468931 | Sharron Gilmore | Case Manager/Care Coordinator | 12450 Van Nuys Blvd, 200, Pacoima, CA 91331-1391 | 2017-03-13 |
| 1629519632 | Mayra Sandoval | Case Manager/Care Coordinator | 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331-1391 | 2017-03-10 |
| 1336689959 | Shalmar Neal | Marriage & Family Therapist | 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331 | 2017-03-01 |
| 1275070542 | Veronica R Raniwala | Social Worker | 12450 Van Nuys Blvd, Pacoima, CA 91331 | 2017-01-25 |
| 1699212225 | Consuelo Macias | Case Manager/Care Coordinator | 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331-1391 | 2017-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315956 | Kimberly Marie Tallas | Dental Assistant | 9745 Laurel Canyon, Pacoima, CA 91331 | 2020-08-05 |
| 1841822574 | Hathaway-sycamores Child and Family Services | Psychologist | 11505 Herrick Ave, Pacoima, CA 91331 | 2020-02-11 |
| 1649810995 | Amaris Care Inc | Home Health | 8953 Woodman Ave Ste 201, Arleta, CA 91331 | 2020-01-14 |
| 1801453758 | Hathaway Sycamores Child and Family Services | Psychologist | 13233 Eustace St., Pacoima, CA 91331 | 2019-05-28 |
| 1083189807 | Angelina Rosina Guzman | Student in an Organized Health Care Education/Training Program | 13459 Filmore St, 1/4, Pacoima, CA 91331 | 2018-10-08 |
| 1467972364 | Msa Pharmaceutical Services Corporation | Pharmacy | 9720 Woodman Ave, Arleta, CA 91331 | 2017-06-21 |
| 1508213588 | Yari Meita Fanusie | Counselor | 11643 Glenoaks Blvd., Pacoima, CA 91331 | 2016-05-19 |
| 1972992915 | Ray Ayala | Counselor | 16643 Glenoaks Bl., Pacoima, CA 91331 | 2015-01-14 |
| 1538569249 | Ludivina Gutierrez | Occupational Therapist | 14061 Terra Bella Street, Arleta, CA 91331 | 2014-08-29 |
| 1043646557 | Umoh-chidi Daniel | Physical Therapist | 12418 Gain St., Pacoima, CA 91331 | 2013-09-17 |
| Find all providers in zip 91331 | ||||
| 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 |
|---|---|---|---|---|
| 1891280962 | Susan Guadalupe Zazueta | Case Manager/Care Coordinator | 12227 Osborne Pl Apt 129, Pacoima, CA 91331-7033 | 2018-06-29 |
| 1205362050 | Brenda Nunez | Case Manager/Care Coordinator | 12661 Pierce St Apt 203, Pacoima, CA 91331-1965 | 2017-05-11 |
| 1275071284 | Adriana Elizabeth Mariscal | Case Manager/Care Coordinator | 11221 Dronfield Ave, Pacoima, CA 91331-1425 | 2017-02-09 |
| 1437504461 | Claudia Cruz | Case Manager/Care Coordinator | 11218 Herrick Ave, Pacoima, CA 91331-1921 | 2016-04-27 |
| 1942616370 | Claudia Quiroz I | Case Manager/Care Coordinator | 10965 Glenoaks Blvd Spc 27, Pacoima, CA 91331-7527 | 2014-07-07 |
| 1710019328 | Amanda Hernandez | Case Manager/Care Coordinator | 13027 Goleta St, Pacoima, CA 91331-3247 | 2007-03-09 |
| 1205435104 | Caterin Munguia | Case Manager/Care Coordinator | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2020-10-21 |
| 1093328619 | Reina Hernandez | Case Manager/Care Coordinator | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2020-08-24 |
| 1578199154 | Cynthia Manzo | Case Manager/Care Coordinator | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2020-03-16 |
| 1932734696 | Ashley Cameron | Case Manager/Care Coordinator | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2020-03-03 |
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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.