KRISTEN LIDWELL (NPI# 1902389158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902389158 |
| Entity Type | Individual |
| Full Name | KRISTEN LIDWELL |
| Practice Address |
400 Lakemont Park Blvd Altoona PA 16602-5967 |
| Practice Telephone | 8149460261 |
| Practice Fax Number | 8145691189 |
| Mailing Telephone | 8149460261 |
| Mailing Fax Number | 8145691189 |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
400 LAKEMONT PARK BLVD |
| City | ALTOONA |
| State | PA |
| Zip Code | 16602-5967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033185723 | Susan E. Friedenberger | Counselor | 400 Lakemont Park Blvd, Suite 100, Altoona, PA 16602-5967 | 2006-02-23 |
| 1568933778 | Erin M Long | Occupational Therapist | 400 Lakemont Park Blvd, Altoona, PA 16602-5967 | 2018-12-16 |
| 1891262697 | Jessica Ann Steinbauer | Counselor | 400 Lakemont Park Blvd, Altoona, PA 16602-5967 | 2018-10-30 |
| 1053894709 | Bridgette Nicole Durbin | Counselor | 400 Lakemont Park Blvd, Altoona, PA 16602-5967 | 2018-09-10 |
| 1588144745 | Jami Lynn Madeira | Case Manager/Care Coordinator | 400 Lakemont Park Blvd, Altoona, PA 16602-5967 | 2018-08-17 |
| 1104304153 | Michael Barnes | Case Manager/Care Coordinator | 400 Lakemont Park Blvd, Altoona, PA 16602-5967 | 2018-08-01 |
| 1043798002 | Brian Helsel | Case Manager/Care Coordinator | 400 Lakemont Park Blvd, Altoona, PA 16602-5967 | 2018-08-01 |
| 1285111914 | Jessilyn Garlena | Case Manager/Care Coordinator | 400 Lakemont Park Blvd, Altoona, PA 16602 | 2018-07-25 |
| 1376037309 | Chris Jones | Case Manager/Care Coordinator | 400 Lakemont Park Blvd, Altoona, PA 16602-5967 | 2018-06-22 |
| 1689168601 | Douglas Longwill | Counselor | 400 Lakemont Park Blvd, Altoona, PA 16602-5967 | 2018-06-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817646 | John Francis Cain | Registered Nurse | 319 Meadowlark Ave, Altoona, PA 16602 | 2020-10-06 |
| 1023650991 | Rahaf Obeid | Pharmacist | 508 E Plank Road, Altoona, PA 16602 | 2019-10-12 |
| 1346713641 | Justin M Delasko | Dietitian, Registered | 905 Logan Blvd, Altoona, PA 16602 | 2019-01-09 |
| 1679932420 | Dottie Jean Morgan | Speech-Language Pathologist | 501 Valley View Blvd., Altoona, PA 16602 | 2016-02-22 |
| 1922409283 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 1600 9th Avenue, Altoona, PA 16602 | 2014-09-05 |
| 1972918878 | Grane Hospice Care, Inc. | Hospice Care, Community Based | 115 Union Ave Ste 100, Altoona, PA 16602 | 2014-06-30 |
| 1033524921 | Grane Hospice Care, Inc. | Home Health | 115 Union Ave Ste 300, Altoona, PA 16602 | 2014-06-30 |
| 1306184858 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 301 E. Pleasant Valley Blvd, Altoona, PA 16602 | 2013-01-17 |
| 1497042576 | Michala Seidel | Counselor | 3010 7th Avenue, Alternative Community Resource Program, Altoona, PA 16602 | 2011-07-08 |
| 1205121647 | Rebekah Brown | Preventive Medicine | 301 E Pleasant Valley Blvd., Altoona, PA 16602 | 2011-06-14 |
| Find all providers in zip 16602 | ||||
| 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 |
|---|---|---|---|---|
| 1396227641 | Summer Joy Tomlinson | Case Manager/Care Coordinator | 220 E Bell Ave, Altoona, PA 16602-5202 | 2018-09-04 |
| 1336625656 | Toby Dick | Case Manager/Care Coordinator | 400 Lakemont Park Blvd Ste 100, Altoona, PA 16602-5967 | 2018-07-19 |
| 1992995336 | Michael Weaver | Case Manager/Care Coordinator | 1501 Crawford Ave, Altoona, PA 16602-4605 | 2007-08-01 |
| 1407978174 | North Star Services, Inc. | Case Manager/Care Coordinator | 125 Lakemont Park Blvd, Altoona, PA 16602-5943 | 2007-04-04 |
| 1619515566 | Lynette Renee Matley | Case Manager/Care Coordinator | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2019-12-11 |
| 1528614252 | Jennie Anne White | Case Manager/Care Coordinator | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2019-08-19 |
| 1174178065 | Kelsey Renz | Case Manager/Care Coordinator | 400 Lakemont Park Blvd Ste 100, Altoona, PA 16602-5967 | 2019-08-07 |
| 1063987006 | Cassandra Marie Anna | Case Manager/Care Coordinator | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2018-10-05 |
| 1871076919 | Devon Singer | Case Manager/Care Coordinator | 400 Lakemont Park Blvd Ste 100, Altoona, PA 16602-5967 | 2018-09-14 |
| 1386127520 | Christina Marie Baublitz | Case Manager/Care Coordinator | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2018-09-13 |
| Find all providers in ALTOONA | ||||
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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.