EVAGGELOS KLONIS (NPI# 1932656766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932656766 |
| Entity Type | Individual |
| Full Name | EVAGGELOS KLONIS |
| Practice Address |
301 S Camino Del Pueblo Bernalillo NM 87004-6276 |
| Mailing Address |
6019 Full Moon Ave Nw Albuquerque NM 87114-3935 |
| Practice Telephone | 5052883893 |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |
| 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 |
301 S CAMINO DEL PUEBLO |
| City | BERNALILLO |
| State | NM |
| Zip Code | 87004-6276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447579404 | Marilyn Lande | Behavioral Analyst | 301 S Camino Del Pueblo, Bernalillo, NM 87004-6276 | 2010-05-28 |
| 1811538564 | Shurie Yvette Seeley | Social Worker | 301 S Camino Del Pueblo, Bernalillo, NM 87004-6276 | 2019-10-03 |
| 1467006551 | Angela Dawn Gonzales | Peer Specialist | 301 S Camino Del Pueblo, Bernalillo, NM 87004-6276 | 2019-07-28 |
| 1609358597 | Catalina Nunez | Social Worker | 301 S Camino Del Pueblo, Bernalillo, NM 87004-6276 | 2018-09-06 |
| 1104312891 | Aubrie Bushaw | Case Manager/Care Coordinator | 301 S Camino Del Pueblo, Bernalillo, NM 87004-6276 | 2018-07-05 |
| 1336646645 | Jessica Marie Trujillo | Social Worker | 301 S Camino Del Pueblo, Bernalillo, NM 87004-6276 | 2018-04-12 |
| 1871007948 | Erin Ratcliff | Case Manager/Care Coordinator | 301 S Camino Del Pueblo, Bernalillo, NM 87004-6276 | 2017-11-27 |
| 1063957983 | Madeleine N Stevens | Community/Behavioral Health | 301 S Camino Del Pueblo, Bernalillo, NM 87004-6276 | 2017-01-01 |
| 1689124299 | Cassandra Edwards | Social Worker | 301 S Camino Del Pueblo, Bernalillo, NM 87004-6276 | 2016-10-06 |
| 1669858205 | Amanda Gonzales | Case Manager/Care Coordinator | 301 S Camino Del Pueblo, Bernalillo, NM 87004-6276 | 2015-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912557729 | Mary Webster Birch | Technician | 306 Riesling Rd, Bernalillo, NM 87004 | 2019-09-13 |
| 1992364483 | Vineeta Kannan | Pharmacist | 203 Sandia Day School Rd., Bernalillo, NM 87004 | 2019-06-10 |
| 1003339748 | Bryanna M Vaio | Pharmacist | 460 Nm Hwy 528, Bernalillo, NM 87004 | 2017-07-25 |
| 1033668843 | Charlotte Branson | Registered Nurse | 301 Calle De Escuela, Bernalillo, NM 87004 | 2016-09-22 |
| 1740737394 | Karin Ludi | Registered Nurse | 148 Spartan Alley, Bernalillo, NM 87004 | 2016-09-01 |
| 1356729214 | Mirey Hernandez | Case Manager/Care Coordinator | 255a Carino Del Pueblo, Bernalillo, NM 87004 | 2015-05-12 |
| 1396138038 | Enchanted Hills Dentistry, Professional Corporation | Dentist | 470 New Mexico 528, A, Bernalillo, NM 87004 | 2015-03-05 |
| 1912319609 | Tate Rubinstein | Acupuncturist | 438 S. Camino Del Pueblo, Bernalillo, NM 87004 | 2014-05-29 |
| 1083043400 | Maria De Lourdes M. Grafe | Case Manager/Care Coordinator | 255-a Camino Del Pueblo, Bernalillo, NM 87004 | 2013-11-06 |
| 1932548799 | Bryan Graziano | Dentist | 470 Pat D'arco Hwy, Unit A, Bernalillo, NM 87004 | 2013-06-14 |
| Find all providers in zip 87004 | ||||
| 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 |
|---|---|---|---|---|
| 1356729214 | Mirey Hernandez | Case Manager/Care Coordinator | 255a Carino Del Pueblo, Bernalillo, NM 87004 | 2015-05-12 |
| 1063818318 | Tina Rodriguez | Case Manager/Care Coordinator | 282 S Camino Del Pueblo Ste C, Bernalillo, NM 87004-5909 | 2014-11-14 |
| 1477979037 | Richard C. Rascon Jr. | Case Manager/Care Coordinator | 301 S. Camino Del Pueblo, Bernalillo, NM 87004-5958 | 2014-03-06 |
| 1083043400 | Maria De Lourdes M. Grafe | Case Manager/Care Coordinator | 255-a Camino Del Pueblo, Bernalillo, NM 87004 | 2013-11-06 |
| 1265876999 | Mariana Torres | Case Manager/Care Coordinator | 255 S Camino Del Pueblo, Bernalillo, NM 87004-5973 | 2013-04-24 |
| 1104312891 | Aubrie Bushaw | Case Manager/Care Coordinator | 301 S Camino Del Pueblo, Bernalillo, NM 87004-6276 | 2018-07-05 |
| 1871007948 | Erin Ratcliff | Case Manager/Care Coordinator | 301 S Camino Del Pueblo, Bernalillo, NM 87004-6276 | 2017-11-27 |
| 1922551985 | Ramona Bauman | Case Manager/Care Coordinator | 282 S Camino Del Pueblo Ste 2c, Bernalillo, NM 87004-5913 | 2016-07-26 |
| 1578923173 | Heather Zerkel | Case Manager/Care Coordinator | 282 S Camino Del Pueblo, Bernalillo, NM 87004-5909 | 2016-02-25 |
| 1669858205 | Amanda Gonzales | Case Manager/Care Coordinator | 301 S Camino Del Pueblo, Bernalillo, NM 87004-6276 | 2015-08-05 |
| Find all providers in BERNALILLO | ||||
| City | BERNALILLO |
| Zip Code | 87004 |
Please comment or provide details below to improve the information on EVAGGELOS KLONIS.
| 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.