SHANE SOMMERS (NPI# 1962020610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962020610 |
| Entity Type | Individual |
| Full Name | SHANE SOMMERS |
| Practice Address |
702 W Main St Madison WI 53715-1424 |
| Mailing Address |
25 Kessel Ct Ste 105 Madison WI 53711-6227 |
| Practice Telephone | 6082802600 |
| Mailing Telephone | 6082802700 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306012711 | Shane Robert Sommers | Physical Therapist | 1000 E Main St, Danville, IN 46122-1948 | 2008-05-06 |
| Street Address |
702 W MAIN ST |
| City | MADISON |
| State | WI |
| Zip Code | 53715-1424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394342 | Neffatri Kanini Edwards | Case Manager/Care Coordinator | 702 W Main St, Madison, WI 53715-1424 | 2020-10-25 |
| 1790384402 | Michael David Allbee I | Counselor | 702 W Main St, Madison, WI 53715-1424 | 2020-10-22 |
| 1801493598 | Katelyn Nicole Herbig | Case Manager/Care Coordinator | 702 W Main St, Madison, WI 53715-1424 | 2020-10-06 |
| 1902403850 | Amber Gilles | Case Manager/Care Coordinator | 702 W Main St, Madison, WI 53715-1424 | 2020-10-05 |
| 1053923482 | Shequila Galvez | Social Worker | 702 W Main St, Madison, WI 53715-1424 | 2020-08-18 |
| 1538787494 | Marie Rose Yaroch | Case Manager/Care Coordinator | 702 W Main St, Madison, WI 53715-1424 | 2020-07-08 |
| 1295351518 | Daniela Pincheira-berthelon | Case Manager/Care Coordinator | 702 W Main St, Madison, WI 53715-1424 | 2020-06-23 |
| 1962028266 | Kayla Stotts | Case Manager/Care Coordinator | 702 W Main St, Madison, WI 53715-1424 | 2020-06-22 |
| 1710512611 | Brieanna Tychelle Hennington | Counselor | 702 W Main St, Madison, WI 53715-1424 | 2020-03-11 |
| 1639704695 | Nicole Boyle | Case Manager/Care Coordinator | 702 W Main St, Madison, WI 53715-1424 | 2020-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
| Find all providers in zip 53715 | ||||
| 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 |
|---|---|---|---|---|
| 1275132946 | Alice M Franks-gray | Case Manager/Care Coordinator | Esu/bayside/crisis Stabilization, 702 W Main Street, Madison, WI 53715-1424 | 2020-10-22 |
| 1073129391 | John Raby | Case Manager/Care Coordinator | 471 Main St Ste B, Madison, WV 25130-1223 | 2020-09-22 |
| 1588272488 | Samantha Rose Vaught | Case Manager/Care Coordinator | 157 Greenwood Dr, Madison, AL 35758-1403 | 2020-07-16 |
| 1598381915 | Errica Braun | Case Manager/Care Coordinator | 4 N Hancock St, Madison, WI 53703-2802 | 2020-06-22 |
| 1093350563 | The Hmong Institute Incorporated | Case Manager/Care Coordinator | 4402 Femrite Dr, Madison, WI 53716-4122 | 2019-11-08 |
| 1548818776 | James Martin | Case Manager/Care Coordinator | 315 Sw Jeanette Cir, Madison, FL 32340-1155 | 2019-08-30 |
| 1275185522 | Selina Lor | Case Manager/Care Coordinator | 17 Daystar Ct Apt D, Madison, WI 53704-7354 | 2019-07-16 |
| 1154897163 | Avenues To Community Inc | Case Manager/Care Coordinator | 579 Donofrio Dr Ste 208, Madison, WI 53719-2839 | 2018-10-17 |
| 1023518214 | Anthony Dwain Pettus Jr. | Case Manager/Care Coordinator | 100 Spenryn Dr, Madison, AL 35758-1890 | 2018-02-14 |
| 1720507585 | Heather Marie Forney | Case Manager/Care Coordinator | 208 E Olin Ave, Madison, WI 53713-1434 | 2017-09-13 |
| Find all providers in MADISON | ||||
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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.