LISA FANDELL (NPI# 1962823013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962823013 |
| Entity Type | Individual |
| Full Name | LISA FANDELL |
| Practice Address |
875 W. Moreno Ave Colorado Springs CO 80905 |
| Mailing Address |
220 Ruskin Drive Colorado Springs CO 80910 |
| Practice Telephone | 7195726100 |
| Practice Fax Number | 7195726299 |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |
| 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 |
| Street Address |
875 W. MORENO AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376973669 | Kierstie Cameron | Counselor | 875 W. Moreno Ave, Colorado Springs, CO 80905 | 2013-11-22 |
| 1497159503 | Heidi Alice Stouffer | Registered Nurse | 875 W. Moreno Ave, Colorado Springs, CO 80905 | 2014-10-17 |
| 1023439551 | Tamara Taibi | Case Manager/Care Coordinator | 875 W. Moreno Ave, Colorado Springs, CO 80905 | 2013-12-31 |
| 1134540677 | Sarah Biggerman | Case Manager/Care Coordinator | 875 W. Moreno Ave, Colorado Springs, CO 80905 | 2013-12-31 |
| 1598186496 | Kawana Perry | Case Manager/Care Coordinator | 875 W. Moreno Ave, Colorado Springs, CO 80905 | 2013-12-18 |
| 1972924074 | Justin Barry | Psychologist | 875 W. Moreno Ave, Colorado Springs, CO 80905 | 2013-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524137 | Julie Esther Ayaad | Nurse Practitioner | 1427 W Rio Grande, Colorado Springs, CO 80905 | 2019-12-04 |
| 1437676970 | Cara Boss | Physical Therapy Assistant | 1855 Presidential Hts, Apt 1023, Colorado Springs, CO 80905 | 2017-08-25 |
| 1720537509 | Rhianon Leigh Davis | Physical Therapy Assistant | 810 Arcturus Drive, Colorado Springs, CO 80905 | 2016-09-22 |
| 1861878639 | Melissa Bernstein-linan | Counselor | 1301 S 8th St Ste 200, Colorado Springs, CO 80905 | 2015-08-04 |
| 1215294301 | Nancy J. Beach | Counselor | 1355 S 8th St Ste 206, Colorado Springs, CO 80905 | 2012-04-13 |
| 1699096107 | Hinds' Feet Adventures | Counselor | 1301 S. Eighth Street, Suite 115, Colorado Springs, CO 80905 | 2010-06-18 |
| 1396067310 | Pinnacle Family Medicine, Pllc | Family Medicine | 1040 S 8th Street, Suite 102, Colorado Springs, CO 80905 | 2010-02-17 |
| 1710154018 | Amy Lee Moore | Counselor | 875 W. Moreno, Colorado Springs, CO 80905 | 2008-05-15 |
| 1386786598 | Pia Hillevi Schalin | Family Medicine | 402 W Bijou, Emergicare Corporation, Colorado Springs, CO 80905 | 2007-02-13 |
| 1114092533 | Melissa Elizabeth Fauser | Counselor | 375 W Moreno Ave, Colorado Springs, CO 80905 | 2006-11-21 |
| Find all providers in zip 80905 | ||||
| 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 |
|---|---|---|---|---|
| 1215558903 | Marissa Faith Swearingen | Case Manager/Care Coordinator | 5809 Brave Eagle Dr, Colorado Springs, CO 80924-2011 | 2020-05-04 |
| 1780192989 | Child Community Services | Case Manager/Care Coordinator | 2210 E La Salle St # 108, Colorado Springs, CO 80909-2303 | 2018-01-22 |
| 1437578200 | Mary Loretta Swope | Case Manager/Care Coordinator | 6208 Lenman Drive, Colorado Springs, CO 80918 | 2014-04-09 |
| 1356762439 | Michell Tomala | Case Manager/Care Coordinator | 6208 Leahman Dr, Colorado Springs, CO 80918 | 2013-12-17 |
| 1497005987 | Kristen Henry | Case Manager/Care Coordinator | 6208 Lehman Drive, Colorado Springs, CO 80918 | 2012-09-12 |
| 1164772711 | Rebecca Yount | Case Manager/Care Coordinator | 6208 Lehman Drive Suite 317, Colorado Springs, CO 80918 | 2012-09-11 |
| 1417206723 | Augustus Albert Edwards | Case Manager/Care Coordinator | 115 Parkside Drive, Colorado Springs, CO 80910 | 2012-08-31 |
| 1881943462 | Michael Cid | Case Manager/Care Coordinator | 1675 Garden of Gods Rd, Colorado Springs, CO 80907-9444 | 2012-08-29 |
| 1518231851 | Maryellen Benson | Case Manager/Care Coordinator | 2864 S Circle Dr Ste 620, Colorado Springs, CO 80906-4119 | 2012-03-05 |
| 1306315494 | Samantha Church | Case Manager/Care Coordinator | 10 Boulder Crescent St Ste 102, Colorado Springs, CO 80903-3350 | 2018-11-18 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80905 |
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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.