MS. JENNIFER WREN WEATHERBY (NPI# 1962973081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962973081 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER WREN WEATHERBY |
| Credential | CASE MANAGEMENT |
| Practice Address |
609 N Mckinley Dr Apt A Gallup NM 87301-5077 |
| Practice Telephone | 9036816519 |
| Mailing Telephone | 9036816519 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| 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 |
609 N MCKINLEY DR APT A |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-5077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| 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 |
|---|---|---|---|---|
| 1134744980 | Verna Jean Thomas | Case Manager/Care Coordinator | 2318 Boyd Ave, Gallup, NM 87301-4888 | 2020-06-08 |
| 1831723899 | Randall Zuni | Case Manager/Care Coordinator | 650 Vandenbosch Pkwy, Gallup, NM 87301-5508 | 2020-02-28 |
| 1982172722 | Gabriel Claw | Case Manager/Care Coordinator | 1415 Elva Dr, Gallup, NM 87301-5823 | 2018-11-09 |
| 1215435755 | Amber Nicole Velez | Case Manager/Care Coordinator | 3418 Blue Hill Ave, Gallup, NM 87301-6901 | 2018-01-30 |
| 1407067135 | Virginia Becenti Yazzie | Case Manager/Care Coordinator | 300 W Nizhoni Blvd Ste A, Gallup, NM 87301-5766 | 2007-05-24 |
| 1316594088 | Brenda Lynn Padilla | Case Manager/Care Coordinator | 2025 E Aztec Ave, Gallup, NM 87301-4803 | 2019-08-19 |
| 1932763729 | Leander Nelson | Case Manager/Care Coordinator | 2025 E Aztec Ave, Gallup, NM 87301-4803 | 2019-04-26 |
| 1710541081 | Willard Eastman | Case Manager/Care Coordinator | 2025 E Aztec Ave, Gallup, NM 87301-4803 | 2019-04-23 |
| 1447728282 | Kathy Titla | Case Manager/Care Coordinator | 1415 Elva Dr, Gallup, NM 87301-5823 | 2018-11-09 |
| 1871085654 | Christina M. Francisco | Case Manager/Care Coordinator | 2025 E Aztec Ave, Gallup, NM 87301-4803 | 2018-06-06 |
| Find all providers in GALLUP | ||||
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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.