DOMINIQUE RENEE PAYNE (NPI# 1972069284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972069284 |
| Entity Type | Individual |
| Full Name | DOMINIQUE RENEE PAYNE |
| Credential | STUDENT |
| Practice Address |
4455 E 12th Ave Denver CO 80220-2415 |
| Practice Telephone | 7209828571 |
| Mailing Telephone | 7209828571 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
4455 E 12TH AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80220-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295735595 | Mark Scott Marshall | Psychiatry & Neurology | 4455 E 12th Ave, Denver, CO 80220-2415 | 2005-07-28 |
| 1467053033 | Bridget Frances Rowe | Social Worker | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-11-02 |
| 1558977116 | Nathalie Melissa Alvarado | Case Manager/Care Coordinator | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-09-18 |
| 1578179222 | Bria Voorhees | Nurse's Aide | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-09-18 |
| 1932715844 | Shawnna Jessica Kirby | Licensed Practical Nurse | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-09-17 |
| 1033722335 | Kevin Fisher | Social Worker | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-08-26 |
| 1982217295 | Peter F Crowley | Social Worker | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-08-26 |
| 1962014035 | Abigail Clark | Licensed Practical Nurse | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-08-20 |
| 1982212817 | Cara La Rhe Lipford | Social Worker | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-07-16 |
| 1437776549 | Laura Christina Messenger | Social Worker | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053876748 | Woody Dental Pllc | Dentist | 5989 E Colfax Avenue, Denver, CO 80220 | 2019-02-06 |
| 1366961930 | Maita Angelica Thams | Case Manager/Care Coordinator | 4455 E. 12th Ave, Denver, CO 80220 | 2017-09-14 |
| 1962943837 | Rocky Mountain Therapy Ltd | Clinic/Center | 883 Jersey St, Denver, CO 80220 | 2017-03-13 |
| 1578019188 | Alfredo Guzman | Pharmacist | 1055 Cleremont, Denver, CO 80220 | 2016-09-01 |
| 1265802144 | Joseph Parker Morse | Case Manager/Care Coordinator | 4455 East 12th Avenue, Denver, CO 80220 | 2015-10-05 |
| 1104296789 | Eric Poissant | Physical Therapist | 4700 East Hale Parkway, #550, Denver, CO 80220 | 2015-09-25 |
| 1104292085 | Casey Lucarelli | Student in an Organized Health Care Education/Training Program | 4455 E. 12th Av., Mhcd, Denver, CO 80220 | 2015-08-14 |
| 1124414081 | Domenic Michael Terenzi | Hospitalist | 8001 E 11th Ave Unit 5210, Denver, CO 80220 | 2015-04-07 |
| 1730598566 | Jessica Nichole Heck | Pharmacist | 1055 Clermont Street (119), Denver Va Medical Center- Echcs, Denver, CO 80220 | 2014-08-06 |
| 1063840171 | Kellie Ann Douglas | Nurse Practitioner | 4545 E 9th Ave Ste 260, Denver, CO 80220 | 2013-10-29 |
| Find all providers in zip 80220 | ||||
| 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 |
|---|---|---|---|---|
| 1548875321 | Charron Lekisha Johnson | Case Manager/Care Coordinator | 12324 Bannock St Unit 14202, Denver, CO 80234-2156 | 2020-09-09 |
| 1306476072 | Rebecca Romelle Paintin | Case Manager/Care Coordinator | 3500 Rockmont Dr, Denver, CO 80202-1070 | 2020-01-22 |
| 1023663218 | Crystal Ann Juhl | Case Manager/Care Coordinator | 4455 E 12th Ave Fl 4, Denver, CO 80220-2415 | 2019-08-05 |
| 1790345551 | Dana A Ready | Case Manager/Care Coordinator | 5121 E Yale Ave Apt 101, Denver, CO 80222-6955 | 2019-06-14 |
| 1417413014 | Patient Pathways, LLC | Case Manager/Care Coordinator | 2001 16th Street, (casa Vida 18.30.1), Denver, CO 80202 | 2019-02-19 |
| 1255896429 | Focus Care, Inc. | Case Manager/Care Coordinator | 6825 E Tennessee Ave Ste 532, Denver, CO 80224-1628 | 2019-02-01 |
| 1346719259 | Alyssa Anna-marie Nazario | Case Manager/Care Coordinator | 4455 E 12th Ave # 80220, Denver, CO 80220-2415 | 2018-11-20 |
| 1811494214 | Freedom Career Services LLC | Case Manager/Care Coordinator | 5300 E Cherry Creek South Dr Apt 522, Denver, CO 80246 | 2018-04-11 |
| 1023522851 | Megan Renee Derschang | Case Manager/Care Coordinator | 1357 N Williams St, Denver, CO 80218-2691 | 2017-12-01 |
| 1720597735 | Lindsey Christine Naseh | Case Manager/Care Coordinator | 1331 Cherokee St, Denver, CO 80204-2720 | 2017-09-21 |
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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.