PRISCILLA TRIVISONNO (NPI# 1972070712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972070712 |
| Entity Type | Individual |
| Full Name | PRISCILLA TRIVISONNO |
| Practice Address |
14090 Fryelands Blvd Se Ste 347 Monroe WA 98272-2760 |
| Mailing Address |
319 119th Dr Se Lake Stevens WA 98258-7717 |
| Practice Telephone | 3608053122 |
| Mailing Telephone | 4252398100 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |
| 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 |
14090 FRYELANDS BLVD SE STE 347 |
| City | MONROE |
| State | WA |
| Zip Code | 98272-2760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881996551 | Virgil Kim | Counselor | 14090 Fryelands Blvd Se Ste 347, Monroe, WA 98272-2760 | 2010-12-01 |
| 1194368506 | Stephanie Cooper | Counselor | 14090 Fryelands Blvd Se Ste 347, Monroe, WA 98272-2760 | 2019-10-18 |
| 1316597735 | Mariana Vergara-ochoa | Case Manager/Care Coordinator | 14090 Fryelands Blvd Se Ste 347, Monroe, WA 98272-2760 | 2019-09-17 |
| 1942779731 | Sea - Mar Community Health Center | Clinic/Center | 14090 Fryelands Blvd Se Ste 347, Monroe, WA 98272-2760 | 2018-11-21 |
| 1235666348 | Marykathleen Schurman Tihinen | Counselor | 14090 Fryelands Blvd Se Ste 347, Monroe, WA 98272-2760 | 2017-05-19 |
| 1598128142 | Sheryl L. Rekevics | Social Worker | 14090 Fryelands Blvd Se Ste 347, Monroe, WA 98272-2760 | 2016-03-31 |
| 1831559350 | Esther Lucianna Steen | Counselor | 14090 Fryelands Blvd Se Ste 347, Monroe, WA 98272-2760 | 2016-02-25 |
| 1396113254 | Liliana Cecilia Simmons | Nurse Practitioner | 14090 Fryelands Blvd Se Ste 347, Monroe, WA 98272-2760 | 2015-09-09 |
| 1962878587 | Nicole Enslow | Counselor | 14090 Fryelands Blvd Se Ste 347, Monroe, WA 98272-2760 | 2015-08-18 |
| 1487070728 | Milko Fernandez | Counselor | 14090 Fryelands Blvd Se Ste 347, Monroe, WA 98272-2760 | 2014-03-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
| 1982073136 | Rochelle Conway Toulouse | Behavioral Analyst | 642 North Street, Monroe, WA 98272 | 2015-09-17 |
| 1740658467 | Casey Jane Bahr | Social Worker | Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 | 2015-09-11 |
| 1811395049 | Gianna M Rosewood | Massage Therapist | 101 East Main Street Set 201, Monroe, WA 98272 | 2014-12-22 |
| 1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
| 1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
| 1346677986 | Irina Emily Goldstein | Pharmacist | 179th Ave Se, Monroe, WA 98272 | 2013-09-27 |
| 1740612449 | Erik Michael Erxleben | Massage Therapist | 211 West Hill St., Monroe, WA 98272 | 2013-08-05 |
| 1780023796 | Jamie Marlo Selbe | Counselor | 16560 167th St Se, Monroe, WA 98272 | 2013-06-24 |
| 1942644620 | Robin Fenn | Counselor | 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 | 2013-04-24 |
| Find all providers in zip 98272 | ||||
| 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] |
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|---|---|---|---|---|
| 1346856960 | Ebony Hall | Case Manager/Care Coordinator | 2911 Cameron St # A, Monroe, LA 71201-3713 | 2020-09-18 |
| 1285251785 | Good News Counseling | Case Manager/Care Coordinator | 3217 Concordia Ave, Monroe, LA 71201-5131 | 2020-06-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1164060331 | Myrtle Burks | Case Manager/Care Coordinator | 820 Jackson St, Monroe, LA 71201-8422 | 2019-12-18 |
| 1114583069 | Brandon Rashaard Collins | Case Manager/Care Coordinator | 5504 Robinson Drive, Monroe, LA 71202 | 2019-05-16 |
| 1851956007 | Dorothy Marie Page | Case Manager/Care Coordinator | 811 Maplewood Dr, Monroe, LA 71202-2362 | 2019-05-03 |
| 1235792029 | Jasmine Powell | Case Manager/Care Coordinator | 2808 Evangeline St, Monroe, LA 71201-3750 | 2019-04-17 |
| 1922560150 | Isabelle Rocher | Case Manager/Care Coordinator | 3000 Evangeline St Apt 191, Monroe, LA 71201-3831 | 2019-04-05 |
| 1912463274 | Brittany Johnson | Case Manager/Care Coordinator | 141 Desiard St Apt 303, Monroe, LA 71201-7340 | 2019-02-12 |
| 1043774862 | Krystal J. Williams | Case Manager/Care Coordinator | 3000 Kilpatrick Blvd, Monroe, LA 71201-5166 | 2019-01-25 |
| Find all providers in MONROE | ||||
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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.