Kellie Marie Domer · Kellie Marie Holt · Case Manager/Care Coordinator

611 W Market St, Akron, OH 44303-1411

Overview

Kellie Marie Domer is a Case Manager/Care Coordinator practicing in Akron, Ohio. The National Provider Identifier (NPI) is #1336314988, which was assigned on April 24, 2008, and the registration record was last updated on December 12, 2025. The practitioner's main practice location is at 611 W Market St, Akron, OH 44303-1411; the contact telephone number is 3309964600. The primary taxonomy of Kellie Marie Domer is Case Manager/Care Coordinator (171M00000X).

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.

Provider Information

NPI 1336314988
Entity Type Individual
Provider Name KELLIE MARIE DOMER
Other Name KELLIE MARIE HOLT
(Former Name)
Gender Female
Practice Address 611 W Market St
Akron
OH 44303-1411
Practice Telephone 3309964600
Mailing Address 611 W Market St
Akron
OH 44303-1411
Mailing Telephone 3309964600
Certification Date 2025-12-12
Enumeration Date 2008-04-24
Last Update Date 2025-12-12
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y171M00000XCase Manager/Care Coordinator

Taxonomy Information

Primary Taxonomy

Code 171M00000X
Taxonomy Case Manager/Care Coordinator
Classification Case Manager/Care Coordinator
Grouping Other Service Providers
Definition: 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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Location Information

Street Address 611 W MARKET ST
City AKRON
State OH
Zip Code 44303-1411
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Nicholas Michel 611 W Market St, Akron, OH 44303-1411Case Manager/Care Coordinator2025-09-12
Sabrina Burgio 611 W Market St, Akron, OH 44303-1411Counselor2025-06-04
Chavis Mcdermott 611 W Market St, Portland, TN 37148-2510Chiropractor2026-01-19
Brieana Taylor Brasiel 611 W Market St, Akron, OH 44303-1411Social Worker2026-01-03
Alicia Harding 611 W Market St, Akron, OH 44303-1411Case Manager/Care Coordinator2025-07-10
Nathan John Toft 611 W Market St, Akron, OH 44303-1411Case Manager/Care Coordinator2026-01-13
Elizabeth Rae Warren 611 W Market St, Akron, OH 44303-1411School Social Worker2025-10-08
Jacob Howell 611 W Market St, Akron, OH 44303-1411Case Manager/Care Coordinator2026-02-27
Lauren Pannell 611 W Market St, Akron, OH 44303-1411Prevention Professional2025-06-06
Lauren Julia Stark 611 W Market St, Akron, OH 44303-1411Prevention Professional2026-04-01
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Jamie Lee Patterson III 74 Grand Ave, Akron, OH 44303-1005Contractor2024-10-09
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Comfort Adult Day Program LLC 733 W Market St, Akron, OH 44303-1009Adult Day Care Clinic/Center2025-04-24
Orthotic Solutions Inc 582 West Market St, Akron, OH 44303Durable Medical Equipment & Medical Supplies2007-01-08
Sarah Marie Martinez 581 Aqueduct St Akron, Ohio 44303, Akron, OH 44303Case Manager/Care Coordinator2022-11-02
Sherree D Skilton 640 West Market St, Akron, OH 44303Occupational Therapist2007-05-04
Harmony S Mastran 733 W Market St, Akron, OH 44303-1009Social Worker2024-05-06
Fown Oy Wong 275 North Portage Path, Akron, OH 44303Home Health Registered Nurse2009-06-16
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Page Kagafas Thorla 103 Casterton Ave, Akron, OH 44303-1001Registered Dietitian2021-02-13
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.