KRYSTAL SOMMER ELLISON-SMITH
Case Manager/Care Coordinator

Address: 1213 Las Vegas Blvd S, Las Vegas, NV 89104-1307

KRYSTAL SOMMER ELLISON-SMITH (NPI# 1457933756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457933756
Entity Type Individual
Full Name KRYSTAL SOMMER ELLISON-SMITH
Gender Female
Practice Address 1213 Las Vegas Blvd S
Las Vegas
NV 89104-1307
Practice Telephone 7025306256
Mailing Address 1213 Las Vegas Blvd S
Las Vegas
NV 89104-1307
Certification Date 2021-04-26
Enumeration Date 2021-04-26
Last Update Date 2021-04-26
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 1213 LAS VEGAS BLVD S
City LAS VEGAS
State NV
Zip Code 89104-1307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356915292 Alexxa Sanabria Case Manager/Care Coordinator 1213 Las Vegas Blvd S, Las Vegas, NV 89104-1307 2021-05-15

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1205251576 Helping Kids: Health Access Without Walls · Helping Kids Clinic Voluntary or Charitable 968 E. Sahara, Las Vegas, NV 89104 2014-02-24
1003448333 Shirley Lauren Valenzona-Gianan · Shirley Lauren Valenzona-Gianan Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Smith's Pharmacy #318, 4965 East Sahara Avenue, Las Vegas, NV 89104 2020-02-05
1215436563 A Better Life In Home Care, LLC Technician - Personal Care Attendant 1810 East Sahara Avenue, Suite 216, Las Vegas, NV 89104 2018-02-01
1386162147 Jaclyn Mustachio Social Worker 1860 E Sahara Ave, Las Vegas, NV 89104 2017-08-31
1740738533 Nevada Treatment Center Inc. Clinic/Center - Primary Care 1721 East Charleston Blvd, 1721, Las Vegas, NV 89104 2016-09-21
1356780118 Briauna L Williams Behavioral Analyst 2895 E Charleston #2071, Las Vegas, NV 89104 2013-06-14
1962095075 Enma Rosa Hechemendia Behavior Technician 3486 E Sahara Ave Suite 160-C, Las Vegas, NV 89104 2021-02-19
1700447000 Lauren Grant Counselor - Mental Health 4410 E Saint Louis Ave, Las Vegas, NV 89104 2019-06-26
1982171518 Ian Sande Occupational Therapist 1500 West Warm Springs Rd, Las Vegas, NV 89104 2018-11-01
1891202016 Nevada Helping Hands LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1810 E Sahara Ave Ste 143, Las Vegas, NV 89104 2018-01-09
Find all in zip 89104

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy 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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356915292 Alexxa Sanabria Case Manager/Care Coordinator 1213 Las Vegas Blvd S, Las Vegas, NV 89104-1307 2021-05-15
1003490681 Brandon Desean Newkirk Case Manager/Care Coordinator 4200 S Valley View Blvd Unit 1035j, Las Vegas, NV 89103-4031 2021-05-10
1134701501 Tara Marie Ysabel Rivera Case Manager/Care Coordinator 9031 W La Madre Way, Las Vegas, NV 89149-3536 2021-04-26
1144802711 Robert Justis Totten Case Manager/Care Coordinator 100 S 14th St, Las Vegas, NV 89101-5314 2021-04-23
1396326138 Leah Marie Blumenstein Case Manager/Care Coordinator 520 S Casino Center Blvd, Las Vegas, NV 89101-6504 2021-04-14
1750973814 Charmaine Claireese Watson-Benson Case Manager/Care Coordinator 5370 E Craig Rd Apt 2245, Las Vegas, NV 89115-2528 2021-02-09
1396350773 Guiselle Maria Alvarez-Delarosa Case Manager/Care Coordinator 5547 Leaning Oak Ave, Las Vegas, NV 89118-2080 2020-09-11
1134730096 Devan Ryan Lane Case Manager/Care Coordinator 4221 Mcleod Dr, Las Vegas, NV 89121-5215 2020-08-13
1477163467 Chanel M. King Case Manager/Care Coordinator 150 Las Vegas Blvd N Unit 2014, Las Vegas, NV 89101-2951 2020-08-04
1992331698 Angela E Oesterle Case Manager/Care Coordinator 8118 Crushed Velvet Pl, Las Vegas, NV 89166-3794 2020-03-13
Find all providers in LAS VEGAS

Competitor

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City LAS VEGAS
Zip Code 89104

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Dataset Information

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.