Donna Edings

Individual provider Active NPI Case Manager/Care Coordinator · Mount Shasta, CA

NPI 1194196519 · NPPES record last updated Dec 13, 2023

Key facts

NPI
1194196519
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1107 Ream Ave
Mount Shasta, CA 96067-9768
Phone
(415) 425-9034
NPI assigned
Oct 12, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
County of Siskiyou Past
since Dec 17, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1107 Ream Ave
Mount Shasta, CA 96067-9768

Mailing address

30 Perimeter Park Drive
Atlanta, GA 30341

Other identifiers

IdentifierTypeStateIssuer
W200918368OtherAETNA GEORGIA

Other providers in Mount Shasta, CA

All providers in Mount Shasta, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.