NPIMap

Organization Active NPI

Red Mountain Field Case Management LLC

  • Case Management Agency
  • Benton City, WA
National Provider Identifier
1952603532
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
00090060 Issued in WA
Legal business name
RED MOUNTAIN FIELD CASE MANAGEMENT LLC
Practice address
51621 Demoss Rd
Benton City, WA 99320
Phone
(509) 851-8707
Fax
(509) 588-3532
NPI assigned
Dec 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shawn M. Taber, RN, CCMNPI 1164778106
Title
President/RN Certified Case Manager
Phone
(509) 851-8707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0400X 00090060 WA
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X RN00110622 WA
Case Management Agency 251B00000X 00090060 WA Primary

Addresses

Primary practice location

51621 Demoss Rd
Benton City, WA 99320

Mailing address

51621 Demoss Rd
Benton City, WA 99320
Phone (509) 851-8707

Other identifiers 1

IdentifierTypeStateIssuer
0263853OtherWADEPT OF LABOR INDUSTRIES

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1952603532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51621 DEMOSS RD",
            "city": "BENTON CITY",
            "state": "WA",
            "postal_code": "99320",
            "telephone_number": "509-851-8707",
            "fax_number": "509-588-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51621 DEMOSS RD",
            "city": "BENTON CITY",
            "state": "WA",
            "postal_code": "99320",
            "telephone_number": "509-851-8707",
            "fax_number": "509-588-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED MOUNTAIN FIELD CASE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "TABER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/RN CERTIFIED CASE MANAGER",
        "authorized_official_telephone_number": "509-851-8707",
        "authorized_official_credential": "RN, CCM"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "WA",
            "license": "00090060",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": "RN00110622",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WA",
            "license": "00090060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR INDUSTRIES",
            "identifier": "0263853",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton City, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.