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MRS. KYLEE AYLEEN PETERSEN HUMAN SERVICES
NPI 1376033340
Case Manager/Care Coordinator in Ukiah, CA

Active since May 15, 2018
148 CLARA AVE, UKIAH, CA 95482(707) 462-1932(707) 489-6943 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, May 15, 2018 (2 updates tracked since 2018).

About Mrs. Kylee Ayleen Petersen Human Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KYLEE AYLEEN PETERSEN HUMAN SERVICES (NPI 1376033340) is an individual case manager/care coordinator provider in Ukiah, California and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1376033340
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMRS. KYLEE AYLEEN PETERSENCredential: HUMAN SERVICES
Location Address148 CLARA AVEUkiah, CA 95482-4002
Mailing AddressPo Box 1350Ukiah, CA 95482-1350 · (707) 462-1932 · Fax (707) 462-2070
Phone(707) 462-1932
Fax(707) 489-6943
Sole ProprietorYes
Enumeration DateMay 15, 2018
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1376033340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
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.
148 CLARA AVE, Ukiah, CA 95482
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Other Identifiers 1

Medicaid1427470186CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MENDOCINO COUNTY AIDS/VIRAL HEPATITIS NETWORK
Case Management
148 CLARA AVE
UKIAH, CA 95482
Mendocino County (707) 462-1932
DR. ELIZABETH (LIBBY) ANN GUTHRIE ED.D.,M.A.
Case Manager/Care Coordinator
148 CLARA AVE
UKIAH, CA 95482
Mendocino County (707) 462-1932
VANESSA MILLER
Case Management
148 CLARA AVE
UKIAH, CA 95482
Mendocino County (707) 462-1932
AMANDA MARIE COGGINS
Case Management
148 CLARA AVE
UKIAH, CA 95482
Mendocino County (707) 462-1932
ANGELA POWER
Case Manager/Care Coordinator
148 CLARA AVE
UKIAH, CA 95482
Mendocino County (707) 462-1932
DEREK STEVEN EASTEP
Case Manager/Care Coordinator
148 CLARA AVE
UKIAH, CA 95482
Mendocino County (707) 462-1932
GRACE PEELER STANKIEWICZ
Case Manager/Care Coordinator
148 CLARA AVE
UKIAH, CA 95482
Mendocino County (707) 462-1932
MENDOCINO COUNTY AIDS VOLUNTEER NETWORK
Case Management
148 CLARA AVE
UKIAH, CA 95482
Mendocino County (707) 462-1932

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kylee Petersen's NPI number?

The NPI number for Kylee Petersen is 1376033340. It was assigned to this individual provider in the NPPES registry on May 15, 2018.

Where is Kylee Petersen located?

Kylee Petersen practices at 148 Clara Ave, Ukiah, CA 95482. The listed phone number is (707) 462-1932.

What is Kylee Petersen's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Kylee Petersen was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.