MS. JAMIE STAR WALLER
NPI 1568656767
Case Manager/Care Coordinator in Fairfield, CA

Q: What is Jamie Waller's NPI number?

The NPI number for Jamie Waller is 1568656767. It was assigned to this individual provider in the NPPES registry on August 30, 2007. The provider is also known as Ms. Jamie Star Blair.

Q: What is Jamie Waller's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jamie Waller was last updated on September 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 30, 2007

2101 COURAGE DR, FAIRFIELD, CA 94533(707) 784-2180 Get Directions Write a Review

NPPES record last updated: September 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Jamie Star Waller NPPES

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

MS. JAMIE STAR WALLER (NPI 1568656767) is an individual case manager/care coordinator provider in Fairfield, California and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1568656767

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameMS. JAMIE STAR WALLER

Location Address2101 COURAGE DRFairfield, CA 94533-6717

Mailing Address2101 Courage Dr, Ms 10-300Fairfield, CA 94533-6717

Phone(707) 784-2180

Sole ProprietorYes

Enumeration DateAugust 30, 2007

Last NPPES UpdateSeptember 18, 2014

✔ NPI 1568656767 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.

2101 COURAGE DR, Fairfield, CA 94533

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Other Names 1

Former Name (1)Ms. Jamie Star Blair

Other Providers at the Same Location NPPES 20

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

MS. JENNIFER RUTH PETTIBONE RN

Registered Nurse (Psychiatric/Mental Health)

2101 COURAGE DR, MS-10-200
FAIRFIELD, CA 94533

Solano County (707) 784-2154

MALISSA BLAIR RN

Registered Nurse