AMBER WILSON (NPI# 1104351329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104351329 |
| Entity Type | Individual |
| Full Name | AMBER WILSON |
| Practice Address |
121 Sawgrass Pt Harrison AR 72601-3072 |
| Mailing Address |
4171 N Crossover Rd Fayetteville AR 72703-4591 |
| Practice Telephone | 8703913871 |
| Practice Fax Number | 8703913874 |
| Mailing Telephone | 4795211427 |
| Mailing Fax Number | 4795216520 |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268603 | Amber Wilson | Technician | 799 Southwind Dr, Fairfield, OH 45014-2753 | 2020-09-04 |
| 1841802923 | Amber Wilson | Social Worker | 6072 Cider Mill Pl, Colorado Springs, CO 80925-1419 | 2020-08-19 |
| 1457990582 | Amber Wilson | Social Worker | 925 N Goliad St, Rockwall, TX 75087-2230 | 2020-01-06 |
| 1194226670 | Amber Lee Wilson | Social Worker | 4685 Merle Hay Rd, Ste 108, Des Moines, IA 50322-1982 | 2018-02-21 |
| 1245754001 | Amber Michelle Wilson | Physical Therapy Assistant | 4860 Cordata Pkwy, North Cascades Health and Rehab, Bellingham, WA 98226 | 2017-08-02 |
| 1225439979 | Amber Wilson | Counselor | 6350 Meadowvista Dr Apt 322, Corpus Christi, TX 78414-2623 | 2014-09-12 |
| 1710237003 | Amber N Wilson | Physician Assistant | 1422 E Grassland Ct, Spokane, WA 99217-8700 | 2012-09-13 |
| 1023388923 | Amber Tanisha Wilson | Technician, Other | 7070 Tomahawk Trl, Reynoldsburg, OH 43068-4806 | 2012-01-09 |
| 1245548189 | Amber Wilson | Dietitian, Registered | 3072 Sourdough Trl, South Lake Tahoe, CA 96150-4553 | 2010-09-14 |
| 1407074644 | Amber Dawn Wilson | Physical Therapist | 2109 Southwest Dr, Murray, KY 42071-9073 | 2007-04-23 |
| Street Address |
121 SAWGRASS PT |
| City | HARRISON |
| State | AR |
| Zip Code | 72601-3072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568754950 | Micahael Henderson | Case Manager/Care Coordinator | 121 Sawgrass Pt, Harrison, AR 72601-3072 | 2011-05-04 |
| 1386155984 | Shirley Jo Lemmers | Case Manager/Care Coordinator | 121 Sawgrass Pt, Harrison, AR 72601-3072 | 2017-10-23 |
| 1992216501 | Matthew Joseph Brown | Case Manager/Care Coordinator | 121 Sawgrass Pt, Harrison, AR 72601-3072 | 2017-10-23 |
| 1508377102 | Lauralyn Louise Terherst | Case Manager/Care Coordinator | 121 Sawgrass Pt, Harrison, AR 72601-3072 | 2017-10-23 |
| 1922523158 | Shandra Marie Standridge | Case Manager/Care Coordinator | 121 Sawgrass Pt, Harrison, AR 72601-3072 | 2017-08-09 |
| 1477077642 | Jessica Lea Chambless | Case Manager/Care Coordinator | 121 Sawgrass Pt, Harrison, AR 72601-3072 | 2017-07-31 |
| 1003330184 | Manuel Stephen Ryan | Case Manager/Care Coordinator | 121 Sawgrass Pt, Harrison, AR 72601-3072 | 2017-07-31 |
| 1437685542 | Miranda Paige Ramsey | Case Manager/Care Coordinator | 121 Sawgrass Pt, Harrison, AR 72601-3072 | 2017-05-10 |
| 1245763812 | Pamela Ann Smith | Case Manager/Care Coordinator | 121 Sawgrass Pt, Harrison, AR 72601-3072 | 2017-04-10 |
| 1407393069 | Payton Deloss Plymale | Case Manager/Care Coordinator | 121 Sawgrass Pt, Harrison, AR 72601-3072 | 2017-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280364 | Linda Marie Balcerak | Physical Therapy Assistant | 400 Hwy 43 East, Harrison, AR 72601 | 2019-05-14 |
| 1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
| 1154808236 | Carrie Lynn Miller | Midwife | 5977 Sulphur. Mt. Rd, Harrison, AR 72601 | 2018-07-23 |
| 1255833778 | Julie Foster, Speech Language Pathologist, Inc. | Speech-Language Pathologist | 1898 Foley Rd, Harrison, AR 72601 | 2018-02-28 |
| 1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
| 1306394465 | Rebecca Jane Mcanulty | Nurse Practitioner | 702 N. Springs Street, Harrison, AR 72601 | 2016-09-19 |
| 1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
| 1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
| 1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
| 1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
| Find all providers in zip 72601 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
| 1518494558 | Melissa Nicole Frisby | Case Manager/Care Coordinator | 206 Kitchens St, Harrison, AR 72601-6166 | 2017-05-22 |
| 1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
| 1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
| 1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
| 1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
| 1750738571 | Kayla Rose Henson | Case Manager/Care Coordinator | 5050 Yardell Rd, Harrison, AR 72601-8883 | 2016-05-23 |
| 1750757357 | Elizabeth Horton | Case Manager/Care Coordinator | 121 Sawgrass Pt., Harrison, AR 72601 | 2015-08-18 |
| 1740662436 | Jesse Shelton Rose | Case Manager/Care Coordinator | 520 E Gordon Ave, Harrison, AR 72601-5923 | 2015-06-18 |
| 1679953723 | Shelby Kait Nichols | Case Manager/Care Coordinator | 6874 White Oak Rd, Harrison, AR 72601-6113 | 2015-06-04 |
| Find all providers in HARRISON | ||||
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| 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.