JACOB BROWN (NPI# 1124315122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124315122 |
| Entity Type | Individual |
| Full Name | JACOB BROWN |
| Credential | MHPP |
| Practice Address |
736 Martin St Prescott AR 71857-2749 |
| Mailing Address |
829 Halbert St Malvern AR 72104-2607 |
| Practice Telephone | 8708879000 |
| Practice Fax Number | 8708879001 |
| Mailing Telephone | 5013324400 |
| Mailing Fax Number | 5013324403 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1891214888 | Jacob A Brown | Specialist/Technologist | 2227 Greenlawn Dr, Delaware, OH 43015-1302 | 2017-09-12 |
| 1972035145 | Jacob C. Brown | Physician Assistant | 5300 Se 29th St, Del City, OK 73115-4702 | 2017-03-28 |
| 1730476466 | Jacob Samuel Brown | Dentist | 4805 Green Oaks Dr, River Oaks, TX 76114-3004 | 2011-07-01 |
| 1245425230 | Jacob Theodore Brown Jr. | Psychologist | 7950 Crossroads Dr, 607, North Charleston, SC 29406-9411 | 2007-09-12 |
| 1346358785 | Jacob Lewis Brown | Chiropractor | 119 N Shelby St, Cadillac, MI 49601-1928 | 2006-08-27 |
| 1336191097 | Jacob Michael Brown | Dentist | Cmr 467 Box 4707, Apo, AE 09096-1038 | 2006-05-17 |
| 1427670256 | Jacob Lloyd Brown | Optometrist | 1777 Kuser Rd, Hamilton Square, NJ 08690-3703 | 2020-05-14 |
| 1144786542 | Jacob Brown | Physical Therapist | 1294 S Route 12, Fox Lake, IL 60020-1950 | 2019-02-11 |
| 1972073856 | Jacob A Brown | Dietitian, Registered | 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 | 2018-12-04 |
| 1700355534 | Jacob Aaron Brown | Occupational Therapy Assistant | 589 Highland Ave, Needham, MA 02494-2205 | 2018-11-22 |
| Street Address |
736 MARTIN ST |
| City | PRESCOTT |
| State | AR |
| Zip Code | 71857-2749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144594961 | Colton Bond | Case Manager/Care Coordinator | 736 Martin St, Prescott, AR 71857-2749 | 2012-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598915514 | Southwest Arkansas Counseling and Mental Health Center, Inc | Community/Behavioral Health | 1658 Highway 371 West, Prescott, AR 71857 | 2008-09-26 |
| 1366607897 | Texarkana Behavioral Associates | Clinic/Center | 1484 West 1st Street, North, Prescott, AR 71857 | 2008-07-24 |
| 1295949238 | Pnc, Inc. | Day Training, Developmentally Disabled Services | 504 East 4th St North, Prescott, AR 71857 | 2007-05-09 |
| 1659597698 | Charles Vermont, M.d., Pllc | Family Medicine | 1480 West First North, Prescott, AR 71857 | 2007-04-18 |
| 1255464699 | Donisha Lafae Samuels | Case Manager/Care Coordinator | 1658 Hwy 371 W, Prescott, AR 71857 | 2007-03-14 |
| 1699856278 | Audie M Teague O D P A | Optometrist | 204 E 2nd Sreet S, Prescott, AR 71857 | 2006-10-18 |
| 1154411379 | Michele Rhodes | Nurse Practitioner | 1501 West First Street, Ark Department of Health and Human Services, Prescott, AR 71857 | 2006-10-16 |
| 1821185091 | Audie M. Teague | Optometrist | 204 E 2nd Street S, Prescott, AR 71857 | 2006-10-06 |
| 1760402804 | Mary Lou Kaufman | Licensed Practical Nurse | 1658 Hyw 371 West, Prescott, AR 71857 | 2006-07-20 |
| 1073532388 | Cindie Dianne Mckamie | Registered Nurse | 1658 Hwy 371 West, Prescott, AR 71857 | 2006-07-18 |
| Find all providers in zip 71857 | ||||
| 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 |
|---|---|---|---|---|
| 1063909570 | Anthony Marchese | Case Manager/Care Coordinator | 9640 N American Ranch Rd, Prescott, AZ 86305-9042 | 2018-04-19 |
| 1154875193 | Ashley Dixon | Case Manager/Care Coordinator | 1348 Oak Grv, Prescott, AR 71857-2606 | 2016-08-08 |
| 1609147586 | Devon Latresia Wilson | Case Manager/Care Coordinator | 1658 Hwy 371 North, Prescott, AR 71857-7064 | 2012-01-24 |
| 1922120765 | Oliver Marc Scroggins | Case Manager/Care Coordinator | 1484 W 1st St N, Prescott, AR 71857-3339 | 2007-04-04 |
| 1255464699 | Donisha Lafae Samuels | Case Manager/Care Coordinator | 1658 Hwy 371 W, Prescott, AR 71857 | 2007-03-14 |
| 1821695925 | Aubrey Walker | Case Manager/Care Coordinator | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2020-10-02 |
| 1194350637 | Danny Mclay Jr | Case Manager/Care Coordinator | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2020-03-05 |
| 1902431448 | Allegra L Deloney | Case Manager/Care Coordinator | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2020-03-05 |
| 1346889136 | Robert Robbins | Case Manager/Care Coordinator | 1040 Whipple St, Prescott, AZ 86305-1613 | 2019-12-27 |
| 1811533946 | Amari K Davis | Case Manager/Care Coordinator | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2019-11-25 |
| Find all providers in PRESCOTT | ||||
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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.