DESIRAE D CAVANESS (NPI# 1124548557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124548557 |
| Entity Type | Individual |
| Full Name | DESIRAE D CAVANESS |
| Credential | RECOVERY ASSISTANT |
| Practice Address |
1628 E Page Ave Malvern AR 72104-4524 |
| Practice Telephone | (501) 303-3105 |
| Mailing Telephone | 5013033105 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | AR | Other Service Providers |
| Street Address |
1628 E PAGE AVE |
| City | MALVERN |
| State | AR |
| Zip Code | 72104-4524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174599443 | Mary Ann Carthan | Registered Nurse | 1628 E Page Ave, Malvern, AR 72104-4524 | 2006-02-27 |
| 1497353502 | Heath Roseberry | Case Manager/Care Coordinator | 1628 E Page Ave, Malvern, AR 72104-4524 | 2020-10-12 |
| 1538787890 | Caleb Mckissick | Case Manager/Care Coordinator | 1628 E Page Ave, Malvern, AR 72104-4524 | 2020-07-13 |
| 1356977037 | Malik Ware | Case Manager/Care Coordinator | 1628 E Page Ave, Malvern, AR 72104-4524 | 2020-03-13 |
| 1558997213 | Akena Holliman | Case Manager/Care Coordinator | 1628 E Page Ave, Malvern, AR 72104-4524 | 2020-03-13 |
| 1114557923 | Kartina Collins | Case Manager/Care Coordinator | 1628 E Page Ave, Malvern, AR 72104-4524 | 2020-01-21 |
| 1770133696 | Brandi Lederer | Case Manager/Care Coordinator | 1628 E Page Ave, Malvern, AR 72104-4524 | 2019-09-12 |
| 1447802434 | Hannah Huffman | Case Manager/Care Coordinator | 1628 E Page Ave, Malvern, AR 72104-4524 | 2019-07-10 |
| 1730748641 | Keith Williams | Case Manager/Care Coordinator | 1628 E Page Ave, Malvern, AR 72104-4524 | 2019-06-13 |
| 1649838673 | Misty Anderson | Case Manager/Care Coordinator | 1628 E Page Ave, Malvern, AR 72104-4524 | 2019-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
| 1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
| 1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
| 1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
| 1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
| 1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
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| 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 |
|---|---|---|---|---|
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1588876197 | Eric Hines | Case Manager/Care Coordinator | 1708 E Page Ave, Malvern, AR 72104-4540 | 2007-05-04 |
| 1700951068 | Brandi Bristow | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd., Malvern, AR 72104 | 2006-11-22 |
| 1497353502 | Heath Roseberry | Case Manager/Care Coordinator | 1628 E Page Ave, Malvern, AR 72104-4524 | 2020-10-12 |
| 1245842343 | Kelcey Crutchfield | Case Manager/Care Coordinator | 829 Halbert St, Malvern, AR 72104-2607 | 2020-08-19 |
| 1295346757 | Bonnie Lynn Mann | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2020-08-10 |
| 1538787890 | Caleb Mckissick | Case Manager/Care Coordinator | 1628 E Page Ave, Malvern, AR 72104-4524 | 2020-07-13 |
| 1356977037 | Malik Ware | Case Manager/Care Coordinator | 1628 E Page Ave, Malvern, AR 72104-4524 | 2020-03-13 |
| 1558997213 | Akena Holliman | Case Manager/Care Coordinator | 1628 E Page Ave, Malvern, AR 72104-4524 | 2020-03-13 |
| 1477186518 | Joe Bryant | Case Manager/Care Coordinator | 829 Halbert St, Malvern, AR 72104-2607 | 2020-02-18 |
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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.