JESSICA G RUSSOM (NPI# 1154815744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154815744 |
| Entity Type | Individual |
| Full Name | JESSICA G RUSSOM |
| Practice Address |
1910 Rector Rd Paragould AR 72450-2004 |
| Mailing Address |
3012 Turman Dr Jonesboro AR 72404-8998 |
| Practice Telephone | 8702408500 |
| Mailing Telephone | 8708190200 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |
| 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 |
| Street Address |
1910 RECTOR RD |
| City | PARAGOULD |
| State | AR |
| Zip Code | 72450-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174678106 | Kelly Lynn Kasserman | Physical Therapist | 1910 Rector Rd, Paragould, AR 72450-2004 | 2007-01-23 |
| 1750849006 | Miracle Kids Success Academy of Paragould | Clinic/Center | 1910 Rector Rd, Paragould, AR 72450-2004 | 2019-03-06 |
| 1316405665 | Miracle Kids Success Academy of Paragould | Occupational Therapist | 1910 Rector Rd, Paragould, AR 72450-2004 | 2019-03-06 |
| 1093291551 | Tiffany L Kirby | Registered Nurse | 1910 Rector Rd, Paragould, AR 72450-2004 | 2018-07-17 |
| 1629562186 | Shaclara C Weaver | Case Manager/Care Coordinator | 1910 Rector Rd, Paragould, AR 72450-2004 | 2018-06-19 |
| 1851880884 | Jeia R Cowell | Case Manager/Care Coordinator | 1910 Rector Rd, Paragould, AR 72450-2004 | 2018-05-04 |
| 1033607627 | Sarah E Small | Case Manager/Care Coordinator | 1910 Rector Rd, Paragould, AR 72450-2004 | 2018-04-29 |
| 1669975538 | Brook A Zepecki | Case Manager/Care Coordinator | 1910 Rector Rd, Paragould, AR 72450-2004 | 2018-03-16 |
| 1639681810 | Holley A Estes | Case Manager/Care Coordinator | 1910 Rector Rd, Paragould, AR 72450-2004 | 2017-10-28 |
| 1760908834 | Crystal L Andrew | Physical Therapist | 1910 Rector Rd, Paragould, AR 72450-2004 | 2017-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029460 | Onward and Upward Counseling, Pllc | Counselor | 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 | 2020-09-29 |
| 1871104182 | Michele Lynn Jones | Technician | 2905 Stonegate Dr, Paragould, AR 72450 | 2020-08-11 |
| 1205457405 | Arkansas Methodist Hospital Corp. | Family Medicine | 1000 W. Kinshighway, Suite 14, Paragould, AR 72450 | 2020-04-29 |
| 1053968222 | Stewart Pediatric Therapy LLC | Occupational Therapist | 1908 Mockingbird Lane, Suite A, Paragould, AR 72450 | 2019-08-22 |
| 1821575911 | Ashley Brooke Mcleskey | Physical Therapy Assistant | 9504 Hwy 135 N, Paragould, AR 72450 | 2018-07-23 |
| 1437660925 | Susan Leigh Boling | Behavioral Analyst | 3171 Green 905 Road, Paragould, AR 72450 | 2017-10-24 |
| 1518481589 | Amy Elms | Nurse Practitioner | 1000 W Kingshighway Ste 3, Paragould, AR 72450 | 2017-08-01 |
| 1073065074 | Sarah Katherine Medley | Case Manager/Care Coordinator | 1101 West Morgan, Paragould, AR 72450 | 2016-10-26 |
| 1285097949 | Chelsea Lee Thompson | Family Medicine | 1110 W. Kingshighway, Paragould, AR 72450 | 2016-03-31 |
| 1609234269 | Bethel Burris Oliver | Dentist | 2713 W Kings Highway, Paragould, AR 72450 | 2016-02-10 |
| Find all providers in zip 72450 | ||||
| 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 |
|---|---|---|---|---|
| 1073065074 | Sarah Katherine Medley | Case Manager/Care Coordinator | 1101 West Morgan, Paragould, AR 72450 | 2016-10-26 |
| 1730596974 | Andrew Withrow | Case Manager/Care Coordinator | 45 Ashcraft Ct, Paragould, AR 72450-7592 | 2014-07-21 |
| 1255755146 | Timothy Cavaness | Case Manager/Care Coordinator | 100 N Rockingchair Rd Ste 2, Paragould, AR 72450-2475 | 2014-02-12 |
| 1710308473 | Tonia Scales I | Case Manager/Care Coordinator | 100 Nth Rockingchair Rd, Paragould, AR 72450 | 2013-12-26 |
| 1811326408 | Brandi Mcfadden | Case Manager/Care Coordinator | 3404 Club View Dr, Paragould, AR 72450-8611 | 2013-11-05 |
| 1215293766 | Amalie Fields | Case Manager/Care Coordinator | 1101 West Morgan Street, Paragould, AR 72450 | 2012-04-10 |
| 1609164896 | Alicia Gardner | Case Manager/Care Coordinator | 211 N. 23rd Street, Suite 6, Paragould, AR 72450 | 2011-07-21 |
| 1912299207 | Whitney Leigh Siebert | Case Manager/Care Coordinator | 211 N 23rd Street #6 & #7, Paragould, AR 72450 | 2011-05-05 |
| 1700183332 | Tyler Garmrath | Case Manager/Care Coordinator | 1101 W Morgan St, Suite 8, Paragould, AR 72450-3949 | 2011-02-17 |
| 1619103702 | Matthew Matthew Jackson | Case Manager/Care Coordinator | 1101 West Morgan St, Suite 8, Paragould, AR 72450-3949 | 2009-06-03 |
| Find all providers in PARAGOULD | ||||
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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.