DEWAYNE BONNER


Address: 1401 S. Main St, Hope, AR 71801
Phone: 8707774848

DEWAYNE BONNER (NPI# 1205318169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205318169
Entity Type Individual
Full Name DEWAYNE BONNER
Credential QBHP
Practice Address 1401 S. Main St
Hope
AR 71801
Mailing Address 829 Halbert St
Malvern
AR 72104-2607
Practice Telephone 8707774848
Mailing Telephone 5013324400
Mailing Fax Number 5013324403
Enumeration Date 2018-09-06
Last Update Date 2018-09-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 1401 S. MAIN ST
City HOPE
State AR
Zip Code 71801

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528524956 Yasmin Morgan Lpc Counselor 1806 N. Spruce St, Hope, AR 71801 2019-02-11
1194207118 Cassie Gonzales Case Manager/Care Coordinator 1401 S. Main Street, Hope, AR 71801 2018-09-06
1912457136 Stacy Davis Occupational Therapist 510 Hempstead 173w, Hope, AR 71801 2016-10-12
1114386976 Elizabeth Kay Henley Specialist 5180 Hemstead 3, Hope, AR 71801 2016-02-22
1053783894 Kourtney Smith Pharmacist 1004 Commerce Blvd, Hope, AR 71801 2015-10-20
1154705382 Jason Otis Moore Case Manager/Care Coordinator 500 W. Ave E St., Hope, AR 71801 2015-07-17
1700284163 Cox Family Practice Preferred Provider Organization 2015 Main Street, Hope, AR 71801 2014-12-16
1932512068 Gregory Alan Davis Counselor 802 E 3rd St, Hope, AR 71801 2014-06-05
1821420688 Callie Brooke Gilbey Speech-Language Pathologist 249 Hempstead 243, Hope, AR 71801 2013-08-05
1205056595 The Clinic for Children, Youth and Young Adults Pediatrics 820 Main St S, Hope, AR 71801 2007-04-27
Find all providers in zip 71801

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy 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.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770115164 John Daivd Rittenburg Case Manager/Care Coordinator 1359 Cassaday Dr, Hope, MI 48628-9765 2020-02-04
1194207118 Cassie Gonzales Case Manager/Care Coordinator 1401 S. Main Street, Hope, AR 71801 2018-09-06
1154705382 Jason Otis Moore Case Manager/Care Coordinator 500 W. Ave E St., Hope, AR 71801 2015-07-17
1336410224 Yvonne Marie Nelson Case Manager/Care Coordinator 707 Greenwood, Hope, AR 71801-9666 2012-01-24
1861525198 Christina Ann Regan Case Manager/Care Coordinator 707 E Greensboro, Hope, AR 71801 2007-03-14
1437791423 Tennelle O Thomas Case Manager/Care Coordinator 707 E Greenwood St, Hope, AR 71801-9666 2019-10-11
1164064150 Nathan J Lafrenz Case Manager/Care Coordinator 707 E Greenwood St, Hope, AR 71801-9666 2019-10-11
1750935540 Vanessa Lashell Satterfield Case Manager/Care Coordinator 707 E Greenwood St, Hope, AR 71801-9666 2019-07-30
1194283036 Gabriel Javon Hickman Case Manager/Care Coordinator 707 E Greenwood St, Hope, AR 71801-9666 2019-03-11
1013492768 Willie Terence Harris Case Manager/Care Coordinator 300 E 20th St, Hope, AR 71801-8217 2018-09-28
Find all providers in HOPE

Competitor

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City HOPE
Zip Code 71801

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Dataset Information

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.

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