MRS. TERESA KAREN FORTNER (NPI# 1225294374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225294374 |
| Entity Type | Individual |
| Full Name | MRS. TERESA KAREN FORTNER |
| Credential | MHPP |
| Practice Address |
525 Wisteria Dr North Little Rock AR 72118-3567 |
| Mailing Address |
Po Box 180 Paron AR 72122-0180 |
| Practice Telephone | 5015945200 |
| Practice Fax Number | 5945200524 |
| Mailing Telephone | 5015945200 |
| Mailing Fax Number | 5945200524 |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | AR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942344908 | Teresa M. Fortner | Occupational Therapist | 3716 National Dr, Suite 124, Raleigh, NC 27612-4068 | 2007-02-16 |
| Street Address |
525 WISTERIA DR |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72118-3567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003072158 | James Mitchell Fortner | Case Manager/Care Coordinator | 525 Wisteria Dr, North Little Rock, AR 72118-3567 | 2008-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053686964 | Advanced Pathology Solutions, LLC | Pathology | 4850 Northshore Lane, North Little Rock, AR 72118 | 2012-03-12 |
| 1174818371 | Sharee L. Young | Counselor | 3000 West Scenic Drive, North Little Rock, AR 72118 | 2011-06-15 |
| 1952474454 | Michael Dan Grounds | Dentist | 4720 Camp Robinson Road, Suite B, North Little Rock, AR 72118 | 2006-11-15 |
| 1831169762 | Jennifer Stratton Do | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2006-01-24 |
| 1871018515 | Ash Urgent Care, Pa | Clinic/Center | 5201 Northshore Drive, North Little Rock, AR 72118 | 2017-08-03 |
| 1154619187 | Megan Grace Lockyer | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2011-07-12 |
| 1154617843 | Theodore Chang | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2011-06-22 |
| 1578884383 | Sarah Winter Lindley | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2010-06-15 |
| 1003073628 | Amy L Collinsworth | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2008-05-21 |
| 1770621658 | Nancy Kang Davis | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2007-02-02 |
| Find all providers in zip 72118 | ||||
| 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 |
|---|---|---|---|---|
| 1053738633 | Zena Green | Case Manager/Care Coordinator | 1318 Franklin St, North Little Rock, AR 72114-4034 | 2014-03-21 |
| 1598188989 | Marvin Williams | Case Manager/Care Coordinator | 906 W 25th St, North Little Rock, AR 72114-2022 | 2014-01-21 |
| 1396019733 | Robert Rowzee | Case Manager/Care Coordinator | 1 Riverfront Pl, Suite 750, North Little Rock, AR 72114-5641 | 2012-03-02 |
| 1235402561 | Tomeka Townsend | Case Manager/Care Coordinator | 1 Riverfront Pl Ste 750, North Little Rock, AR 72114-5651 | 2012-02-16 |
| 1003193954 | Vekeo Vadas Dowden | Case Manager/Care Coordinator | 209 Mills St, North Little Rock, AR 72117-5017 | 2011-11-07 |
| 1013220334 | Keithen Alex Mathis | Case Manager/Care Coordinator | 4700 W Commercial Dr, Suite B-2, North Little Rock, AR 72116-7068 | 2010-07-15 |
| 1972734382 | Kimberly Renea Palmer | Case Manager/Care Coordinator | 6304 Whitby Ln, North Little Rock, AR 72118-3167 | 2009-08-03 |
| 1174773998 | Bruce Edward Dawson Jr. | Case Manager/Care Coordinator | 3601 Richards Rd, North Little Rock, AR 72117-2954 | 2008-09-29 |
| 1114109147 | Ronald Kirby | Case Manager/Care Coordinator | 3223 E Broadway St, North Little Rock, AR 72114-6344 | 2007-11-30 |
| 1073720967 | Eugenia Shari Delph | Case Manager/Care Coordinator | 13801 Harpenden Cv, North Little Rock, AR 72117-5352 | 2007-05-17 |
| Find all providers in NORTH LITTLE ROCK | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72118 |
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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.