VICKIE BAZYK (NPI# 1225316045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225316045 |
| Entity Type | Individual |
| Full Name | VICKIE BAZYK |
| Practice Address |
706 N Brown St Clarksville AR 72830-2732 |
| Mailing Address |
Po Box 1589 Benton AR 72018 |
| Practice Telephone | 5013153344 |
| Mailing Telephone | 5013153344 |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2013-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
706 N BROWN ST |
| City | CLARKSVILLE |
| State | AR |
| Zip Code | 72830-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144226119 | Charles Livingston | Social Worker | 706 N Brown St, Clarksville, AR 72830-2732 | 2005-06-24 |
| 1306452313 | Hollie Butler | Case Manager/Care Coordinator | 706 N Brown St, Clarksville, AR 72830-2732 | 2020-09-16 |
| 1679186498 | Terah Vandusen | Case Manager/Care Coordinator | 706 N Brown St, Clarksville, AR 72830-2732 | 2020-08-31 |
| 1508493651 | Jerry Hill | Case Manager/Care Coordinator | 706 N Brown St, Clarksville, AR 72830-2732 | 2020-03-26 |
| 1417584566 | Brianna Thomas | Case Manager/Care Coordinator | 706 N Brown St, Clarksville, AR 72830-2732 | 2020-03-26 |
| 1962034454 | Katie Tipton | Case Manager/Care Coordinator | 706 N Brown St, Clarksville, AR 72830-2732 | 2020-02-12 |
| 1487284295 | Cassie Henderson | Case Manager/Care Coordinator | 706 N Brown St, Clarksville, AR 72830-2732 | 2020-01-21 |
| 1932744463 | Harriet Reece | Case Manager/Care Coordinator | 706 N Brown St, Clarksville, AR 72830-2732 | 2019-11-07 |
| 1013552546 | Brythia Waters | Case Manager/Care Coordinator | 706 N Brown St, Clarksville, AR 72830-2732 | 2019-11-07 |
| 1114562642 | Jessica Fales | Case Manager/Care Coordinator | 706 N Brown St, Clarksville, AR 72830-2732 | 2019-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
| 1083186431 | Kayla Chinchilla | Counselor | 106 Cherokee Lane, Clarksville, AR 72830 | 2018-12-26 |
| 1669995619 | Karla D Snow | Case Manager/Care Coordinator | 718 Brown Street, Clarksville, AR 72830 | 2017-07-21 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1275882060 | Shay Morgan | Dietitian, Registered | 1100 East Poplar Street, Clarksville, AR 72830 | 2012-09-07 |
| 1518111566 | Melisa Leann Traylor | Case Manager/Care Coordinator | 522 Mill Road, Clarksville, AR 72830 | 2008-11-04 |
| 1669635280 | Family Foot Clinic | Podiatrist | 203 Sevier St, Clarksville, AR 72830 | 2008-07-03 |
| 1891969721 | Scott Lee Landis | Counselor | 522 Mills Rd., Clarksville, Ar, AR 72830 | 2008-04-22 |
| 1437364684 | Snider Family Chiropractic Clinic | Chiropractor | 1012 Poplar St., Clarksville, AR 72830 | 2007-05-11 |
| 1376765917 | Jones Speech Therapy | Speech-Language Pathologist | 1312 North Harmony Road, Clarksville, AR 72830 | 2007-05-03 |
| Find all providers in zip 72830 | ||||
| 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 |
|---|---|---|---|---|
| 1629626197 | Diana Ocampo Esparza | Case Manager/Care Coordinator | 709 N. Brown Street, Clarksville, AR 72830-7283 | 2019-08-28 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1669995619 | Karla D Snow | Case Manager/Care Coordinator | 718 Brown Street, Clarksville, AR 72830 | 2017-07-21 |
| 1336590058 | Bobby Bonner Jr. | Case Manager/Care Coordinator | 1697putnum Drive, Clarksville, TN 37042 | 2016-06-23 |
| 1104246966 | Kelsey Self | Case Manager/Care Coordinator | 1543 County Road 3350, Clarksville, AR 72830-8162 | 2014-04-21 |
| 1457661365 | Darrell Paul Noble | Case Manager/Care Coordinator | 201 Uffelmans, Ste F, Clarksville, TN 37043 | 2010-10-13 |
| 1265742126 | Amy Jean Guilliams | Case Manager/Care Coordinator | 201 Uffleman Dr., Suite F, Clarksville, TN 37043-2975 | 2010-10-13 |
| 1689983058 | Michelle Nathalie Strachan | Case Manager/Care Coordinator | 201 Uffelman Drive, Suite F, Clarksville, TN 37043 | 2010-10-01 |
| 1386964393 | Amy Marie Anderson Fryer | Case Manager/Care Coordinator | 201 Uffelman Dr., Suite F, Clarksville, TN 37204 | 2010-06-02 |
| 1518111566 | Melisa Leann Traylor | Case Manager/Care Coordinator | 522 Mill Road, Clarksville, AR 72830 | 2008-11-04 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 72830 |
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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.