ALISA BURACK (NPI# 1225348261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225348261 |
| Entity Type | Individual |
| Full Name | ALISA BURACK |
| Practice Address |
4400 Shuffield Dr Little Rock AR 72205-7100 |
| Mailing Address |
13218 Quail Bend Dr Little Rock AR 72206-5831 |
| Practice Telephone | 5016869946 |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |
| 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 |
4400 SHUFFIELD DR |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922101120 | Rickey Lynn Phillips Jr. | Social Worker | 4400 Shuffield Dr, Little Rock, AR 72205-7100 | 2006-09-06 |
| 1073946653 | Allen Thomas | Counselor | 4400 Shuffield Dr, Little Rock, AR 72205-7100 | 2013-08-19 |
| 1417298985 | Warren Kenyahn May | Counselor | 4400 Shuffield Dr, Little Rock, AR 72205-7100 | 2013-03-08 |
| 1285985408 | Victoria Harris-daley | Counselor | 4400 Shuffield Dr, Little Rock, AR 72205-7100 | 2012-09-27 |
| 1396026043 | Amy Elizabeth Enderlin | Case Manager/Care Coordinator | 4400 Shuffield Dr, Little Rock, AR 72205-7100 | 2011-09-07 |
| 1427351360 | Constance Monike Walton | Case Manager/Care Coordinator | 4400 Shuffield Dr, Little Rock, AR 72205-7100 | 2010-12-15 |
| 1114237468 | Madeleine Bowens | Case Manager/Care Coordinator | 4400 Shuffield Dr, Little Rock, AR 72205-7100 | 2010-10-19 |
| 1144536772 | Sherry Green | Case Manager/Care Coordinator | 4400 Shuffield Dr, Little Rock, AR 72205-7100 | 2010-08-20 |
| 1619297017 | Kathleen Logan Richardson | Social Worker | 4400 Shuffield Dr, Little Rock, AR 72205-7100 | 2010-06-08 |
| 1922338052 | Cheryl L Piggee | Case Manager/Care Coordinator | 4400 Shuffield Dr, Little Rock, AR 72205-7100 | 2010-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| 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 |
|---|---|---|---|---|
| 1346803988 | M-pacting Youth and Families Inc | Case Manager/Care Coordinator | 4001 Cobb St, Little Rock, AR 72204-7444 | 2019-04-18 |
| 1568921211 | Derrick Hunter | Case Manager/Care Coordinator | 10025 W. Markham St Ste 150, Little Rock, AR 72205-2178 | 2019-03-12 |
| 1447720115 | Leslie Ross | Case Manager/Care Coordinator | 1 Lile Ct Ste 201, Little Rock, AR 72205-6242 | 2018-11-26 |
| 1740785823 | Lataveya Vault | Case Manager/Care Coordinator | 10025 W Markham St Ste 150, Little Rock, AR 72205-1416 | 2018-03-29 |
| 1346759982 | Rekia Shanette Porchia | Case Manager/Care Coordinator | 61 Purdue Cir, Little Rock, AR 72204-5949 | 2017-09-27 |
| 1245754555 | Yolanda Johnson | Case Manager/Care Coordinator | 1100 N University Suite 200, Little Rock, AR 72207 | 2017-07-28 |
| 1700326790 | Denira Zardoost | Case Manager/Care Coordinator | 1100 N.uiversity, Evergreen Place Suite 200, Little Rock, AR 72207 | 2017-02-24 |
| 1639616162 | Jasmine Ford | Case Manager/Care Coordinator | 1100 N. University, 200, Little Rock, AR 72207-3549 | 2017-01-23 |
| 1447709639 | Cecil Ray Chew Jr. | Case Manager/Care Coordinator | 5 Falcon Ct Apt 4, Little Rock, AR 72210-4425 | 2016-09-28 |
| 1508310038 | Tennille Hill | Case Manager/Care Coordinator | 5517 Western Ln, Little Rock, AR 72209-1957 | 2016-08-13 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.