RANDI JO ROBERTS (NPI# 1245552652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245552652 |
| Entity Type | Individual |
| Full Name | RANDI JO ROBERTS |
| Credential | B.A, MHPP |
| Practice Address |
201 W. Second St. Lonoke AR 72086 |
| Mailing Address |
Po Box 15968 Little Rock AR 72231-5968 |
| Practice Telephone | 5016763151 |
| Practice Fax Number | 5016763152 |
| Mailing Telephone | 5012211843 |
| Mailing Fax Number | 5012212376 |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |
| 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 |
201 W. SECOND ST. |
| City | LONOKE |
| State | AR |
| Zip Code | 72086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265065064 | Access Medical Clinic Arkansas LLC | Family Medicine | 1010 N Center St, Lonoke, AR 72086 | 2020-02-20 |
| 1952944407 | Shannan Stewart | Counselor | 201 W. 2nd Street, Lonoke, AR 72086 | 2019-10-28 |
| 1134574379 | Kiara Loring | Case Manager/Care Coordinator | 201 W 2nd, Lonoke, AR 72086 | 2016-04-25 |
| 1184091415 | Whitney Reed | Nurse Practitioner | 130 Jf Blvd, Lonoke, AR 72086 | 2015-08-21 |
| 1265816672 | Catherine Forney | Case Manager/Care Coordinator | 201 W. Second, Lonoke, AR 72086 | 2015-07-15 |
| 1366865883 | Tiffany Hunter | Case Manager/Care Coordinator | 201 West 2nd St., Lonoke, AR 72086 | 2014-02-04 |
| 1174873723 | Jacob Darrell Johnson | Physical Therapist | 1515 North Center Street, Suite 5, Lonoke, AR 72086 | 2012-09-11 |
| 1154697829 | Joan Lavonne Tackett | Nurse Practitioner | 305 W. Front St.., Sherwood Urgent Care, Lonoke, AR 72086 | 2012-03-28 |
| 1013216035 | Angela Dyan Johnson | Speech-Language Pathologist | 114 Holly St, Lonoke, AR 72086 | 2011-03-16 |
| 1528382496 | Michael Roy Brown | Counselor | 201 W. 2nd, Lonoke, AR 72086 | 2010-03-22 |
| Find all providers in zip 72086 | ||||
| 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 |
|---|---|---|---|---|
| 1134574379 | Kiara Loring | Case Manager/Care Coordinator | 201 W 2nd, Lonoke, AR 72086 | 2016-04-25 |
| 1265816672 | Catherine Forney | Case Manager/Care Coordinator | 201 W. Second, Lonoke, AR 72086 | 2015-07-15 |
| 1366865883 | Tiffany Hunter | Case Manager/Care Coordinator | 201 West 2nd St., Lonoke, AR 72086 | 2014-02-04 |
| 1083927842 | Riki M Belford | Case Manager/Care Coordinator | 201 West 2nd St, Lonoke, AR 72086-2804 | 2010-07-22 |
| 1952578221 | Brian Stiles | Case Manager/Care Coordinator | 201 West 2nd Street, Lonoke, AR 72086-2804 | 2008-05-14 |
| 1356471122 | Herschelia Watson | Case Manager/Care Coordinator | 201 West 2nd, Lonoke, AR 72086-2804 | 2007-03-07 |
| 1750459541 | Shelia F Boyd | Case Manager/Care Coordinator | 201 W Second St, Lonoke, AR 72086 | 2006-12-01 |
| 1760978019 | Tiffany Natashia Robinson | Case Manager/Care Coordinator | 201 W. 2nd St., Lonoke, AR 72086 | 2018-07-10 |
| 1134639875 | Shelton Walker | Case Manager/Care Coordinator | 201 West 2nd Street, Lonoke, AR 72086 | 2017-10-09 |
| 1588096044 | Michelle Annette Moran | Case Manager/Care Coordinator | 201 West 2nd Street, Lonoke, AR 72086-2804 | 2013-08-06 |
| Find all providers in LONOKE | ||||
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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.