TARA D HUMPHRY (NPI# 1275192692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275192692 |
| Entity Type | Individual |
| Full Name | TARA D HUMPHRY |
| Practice Address |
2607 Caddo St Ste 6 Arkadelphia AR 71923-5307 |
| Practice Telephone | 8702308217 |
| Practice Fax Number | 8702308201 |
| Mailing Telephone | 8702308217 |
| Mailing Fax Number | 8702308201 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |
| 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 |
2607 CADDO ST STE 6 |
| City | ARKADELPHIA |
| State | AR |
| Zip Code | 71923-5307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255474268 | Christy G Campbell | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2007-02-15 |
| 1245837350 | Brett Burks | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-10-02 |
| 1194341123 | Julie A Harrington | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-06-25 |
| 1518582402 | Shawn Lee Hardin | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-06-16 |
| 1730704339 | Andrew Allen Arnold | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-06-10 |
| 1942822465 | Klaire Howard | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-05-07 |
| 1013546654 | Mandy Jo Davis | Counselor | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-04-06 |
| 1508492166 | Jessica K. Putz | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-03-16 |
| 1477199404 | Claudia Cheyenne Charles | Counselor | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2019-11-25 |
| 1093350969 | Victoria L Viera | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2019-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053512 | Lacey Griffin | Pharmacist | 109 Wp Malone Drive, Arkadelphia, AR 71923 | 2020-11-05 |
| 1528478955 | Baptist Health | Clinic/Center | 10 Montgomery Drive, Caddo Valley, AR 71923 | 2014-05-07 |
| 1770923724 | Amber Dawn Jones | Nurse Practitioner | 10 Montgomery Dr, Caddo Valley, AR 71923 | 2013-07-04 |
| 1699050872 | Timothy R Phelan | Pharmacist | 131 N 26 St, Walgreens, Arkadelphia, AR 71923 | 2011-10-19 |
| 1083924229 | Misty Cox | Health Educator | 2410 Pine Street, Arkadelphia, AR 71923 | 2010-10-20 |
| 1942433677 | James W. Hankins, D.d.s., P.a. | Dentist | 2840 Twin Rivers Dr., Arkadelphia, AR 71923 | 2009-08-28 |
| 1003027061 | William Coke Viser | Counselor | 94 Pinnacle Drive, Arkadelphia, AR 71923 | 2007-05-24 |
| 1184843773 | Renski Davis-buckley | Case Manager/Care Coordinator | 524 N. Clark, Arkadelphia, AR 71923 | 2007-04-24 |
| 1407988355 | State of Arkansas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Prator Drive, Arkadelphia, AR 71923 | 2007-03-09 |
| 1003945734 | Danita Stubbs | Case Manager/Care Coordinator | 2607 Caddo Street, Arkadelphia, AR 71923 | 2007-03-06 |
| Find all providers in zip 71923 | ||||
| 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 |
|---|---|---|---|---|
| 1720488430 | Stanley B Jones II | Case Manager/Care Coordinator | 2551 Country Club Rd Apt 18, Arkadelphia, AR 71923-2975 | 2014-08-29 |
| 1730508847 | Jared Fisk | Case Manager/Care Coordinator | 1715 Walnut St, Arkadelphia, AR 71923-6600 | 2014-04-16 |
| 1306122544 | Lacey Mccaskill | Case Manager/Care Coordinator | 2425 Country Club Rd, Arkadelphia, AR 71923-2903 | 2011-11-02 |
| 1245565258 | Amanda Gills | Case Manager/Care Coordinator | 2210 Pine St, Arkadelphia, AR 71923-4331 | 2009-10-08 |
| 1174737399 | Linda Harris | Case Manager/Care Coordinator | 1044 S 11th St, Arkadelphia, AR 71923-6704 | 2007-05-09 |
| 1184843773 | Renski Davis-buckley | Case Manager/Care Coordinator | 524 N. Clark, Arkadelphia, AR 71923 | 2007-04-24 |
| 1003945734 | Danita Stubbs | Case Manager/Care Coordinator | 2607 Caddo Street, Arkadelphia, AR 71923 | 2007-03-06 |
| 1255474268 | Christy G Campbell | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2007-02-15 |
| 1245837350 | Brett Burks | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-10-02 |
| 1194341123 | Julie A Harrington | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-06-25 |
| Find all providers in ARKADELPHIA | ||||
| City | ARKADELPHIA |
| Zip Code | 71923 |
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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.