DENISE RUSSELL (NPI# 1306973128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306973128 |
| Entity Type | Individual |
| Full Name | DENISE RUSSELL |
| Practice Address |
1014 Autumn Rd Ste 4 Little Rock AR 72211-3768 |
| Mailing Address |
Po Box 251970 Little Rock AR 72225-1970 |
| Practice Telephone | 5012211941 |
| Practice Fax Number | 5012241340 |
| Mailing Telephone | 5016668686 |
| Mailing Fax Number | 5016606830 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2014-02-05 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029304 | Denise Russell | Homemaker | 1347 Slater St Apt 102, Toledo, OH 43612-2763 | 2020-09-30 |
| 1588997522 | Denise Russell | Licensed Practical Nurse | 5 Abbott Ave, Earlville, NY 13332-0392 | 2009-09-09 |
| 1881825453 | Denise Russell | Occupational Therapist | 10915 E 114th Ave, Henderson, CO 80640-7666 | 2009-07-30 |
| 1760982862 | Denise Dukes Russell | Physical Therapist | 2120 Enterprise Dr, Biloxi, MS 39531-4039 | 2018-02-15 |
| 1265732606 | Denise L Russell | Nurse Practitioner | 5170 Us Rt 60 East, Huntington, WV 25705-2065 | 2010-11-02 |
| 1609182443 | Denise Russell | Nurse Practitioner | 1700 Nicholasville Rd Ste 701, Lexington, KY 40503-1467 | 2010-08-30 |
| 1972830909 | Denise Blackard Russell | Nurse Practitioner | 399 W Campbell Rd, Suite 101, Richardson, TX 75080-3595 | 2009-11-12 |
| Street Address |
1014 AUTUMN RD STE 4 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-3768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| 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 | 72211 |
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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.