TARA L GREEN (NPI# 1316218803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316218803 |
| Entity Type | Individual |
| Full Name | TARA L GREEN |
| Credential | MHPP |
| Practice Address |
701 Arkansas Blvd Texarkana AR 71854-2105 |
| Mailing Address |
3352 N Futrall Dr Fayetteville AR 72703-4057 |
| Practice Telephone | 8707725028 |
| Practice Fax Number | 8707725056 |
| Mailing Telephone | 4795211427 |
| Mailing Fax Number | 4795216520 |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2012-01-16 |
| 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 |
|---|---|---|---|---|
| 1184225344 | Tara Renee Green | Pharmacist | 7400 Guilford Dr, Frederick, MD 21704-5183 | 2020-11-04 |
| 1598272866 | Tara Leann Green | Nurse Practitioner | 613 N 2nd St, Rogers, AR 72756-6611 | 2018-01-08 |
| 1346610110 | Tara Green | Speech-Language Pathologist | 1140 Savannah Ridge Rd, Suite 111, Holly Springs, NC 27540-0535 | 2015-10-05 |
| 1114288438 | Tara L Green | Dentist | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2012-06-04 |
| 1720366602 | Tara Jo Green | Chiropractor | 400 Broadway St, Galena, IL 61036-1902 | 2011-07-26 |
| 1265728265 | Tara Elizabeth Green | Social Worker | 1303 W Noel Ave, Madisonville, KY 42431-1166 | 2011-06-28 |
| 1942536487 | Tara Green | Counselor | 1600 N D St, Mcalester, OK 74501-2314 | 2009-10-18 |
| 1194906875 | Tara Rae Green | Pharmacist | 4635 1st Ave, Evansville, IN 47710-3625 | 2007-11-21 |
| 1366631699 | Tara Lea Green | Physical Therapy Assistant | 1485 International Pkwy, 2051, Heathrow, FL 32746-5303 | 2007-10-23 |
| 1831304658 | Tara Green | General Acute Care Hospital | 30 E Apple St, Ste 5254a, Dayton, OH 45409-2939 | 2007-05-14 |
| Street Address |
701 ARKANSAS BLVD |
| City | TEXARKANA |
| State | AR |
| Zip Code | 71854-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790754018 | Debbie J Autrey | Counselor | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2006-03-17 |
| 1205352226 | Keith Roadcap | Case Manager/Care Coordinator | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2017-08-22 |
| 1881110971 | Chairmaine Sanders | Case Manager/Care Coordinator | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2017-08-21 |
| 1275057374 | Shallon Forte | Registered Nurse | 701 Arkansas Blvd, Texarkana, AR 71854 | 2017-07-31 |
| 1033649892 | Adrain Nicole Oglesby | Case Manager/Care Coordinator | 701 Arkansas Blvd, Texarkana, AR 71854 | 2017-06-14 |
| 1508393885 | Gabrielle Renee Gamble | Case Manager/Care Coordinator | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2017-05-17 |
| 1013443779 | Teresa Milner | Case Manager/Care Coordinator | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2017-05-02 |
| 1033643382 | Alexandrea Purifoy | Case Manager/Care Coordinator | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2017-04-13 |
| 1891228300 | Dorcas Townsend | Registered Nurse | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2017-04-11 |
| 1861933509 | Alicia Caldwell | Case Manager/Care Coordinator | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2017-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962988253 | Holly Renee Snipe | Registered Nurse | 4700 Sunbury Dr, Texarkana, AR 71854 | 2018-07-19 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1326538810 | Chad Roldan | Occupational Therapy Assistant | 6402 Countryside Dr, Texarkana, AR 71854 | 2018-05-10 |
| 1649797481 | Alliance Counseling Agency LLC | Community/Behavioral Health | 819 Beech St, Texarkana, AR 71854 | 2017-08-23 |
| 1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
| 1295260040 | Seniors for Senior Care | Adult Companion | 4613 Parkway Dr., Texarkana, AR 71854 | 2017-04-28 |
| 1033650635 | Texarkana Eye Associates | Optometrist | 114 East 49th St, Texarkana, AR 71854 | 2017-03-15 |
| 1881064731 | Texarkana Group, P.l.l.c | Chiropractor | 2100 N. State Line Ave., Texarkana, AR 71854 | 2015-10-05 |
| 1528301819 | Megan Guercio | Specialist/Technologist | 1002 East 35th Street, Texarkana, AR 71854 | 2013-04-04 |
| 1831439116 | James Wesley Mcraven | Nurse Practitioner | 210 N. Stateline, Suite 301, Texarkana, AR 71854 | 2013-02-22 |
| Find all providers in zip 71854 | ||||
| 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 |
|---|---|---|---|---|
| 1477198299 | Regina Deshae Dunagin | Case Manager/Care Coordinator | 3913 Sabine Ave, Texarkana, TX 75503-2840 | 2019-11-15 |
| 1245740943 | Darnell Brown Community Development Corporation | Case Manager/Care Coordinator | 922 Garland Ave, Texarkana, AR 71854-5055 | 2017-10-07 |
| 1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
| 1467723387 | Andrea Yvonne Jones | Case Manager/Care Coordinator | 1701 County Ave, Texarkana, AR 71854-4303 | 2012-01-24 |
| 1942510953 | Amber Beasley | Case Manager/Care Coordinator | 701 Arkansas Blvd., Texarkana, AR 71854 | 2010-10-13 |
| 1437468956 | Mary Mobley | Case Manager/Care Coordinator | 1202 N Stateline Ave, Texarkana, AR 71854-2919 | 2010-10-01 |
| 1649893991 | Kaitlyn Renee Yancey | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2020-05-21 |
| 1417578154 | Carrie Ann James | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2020-05-05 |
| 1992330435 | Reagen Richburg | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2020-03-05 |
| 1396382412 | Symone Autrey | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2019-12-09 |
| Find all providers in TEXARKANA | ||||
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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.