BORIS BRAGGS (NPI# 1376052712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376052712 |
| Entity Type | Individual |
| Full Name | BORIS BRAGGS |
| Practice Address |
103 4th Street Jonesboro LA 71251 |
| Mailing Address |
103 4th St Jonesboro LA 71251-3346 |
| Practice Telephone | 3182591500 |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2018-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
103 4TH STREET |
| City | JONESBORO |
| State | LA |
| Zip Code | 71251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851752661 | Monique Burks | Behavioral Analyst | 103 4th Street, Stepping Stones, Jonesboro, LA 71251 | 2016-03-08 |
| 1093238719 | Kimberly Mendoza | Behavioral Analyst | 103 4th Street, Jonesboro, LA 71251 | 2017-07-25 |
| 1346763588 | Ulanda Watson | Behavioral Analyst | 103 4th Street, Jonesboro, LA 71251 | 2017-07-19 |
| 1467986646 | Tommy Hull | Counselor | 103 4th Street, Jonesboro, LA 71251 | 2017-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962985432 | Jonathan Rogers | Non-emergency Medical Transport (VAN) | 131 Eden Circle, Jonesboro, LA 71251 | 2018-09-11 |
| 1891273546 | Charlotte Amos | Case Manager/Care Coordinator | 248 Collin Rd, Jonesboro, LA 71251 | 2018-08-04 |
| 1528429578 | Lisa Hammock | Counselor | 124 Hudson Ave, Jonesboro, LA 71251 | 2016-03-17 |
| 1184080046 | Deon Jones | Counselor | 206 Hudson Ave, Jonesboro, LA 71251 | 2016-01-07 |
| 1942672894 | Timothy Stewart | Behavioral Analyst | 201 Forest Dr, Jonesboro, LA 71251 | 2015-10-29 |
| 1871964148 | Stacey Harrell | Social Worker | 305 Cobb Dr, Jonesboro, LA 71251 | 2015-10-13 |
| 1528398799 | Alesia Fortune | Behavioral Analyst | 103 4th St, Jonesboro, LA 71251 | 2010-01-11 |
| 1184848756 | Mayfield Chiropractic Jonesboro, LLC | Chiropractor | 520 S. Polk St., Jonesboro, LA 71251 | 2007-04-12 |
| 1093793408 | Jackson Parish Hospital | General Acute Care Hospital | 165 Beech Springs Rd, Jonesboro, LA 71251 | 2006-01-05 |
| 1134697097 | Tyler Anderson | Case Manager/Care Coordinator | 525 Alexander St, Jonesboro, LA 71251 | 2018-11-08 |
| Find all providers in zip 71251 | ||||
| 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 |
|---|---|---|---|---|
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1619516051 | Kyjione King | Case Manager/Care Coordinator | 721 S Gee St Ste A, Jonesboro, AR 72401-3308 | 2020-01-02 |
| 1487205845 | Jamie Lynn Echeverria | Case Manager/Care Coordinator | 837 Willett Road, Jonesboro, AR 72401-7240 | 2019-09-26 |
| 1043877608 | Tristan Kole Meador | Case Manager/Care Coordinator | 1905 Race St, Jonesboro, AR 72401-7212 | 2019-05-20 |
| 1972088425 | Kenan Shell | Case Manager/Care Coordinator | 4009 Clay Dr, Jonesboro, AR 72404-8543 | 2018-10-01 |
| 1710462759 | Kelly Seltzer | Case Manager/Care Coordinator | 320 Monterey Cir, Jonesboro, GA 30236-8242 | 2018-09-26 |
| 1891273546 | Charlotte Amos | Case Manager/Care Coordinator | 248 Collin Rd, Jonesboro, LA 71251 | 2018-08-04 |
| 1407376486 | Angelijica Ivey | Case Manager/Care Coordinator | 8322 Marlborough Dr, Jonesboro, GA 30238-2943 | 2017-06-21 |
| 1275071607 | Coral Nicole Burke | Case Manager/Care Coordinator | 1806 Kathleen St, Apt. B, Jonesboro, AR 72401-9104 | 2017-02-06 |
| 1356889794 | Juan Sheppard | Case Manager/Care Coordinator | 3309 Kingsbury St, Jonesboro, AR 72401-5412 | 2017-02-06 |
| Find all providers in JONESBORO | ||||
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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.