DAWN DEFFENBAUGH (NPI# 1457753030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457753030 |
| Entity Type | Individual |
| Full Name | DAWN DEFFENBAUGH |
| Practice Address |
211 Jackson St Sw Camden AR 71701-3941 |
| Mailing Address |
715 N College Ave El Dorado AR 71730-4403 |
| Practice Telephone | 8708365743 |
| Mailing Telephone | 8708642417 |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
211 JACKSON ST SW |
| City | CAMDEN |
| State | AR |
| Zip Code | 71701-3941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336118942 | Phyllis L Craig | Counselor | 211 Jackson St Sw, Camden, AR 71701-3941 | 2006-03-16 |
| 1356986434 | Kendall Jones | Case Manager/Care Coordinator | 211 Jackson St Sw, Camden, AR 71701-3941 | 2019-11-12 |
| 1770056152 | Neatrice Strickland | Licensed Practical Nurse | 211 Jackson St Sw, Camden, AR 71701-3941 | 2019-01-08 |
| 1902377534 | Shanice Easter | Case Manager/Care Coordinator | 211 Jackson St Sw, Camden, AR 71701-3941 | 2018-12-07 |
| 1326539883 | Janet Box | Registered Nurse | 211 Jackson St Sw, Camden, AR 71701-3941 | 2018-05-21 |
| 1730633199 | Amy Burns | Counselor | 211 Jackson St Sw, Camden, AR 71701-3941 | 2016-08-15 |
| 1215339072 | Tayzchana Lewis | Case Manager/Care Coordinator | 211 Jackson St Sw, Camden, AR 71701-3941 | 2014-09-23 |
| 1114330214 | M Melinda Mcmahan | Counselor | 211 Jackson St Sw, Camden, AR 71701-3941 | 2014-06-05 |
| 1548680242 | Lakeesha Bryant | Case Manager/Care Coordinator | 211 Jackson St Sw, Camden, AR 71701-3941 | 2014-04-21 |
| 1730429432 | Jennifer Lowrey | Case Manager/Care Coordinator | 211 Jackson St Sw, Camden, AR 71701-3941 | 2013-02-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456854 | Teresa Mccann | Pharmacist | Brookshire's Pharmacy #85, 1345 Hwy 4 Spur Sw, Camden, AR 71701 | 2020-01-22 |
| 1366938870 | American Oncology Partners, P.a. | Internal Medicine | 115 Fairview Rd Sw, Camden, AR 71701 | 2018-07-09 |
| 1609236454 | Laquisha Kelley | Case Manager/Care Coordinator | 211 South Jackson Street, Camden, AR 71701 | 2016-03-07 |
| 1649654435 | Gerald Stinnett | Occupational Therapy Assistant | 431 Ouachita 51, Camden, AR 71701 | 2015-07-13 |
| 1902105232 | Joannie Phelps | Counselor | 301a Washington, Camden, AR 71701 | 2011-03-25 |
| 1053540732 | Judy Prince | Counselor | 115 Jefferson Sw, Camden, AR 71701 | 2009-07-02 |
| 1861641532 | Candace Bowen | Occupational Therapy Assistant | 1320 Maul North West Road, Camden, AR 71701 | 2008-09-17 |
| 1073739587 | Harmony Grove School District | Local Education Agency (LEA) | 401 Oua Rd 88, Camden, AR 71701 | 2007-04-17 |
| 1215055876 | Angela Mashel Rich | Counselor | 1269 California Sw, Camden, AR 71701 | 2007-03-26 |
| 1104954791 | Lisa H Stevens | Speech-Language Pathologist | 400 Maul Road, Camden, AR 71701 | 2007-03-02 |
| Find all providers in zip 71701 | ||||
| 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 |
|---|---|---|---|---|
| 1609236454 | Laquisha Kelley | Case Manager/Care Coordinator | 211 South Jackson Street, Camden, AR 71701 | 2016-03-07 |
| 1275950669 | Clifford Kareem | Case Manager/Care Coordinator | 330 Federal Street, Camden, NJ 08101 | 2014-03-24 |
| 1326368119 | Tina Lynn Jenkins | Case Manager/Care Coordinator | 3400 E Territorial Rd, Camden, MI 49232-9035 | 2010-06-03 |
| 1134365737 | Deneshia Sheree Brown | Case Manager/Care Coordinator | 301a Washington Street Sw, Camden, AR 71701-2713 | 2009-01-02 |
| 1093838146 | Callie Hildreth | Case Manager/Care Coordinator | 381 Ouachita 396, Camden, AR 71701-9155 | 2007-04-06 |
| 1194857417 | Tron D Baker | Case Manager/Care Coordinator | 495 Liberty Rod, Camden, TN 38320 | 2007-03-12 |
| 1356986434 | Kendall Jones | Case Manager/Care Coordinator | 211 Jackson St Sw, Camden, AR 71701-3941 | 2019-11-12 |
| 1093274706 | Choices With Self Determination LLC | Case Manager/Care Coordinator | 3400 E Territorial Rd, Camden, MI 49232-9035 | 2019-03-13 |
| 1902377534 | Shanice Easter | Case Manager/Care Coordinator | 211 Jackson St Sw, Camden, AR 71701-3941 | 2018-12-07 |
| 1215339072 | Tayzchana Lewis | Case Manager/Care Coordinator | 211 Jackson St Sw, Camden, AR 71701-3941 | 2014-09-23 |
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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.