JAMES WALLS (NPI# 1487945937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487945937 |
| Entity Type | Individual |
| Full Name | JAMES WALLS |
| Credential | RECOVERY ASSISTANT |
| Practice Address |
104 Conniebrook Ln Melbourne AR 72556-8861 |
| Mailing Address |
Po Box 1589 Benton AR 72018-1589 |
| Practice Telephone | 8703685242 |
| Mailing Telephone | 5013153344 |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | AR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598128167 | James Oliver Walls | General Practice | 213 Glenwood St, Mobile, AL 36606-4438 | 2016-03-31 |
| 1083059331 | James Robert Walls IIi | Counselor | 222 Richmond Avenue, Building 3, Room 203, Batavia, NY 14020-1227 | 2013-04-30 |
| 1518163740 | James Peter Walls | Contractor | 482 Winding Wood Dr, Wetumpka, AL 36093-1695 | 2007-06-25 |
| 1710485974 | James Montgomery Walls | Case Manager/Care Coordinator | 115 Private Road 977, Pedro, OH 45659-8608 | 2018-01-23 |
| 1013316314 | James Walls | Counselor | 1115 Harbor Rd, Grove, OK 74344-3505 | 2014-08-22 |
| 1265787972 | James Everett Walls | Family Medicine | 2500 Alhambra Ave, Martinez, CA 94553-3156 | 2012-07-18 |
| Street Address |
104 CONNIEBROOK LN |
| City | MELBOURNE |
| State | AR |
| Zip Code | 72556-8861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184799876 | Jacob G Russell | Counselor | 104 Conniebrook Ln, Melbourne, AR 72556-8861 | 2006-11-21 |
| 1639469109 | Kenneth Mills | Case Manager/Care Coordinator | 104 Conniebrook Ln, Melbourne, AR 72556-8861 | 2011-04-18 |
| 1003106337 | Danielle Falk | Case Manager/Care Coordinator | 104 Conniebrook Ln, Melbourne, AR 72556-8861 | 2011-04-07 |
| 1457654352 | Sierra Riley | Case Manager/Care Coordinator | 104 Conniebrook Ln, Melbourne, AR 72556-8861 | 2010-12-15 |
| 1295035483 | Michael Martin | Case Manager/Care Coordinator | 104 Conniebrook Ln, Melbourne, AR 72556-8861 | 2010-10-22 |
| 1750690780 | Racheal Rains | Case Manager/Care Coordinator | 104 Conniebrook Ln, Melbourne, AR 72556-8861 | 2010-09-24 |
| 1811209307 | Amanda Englehardt | Case Manager/Care Coordinator | 104 Conniebrook Ln, Melbourne, AR 72556-8861 | 2010-07-13 |
| 1619296910 | Mary Goins | Case Manager/Care Coordinator | 104 Conniebrook Ln, Melbourne, AR 72556-8861 | 2010-05-26 |
| 1346568235 | Nancy Miller | Case Manager/Care Coordinator | 104 Conniebrook Ln, Melbourne, AR 72556-8861 | 2010-05-17 |
| 1164740049 | Kyle Taylor | Case Manager/Care Coordinator | 104 Conniebrook Ln, Melbourne, AR 72556-8861 | 2010-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143950 | Brad Wheelis Family Dentistry Pllc | Clinic/Center | 1218 East Main St, Melbourne, AR 72556 | 2020-08-06 |
| 1932742640 | Abby Everett | Pharmacist | 803 E Main Street, Melbourne, AR 72556 | 2019-10-25 |
| 1154849065 | Baxter Regional Health System | Nurse Practitioner | 1019 East Main Street, Melbourne, AR 72556 | 2017-08-31 |
| 1265955512 | Kids El Melbourne | Pediatrics | 889 East Main, Melbourne, AR 72556 | 2017-07-19 |
| 1245752070 | Morgan Brittany Shirley | Nurse Practitioner | 1019 E. Main St., Melbourne, AR 72556 | 2017-07-13 |
| 1467988725 | Anita Love | Case Manager/Care Coordinator | 637 Esat Main St, Melbourne, AR 72556 | 2017-05-05 |
| 1558729236 | Regan Tharp | Developmental Therapist | 889 E. Main, Melbourne, AR 72556 | 2016-02-09 |
| 1740693274 | Richard Thomas Keefer | Social Worker | 637 East Main St, Melbourne, AR 72556 | 2014-06-02 |
| 1164858437 | Mary Grice Duncan | Pharmacist | 600 N. Main Street, Suite C, Melbourne, AR 72556 | 2013-09-18 |
| 1265871248 | Kidspiration Pediatric Therapy Services Too, Inc. | Clinic/Center | 905 East Main St, Melbourne, AR 72556 | 2013-06-23 |
| Find all providers in zip 72556 | ||||
| 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 |
|---|---|---|---|---|
| 1417588583 | Brittany Poyer | Case Manager/Care Coordinator | 1481 Crane Creek Blvd, Melbourne, FL 32940-6825 | 2020-01-28 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1467988725 | Anita Love | Case Manager/Care Coordinator | 637 Esat Main St, Melbourne, AR 72556 | 2017-05-05 |
| 1477007151 | Ashley Underhill | Case Manager/Care Coordinator | 960 Shaw Cir, Melbourne, FL 32940-6963 | 2016-08-10 |
| 1962854679 | Gloria Mckithen | Case Manager/Care Coordinator | 1282 White Oak Cir, Melbourne, FL 32934-7288 | 2016-07-06 |
| 1508229386 | Maria Orquidea Diaz Sanquintin | Case Manager/Care Coordinator | 409 Amherst Ave, Melbourne, FL 32901-6943 | 2016-03-30 |
| 1104268309 | Amanda Bernadette Cantor | Case Manager/Care Coordinator | 2511 Sarno Rd, Melbourne, FL 32935-8847 | 2013-07-29 |
| 1508155607 | Alan Cristopher Lanken | Case Manager/Care Coordinator | 3329 Lake View Cir, Melbourne, FL 32934-8376 | 2011-03-30 |
| 1932351244 | Alina Corrigan | Case Manager/Care Coordinator | 2428 Casona Ln, Apt 6312, Melbourne, FL 32940-7572 | 2008-10-17 |
| 1932748365 | Monserrat Osornio-cornejo | Case Manager/Care Coordinator | 326 Croton Rd, Melbourne, FL 32935-6340 | 2020-01-02 |
| Find all providers in MELBOURNE | ||||
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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.