CONNIE MOORE (NPI# 1497908982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497908982 |
| Entity Type | Individual |
| Full Name | CONNIE MOORE |
| Practice Address |
110 Skyline Dr Russellville AR 72801-3362 |
| Practice Telephone | 4799681298 |
| Practice Fax Number | 4799686053 |
| Mailing Telephone | 4799681298 |
| Mailing Fax Number | 4799686053 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |
| 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 |
|---|---|---|---|---|
| 1942563663 | Connie Jo Moore | Registered Nurse | 1717 W. Cowles Street, Fairbanks, AK 99701 | 2012-06-18 |
| 1558646307 | Connie D Moore | Counselor | 6100 Vine St, P-77, Lincoln, NE 68505-2861 | 2011-10-12 |
| 1730233255 | Connie Lynn Moore | Acupuncturist | 3959 Koko Dr, Honolulu, HI 96816-4306 | 2007-01-22 |
| 1104438688 | Connie Laverne Moore | Licensed Practical Nurse | 1100 New Jersey Ave Se Ste 845, Washington, DC 20003-3338 | 2020-08-17 |
| 1437571940 | Connie Moore | Registered Nurse | 6400 Uptown Blvd Ne, Ste 360w, Albuquerque, NM 87110-4204 | 2014-01-17 |
| 1063840163 | Connie W Moore | Physical Therapist | 533b Keyway Dr, Flowood, MS 39232-8809 | 2013-10-29 |
| 1972747491 | Connie Susan Moore | Speech-Language Pathologist | 1201 Hawthorn Rd, Salem, IL 62881-1028 | 2009-04-28 |
| 1801955927 | Connie Moore | Counselor | 1423 W Garland Ave Ste C, Spokane, WA 99205-2616 | 2006-12-06 |
| 1114907771 | Connie Jean Moore | Nurse Anesthetist, Certified Registered | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2006-01-19 |
| Street Address |
110 SKYLINE DR |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801-3362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588769491 | Richard L Moore | Counselor | 110 Skyline Dr, Russellville, AR 72801-3362 | 2006-09-14 |
| 1720618267 | Chantal Doucet-brice | Counselor | 110 Skyline Dr, Russellville, AR 72801-3362 | 2020-01-23 |
| 1659921914 | Mercedes A Bender | Counselor | 110 Skyline Dr, Russellville, AR 72801-3362 | 2019-09-18 |
| 1730749995 | Sydney Nicole Allen | Case Manager/Care Coordinator | 110 Skyline Dr, Russellville, AR 72801-3362 | 2019-06-19 |
| 1205301645 | Melinda L Arnold | Licensed Practical Nurse | 110 Skyline Dr, Russellville, AR 72801-3362 | 2018-10-12 |
| 1134615404 | Trakia Tucker | Case Manager/Care Coordinator | 110 Skyline Dr, Russellville, AR 72801-3362 | 2018-07-10 |
| 1134621451 | Tanner Leigh Yates | Case Manager/Care Coordinator | 110 Skyline Dr, Russellville, AR 72801-3362 | 2018-03-02 |
| 1306352943 | Leilani Harmon | Licensed Practical Nurse | 110 Skyline Dr, Russellville, AR 72801-3362 | 2017-12-19 |
| 1205359510 | Cody Layne Horn | Nurse Practitioner | 110 Skyline Dr, Russellville, AR 72801-3362 | 2017-07-18 |
| 1043749682 | Lindsey Howard | Case Manager/Care Coordinator | 110 Skyline Dr, Russellville, AR 72801-3362 | 2017-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| 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 |
|---|---|---|---|---|
| 1932623980 | Leronda Garrison | Case Manager/Care Coordinator | 1505 S Oswego Avenue, Russellville, AR 72820 | 2017-08-01 |
| 1437555315 | Laura Easter | Case Manager/Care Coordinator | 1505 S, Oswego Ave., Russellville, AR 72802 | 2014-11-05 |
| 1982005252 | Yariela Borras | Case Manager/Care Coordinator | 1415 S. Oswego Avenue, Russellville, AR 72802 | 2014-09-05 |
| 1477953818 | Kelly Sutton | Case Manager/Care Coordinator | 1505 S. Oswego Avenue, Russellville, AR 72802 | 2014-09-03 |
| 1720491095 | Kaitlin Spry | Case Manager/Care Coordinator | 1401 Parker Rd, Apt. 54, Russellville, AR 72801-3180 | 2014-06-04 |
| 1104236660 | Allison Caldwell | Case Manager/Care Coordinator | 520 E 16th St Apt A, Russellville, AR 72801-6936 | 2014-05-05 |
| 1477963569 | Heather Rash | Case Manager/Care Coordinator | 1009 N Greenwich Ave, Russellville, AR 72801-3134 | 2014-04-29 |
| 1376960757 | Meagan Votteler | Case Manager/Care Coordinator | 195 Bregar Pl, Russellville, AR 72802-1649 | 2014-03-24 |
| 1528498151 | Kari Green | Case Manager/Care Coordinator | 1310 W Main St Ste 100, Russellville, AR 72801-2803 | 2013-11-18 |
| 1821434101 | Carolyn Courim | Case Manager/Care Coordinator | 1402 E 16th St, Russellville, AR 72802-2648 | 2013-05-14 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
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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.