AMANDA LEIGH KELLER (NPI# 1538349535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538349535 |
| Entity Type | Individual |
| Full Name | AMANDA LEIGH KELLER |
| Practice Address |
7345 Highway 62 West Gassville AR 72635 |
| Mailing Address |
624 Hospital Dr Mountain Home AR 72653-2955 |
| Practice Telephone | 8704355511 |
| Practice Fax Number | 8704355513 |
| Mailing Telephone | 8704355511 |
| Mailing Fax Number | 8704355513 |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2009-12-18 |
| 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 |
|---|---|---|---|---|
| 1538454343 | Amanda Keller | Occupational Therapist | 2000 Baltusrol Ln, Lexington, KY 40509-8494 | 2011-06-09 |
| 1588976336 | Amanda Marie Keller | Optometrist | 7050 Watts Rd, Madison, WI 53719-1365 | 2010-07-09 |
| 1487277133 | Amanda Keller | Behavior Technician | 3441 Fort Campbell Blvd Ste F3, Clarksville, TN 37042-6684 | 2020-05-28 |
| 1093375131 | Amanda Keller | Counselor | 1385 King Ave, Columbus, OH 43212-2220 | 2019-06-20 |
| 1700373040 | Amanda Keller | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Fairfield, CA 94535 | 2018-04-20 |
| 1154823771 | Amanda Keller | Behavior Technician | 1887 Monterey Hwy Ste 225, San Jose, CA 95112-6117 | 2018-02-28 |
| 1659772101 | Amanda Keller | Counselor | 9754 Kenwood Rd, Blue Ash, OH 45242-6159 | 2014-09-15 |
| 1477991339 | Amanda Keller | Social Worker | 117 S Main St, Suite 2, Freeland, MI 48623-8935 | 2013-06-12 |
| 1336481571 | Amanda Leigh Keller | Social Worker | 2215 Burdett Ave, Troy, NY 12180-2466 | 2013-03-26 |
| 1427317643 | Amanda Marie Keller | Pharmacist | 521 N Fraley St, Kane, PA 16735-1162 | 2012-05-08 |
| Street Address |
7345 HIGHWAY 62 WEST |
| City | GASSVILLE |
| State | AR |
| Zip Code | 72635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285183087 | Almost Family Personal Care, LLC | Case Management | 6289 Hwy 62w, Gassville, AR 72635 | 2016-09-22 |
| 1750670303 | Ozark Mountain Alcohol Residential Treatment, Inc,. | Substance Abuse Rehabilitation Facility | 116 Snowball Dr, Gassville, AR 72635 | 2011-04-05 |
| 1669703187 | Ashley Nursing Center Inc | Skilled Nursing Facility | 114 Chester Ashley Dr, Crossett, AR 72635 | 2010-01-22 |
| 1124028493 | Charles G Crosslin | Optometrist | 7345 Highway 62 W, Gassville, AR 72635 | 2005-07-28 |
| 1992237093 | Lisa Otto | Case Manager/Care Coordinator | 23 Marler Ln, Gassville, AR 72635-8127 | 2017-03-29 |
| 1083152797 | Almost Family Personal Care, LLC | Home Health | 6289 Highway 62 W, Gassville, AR 72635-8207 | 2017-02-02 |
| 1992793194 | Gassville Care Center Inc | Skilled Nursing Facility | 203 Cotter Rd, Gassville, AR 72635-8529 | 2005-10-11 |
| 1528484177 | Gvnc, Inc. | Skilled Nursing Facility | 203 Cotter Rd, Gassville, AR 72635-8529 | 2014-03-06 |
| 1245441096 | Kathy Jo Gay | Physical Therapist | 203 Cotter Rd, Gassville Nursing and Rehab Center, Gassville, AR 72635-8529 | 2007-05-24 |
| 1710099700 | Ponders Gassville Pharmacy | Pharmacy | 7337 Highway 62 W, Gassville, AR 72635-8636 | 2006-08-31 |
| Find all providers in zip 72635 | ||||
| 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 |
|---|---|---|---|---|
| 1992237093 | Lisa Otto | Case Manager/Care Coordinator | 23 Marler Ln, Gassville, AR 72635-8127 | 2017-03-29 |
| 1619230265 | Amber Grace Christian | Case Manager/Care Coordinator | 7345 Highway 62 W, Gassville, AR 72635-8636 | 2012-06-19 |
| 1972866465 | Mollie Brooke Rowlett | Case Manager/Care Coordinator | 7345 Highway 62 W, Gassville, AR 72635-8636 | 2012-06-19 |
| 1407118904 | Christy Ann Gross | Case Manager/Care Coordinator | 7345 Highway 62 W, Gassville, AR 72635-8636 | 2012-06-11 |
| 1154681336 | Jennifer Lynn Wojcik | Case Manager/Care Coordinator | 7345 Highway 62 W, Gassville, AR 72635-8636 | 2012-05-22 |
| 1861752040 | Larry Dean Twaddle | Case Manager/Care Coordinator | 7345 Highway 62 W, Gassville, AR 72635-8636 | 2012-05-22 |
| 1740546522 | Alison Nichole Hudson | Case Manager/Care Coordinator | 7345 Highway 62 W, Gassville, AR 72635-8636 | 2012-04-06 |
| 1447526041 | Micaela A Cully | Case Manager/Care Coordinator | 7345 Highway 62 W, Gassville, AR 72635-8636 | 2012-03-28 |
| 1154619609 | Nathan Lueck | Case Manager/Care Coordinator | 7345 Highway 62 W, Gassville, AR 72635-8636 | 2011-07-19 |
| 1316234180 | Rhea Marie Edwards | Case Manager/Care Coordinator | 7345 Highway 62 W, Gassville, AR 72635-8636 | 2011-06-30 |
| Find all providers in GASSVILLE | ||||
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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.