LARRY JOHNSON (NPI# 1558815589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558815589 |
| Entity Type | Individual |
| Full Name | LARRY JOHNSON |
| Practice Address |
300 E 20th St Hope AR 71801-8217 |
| Mailing Address |
2904 Arkansas Blvd Texarkana AR 71854-2536 |
| Practice Telephone | 8707779051 |
| Practice Fax Number | 8707773104 |
| Mailing Telephone | 8707734655 |
| Mailing Fax Number | 8707724650 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1801367032 | Larry R Johnson Jr. | Registered Nurse | 5011 State Rd, Fort Gratiot, MI 48059-2909 | 2018-12-16 |
| 1093103491 | Larry Johnson Sr. | Private Vehicle | 600 Lake Air Dr, Suite 3a, Waco, TX 76710-5887 | 2015-01-07 |
| 1578981262 | Larry Johnson | Pharmacist | 18928 Auberry Rd, Clovis, CA 93619-9641 | 2014-03-31 |
| 1841588316 | Larry Brian Johnson | Pharmacist | 37435 Main St, Burney, CA 96013-4372 | 2011-07-18 |
| 1396983888 | Larry Wayne Johnson | Specialist | 9570 Ridgehaven Ct, Suite C, San Diego, CA 92123-1667 | 2009-01-22 |
| 1669448155 | Larry Dean Johnson | Chiropractor | 413 Ne Van Loon Ln, #126, Cape Coral, FL 33909-2525 | 2006-02-24 |
| 1932183043 | Larry Wayne Johnson | Family Medicine | 1015 Garden Lake Pkwy, Toledo, OH 43614-2779 | 2005-12-01 |
| 1275514911 | Larry Hugh Johnson | Family Medicine | 7643 Oak Park Pl Nw, Bremerton, WA 98311-9175 | 2005-11-09 |
| 1487203477 | Larry Darnell Johnson | Social Worker | 1030 5th Ave Se Ste 3000, Cedar Rapids, IA 52403-2416 | 2019-09-11 |
| 1902370281 | Larry D Johnson | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2019-01-19 |
| Street Address |
300 E 20TH ST |
| City | HOPE |
| State | AR |
| Zip Code | 71801-8217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356347231 | Jeffery Allen Kauffman | Social Worker | 300 E 20th St, Hope, AR 71801-8217 | 2005-06-24 |
| 1710599675 | Crystal Dawn Trout | Licensed Practical Nurse | 300 E 20th St, Hope, AR 71801-8217 | 2020-08-20 |
| 1013492768 | Willie Terence Harris | Case Manager/Care Coordinator | 300 E 20th St, Hope, AR 71801-8217 | 2018-09-28 |
| 1396235057 | Amy Donahue | Counselor | 300 E 20th St, Hope, AR 71801-8217 | 2018-05-17 |
| 1093255739 | Emeki Strong | Social Worker | 300 E 20th St, Hope, AR 71801-8217 | 2017-02-28 |
| 1861946899 | Eatrice Thomas | Case Manager/Care Coordinator | 300 E 20th St, Hope, AR 71801-8217 | 2016-08-08 |
| 1497209456 | Leanita Muldrew | Case Manager/Care Coordinator | 300 E 20th St, Hope, AR 71801-8217 | 2016-08-08 |
| 1538536131 | Stacey Wiley | Case Manager/Care Coordinator | 300 E 20th St, Hope, AR 71801-8217 | 2015-08-31 |
| 1811327703 | Amy Perez | Counselor | 300 E 20th St, Hope, AR 71801-8217 | 2013-11-14 |
| 1427486117 | Lekeshia Soils | Case Manager/Care Coordinator | 300 E 20th St, Hope, AR 71801-8217 | 2013-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528524956 | Yasmin Morgan Lpc | Counselor | 1806 N. Spruce St, Hope, AR 71801 | 2019-02-11 |
| 1205318169 | Dewayne Bonner | Case Manager/Care Coordinator | 1401 S. Main St, Hope, AR 71801 | 2018-09-06 |
| 1194207118 | Cassie Gonzales | Case Manager/Care Coordinator | 1401 S. Main Street, Hope, AR 71801 | 2018-09-06 |
| 1912457136 | Stacy Davis | Occupational Therapist | 510 Hempstead 173w, Hope, AR 71801 | 2016-10-12 |
| 1114386976 | Elizabeth Kay Henley | Specialist | 5180 Hemstead 3, Hope, AR 71801 | 2016-02-22 |
| 1053783894 | Kourtney Smith | Pharmacist | 1004 Commerce Blvd, Hope, AR 71801 | 2015-10-20 |
| 1154705382 | Jason Otis Moore | Case Manager/Care Coordinator | 500 W. Ave E St., Hope, AR 71801 | 2015-07-17 |
| 1700284163 | Cox Family Practice | Preferred Provider Organization | 2015 Main Street, Hope, AR 71801 | 2014-12-16 |
| 1932512068 | Gregory Alan Davis | Counselor | 802 E 3rd St, Hope, AR 71801 | 2014-06-05 |
| 1821420688 | Callie Brooke Gilbey | Speech-Language Pathologist | 249 Hempstead 243, Hope, AR 71801 | 2013-08-05 |
| Find all providers in zip 71801 | ||||
| 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 |
|---|---|---|---|---|
| 1770115164 | John Daivd Rittenburg | Case Manager/Care Coordinator | 1359 Cassaday Dr, Hope, MI 48628-9765 | 2020-02-04 |
| 1205318169 | Dewayne Bonner | Case Manager/Care Coordinator | 1401 S. Main St, Hope, AR 71801 | 2018-09-06 |
| 1194207118 | Cassie Gonzales | Case Manager/Care Coordinator | 1401 S. Main Street, Hope, AR 71801 | 2018-09-06 |
| 1154705382 | Jason Otis Moore | Case Manager/Care Coordinator | 500 W. Ave E St., Hope, AR 71801 | 2015-07-17 |
| 1336410224 | Yvonne Marie Nelson | Case Manager/Care Coordinator | 707 Greenwood, Hope, AR 71801-9666 | 2012-01-24 |
| 1861525198 | Christina Ann Regan | Case Manager/Care Coordinator | 707 E Greensboro, Hope, AR 71801 | 2007-03-14 |
| 1437791423 | Tennelle O Thomas | Case Manager/Care Coordinator | 707 E Greenwood St, Hope, AR 71801-9666 | 2019-10-11 |
| 1164064150 | Nathan J Lafrenz | Case Manager/Care Coordinator | 707 E Greenwood St, Hope, AR 71801-9666 | 2019-10-11 |
| 1750935540 | Vanessa Lashell Satterfield | Case Manager/Care Coordinator | 707 E Greenwood St, Hope, AR 71801-9666 | 2019-07-30 |
| 1194283036 | Gabriel Javon Hickman | Case Manager/Care Coordinator | 707 E Greenwood St, Hope, AR 71801-9666 | 2019-03-11 |
| Find all providers in HOPE | ||||
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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.