MRS. MAGGIE AMANDA KISSELBURG (NPI# 1578041760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578041760 |
| Entity Type | Individual |
| Full Name | MRS. MAGGIE AMANDA KISSELBURG |
| Practice Address |
508 N 2nd St Nashville AR 71852-3925 |
| Mailing Address |
Po Box 158 Nashville AR 71852-0158 |
| Practice Telephone | 8704550134 |
| Practice Fax Number | 8702772230 |
| Mailing Telephone | 8704550134 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |
| 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 |
| Street Address |
508 N 2ND ST |
| City | NASHVILLE |
| State | AR |
| Zip Code | 71852-3925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609835701 | Telia Ann Dunn | Social Worker | 508 N 2nd St, Nashville, AR 71852-3925 | 2006-03-20 |
| 1063051373 | Gunner Golden | Counselor | 508 N 2nd St, Nashville, AR 71852-3925 | 2020-01-03 |
| 1578101309 | William J Barton | Counselor | 508 N 2nd St, Nashville, AR 71852-3925 | 2019-12-11 |
| 1083259949 | Chris Charles Kuhn | Case Manager/Care Coordinator | 508 N 2nd St, Nashville, AR 71852-3925 | 2019-11-14 |
| 1366083974 | Kamryn T Clark | Case Manager/Care Coordinator | 508 N 2nd St, Nashville, AR 71852-3925 | 2019-10-04 |
| 1255982294 | Marcya Wesley | Case Manager/Care Coordinator | 508 N 2nd St, Nashville, AR 71852-3925 | 2019-09-20 |
| 1811559289 | Corey Collins | Counselor | 508 N 2nd St, Nashville, AR 71852-3925 | 2019-07-05 |
| 1972065472 | Myra Alexandra Brand | Case Manager/Care Coordinator | 508 N 2nd St, Nashville, AR 71852-3925 | 2019-04-03 |
| 1609336619 | Crystal Evans | Counselor | 508 N 2nd St, Nashville, AR 71852-3925 | 2019-03-25 |
| 1326507617 | Lauren Paige Cowart | Case Manager/Care Coordinator | 508 N 2nd St, Nashville, AR 71852-3925 | 2019-03-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033766316 | Kaydra Ayers | Case Manager/Care Coordinator | 508 N. 2nd Street, Nashville, AR 71852 | 2019-08-21 |
| 1861925794 | Kristin T Myers | Occupational Therapy Assistant | 27 Boyd Lane, Nashville, AR 71852 | 2017-04-07 |
| 1639539687 | Regan Carlton | Occupational Therapy Assistant | 1407 Maine St, Nashville, AR 71852 | 2016-03-03 |
| 1053633487 | Rehab Specialists, Inc. | Durable Medical Equipment & Medical Supplies | 22 Southpark Shopping Center, Nashville, AR 71852 | 2010-02-26 |
| 1104312701 | American Oncology Partners, P.a. | Internal Medicine | 130 Medical Cir, Nashville, AR 71852 | 2018-07-06 |
| 1528573896 | Lhcg Cxxv, LLC | Nursing Care | 505 S Main St, Nashville, AR 71852 | 2017-12-08 |
| 1346542933 | Karen Loomis | Nurse Practitioner | 6 Southpark Shopping Ctr, Nashville, AR 71852 | 2010-12-02 |
| 1043538218 | Syed Ussama Javed | Family Medicine | 119 Medical Circle, Suite 1, Nashville, AR 71852 | 2010-05-12 |
| 1558516831 | Joni D Mcghee | Occupational Therapist | 130 Medical Circle, Nashville, AR 71852 | 2008-11-30 |
| 1215102702 | Howard Memorial Hospital | Surgery | 130 Medical Circle, Nashville, AR 71852 | 2008-04-25 |
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| 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 |
|---|---|---|---|---|
| 1033766316 | Kaydra Ayers | Case Manager/Care Coordinator | 508 N. 2nd Street, Nashville, AR 71852 | 2019-08-21 |
| 1407387228 | Melinda Bates | Case Manager/Care Coordinator | 5008 Illinois Ave, Apt. B, Nashville, TN 37209-2108 | 2017-03-23 |
| 1669919916 | Emily Gottlick | Case Manager/Care Coordinator | 820 Erin Ln, Nashville, TN 37221-2216 | 2017-01-25 |
| 1861936361 | Ricky Herron | Case Manager/Care Coordinator | 2333 Rosa L Parks Blvd Apt 305, Nashville, TN 37228-1242 | 2016-12-19 |
| 1003364704 | Mohamud Ali | Case Manager/Care Coordinator | 1926b Laurinda Dr, Nashville, TN 37217-1313 | 2016-09-12 |
| 1043661333 | Scott Haggadone | Case Manager/Care Coordinator | 2041 Stokes Ln, Nashville, TN 37215-1519 | 2016-06-28 |
| 1649607698 | Monique Hodison | Case Manager/Care Coordinator | 216 Oak Grove Dr, Nashville, TN 37217-1231 | 2013-10-06 |
| 1033559562 | Jill Pransky | Case Manager/Care Coordinator | 5101 Linbar Dr Apt J110, Nashville, TN 37211-5097 | 2013-06-28 |
| 1366737538 | Dwayne Camper | Case Manager/Care Coordinator | 7424 Tarmac Way, Nashville, TN 37211-0209 | 2011-06-15 |
| 1023328739 | Kelly Ann Folk | Case Manager/Care Coordinator | 230 Venture Cirlce, Nashville, TN 37228 | 2010-10-15 |
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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.