KELLY GORDON (NPI# 1598293227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598293227 |
| Entity Type | Individual |
| Full Name | KELLY GORDON |
| Practice Address |
111 W Booth Rd Searcy AR 72143 |
| Mailing Address |
2707 Browns Ln Jonesboro AR 72401-7213 |
| Practice Telephone | 8709724939 |
| Practice Fax Number | 8709724911 |
| Mailing Telephone | 8709724939 |
| Mailing Fax Number | 8709724911 |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2018-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 25 Gap Rd, Batesville, AR 725018679 | (870) 793-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124446505 | Kelly Gordon | Psychiatry & Neurology | 13001 E. 17th Place, Campus Box F546, Bldg. 500, Room E2322, Aurora, CO 80045 | 2014-04-02 |
| 1689811846 | Kelly Alice Gordon | Counselor | 11610 Dancing River Dr, Apt #201, Venice, FL 34292-4131 | 2009-01-09 |
| 1073762704 | Kelly Veronica Gordon | Social Worker | 18947 John J Williams Hwy Unit 212, Rehoboth Beach, DE 19971-4476 | 2008-09-18 |
| 1194349019 | Kelly Marie Gordon | Nurse Practitioner | 1000 E Tarpon Ave, Tarpon Springs, FL 34689-5438 | 2020-06-05 |
| 1285109199 | Kelly Suzanne Gordon | Occupational Therapist | 1101 W University Dr, Rochester, MI 48307-1863 | 2018-10-06 |
| 1982148912 | Kelly Gordon | Social Worker | 333 9th St, Atlantic Beach, FL 32233-5437 | 2016-12-09 |
| 1003217514 | Kelly Gordon | Counselor | 1280 Main St, Buffalo, NY 14209-1912 | 2014-09-16 |
| 1821376070 | Kelly A Gordon | Speech-Language Pathologist | 42 Huskie Ln, Malone, NY 12953-2451 | 2011-07-21 |
| 1891022182 | Kelly Kathleen Gordon | Nurse Practitioner | 75 Nw Dogwood St, Suite B, Issaquah, WA 98027-3210 | 2009-11-08 |
| 1063541829 | Kelly Lynn Gordon | Speech-Language Pathologist | 40 Duke Medicine Cir, Clinic 1i, Durham, NC 27710-4000 | 2007-03-05 |
| Street Address |
111 W BOOTH RD |
| City | SEARCY |
| State | AR |
| Zip Code | 72143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093960411 | Sean Michael Ronnau | Counselor | 111 W Booth Rd, Searcy, AR 72143-8829 | 2008-11-26 |
| 1992316244 | Jessica Beaty | Case Manager/Care Coordinator | 111 W Booth Rd, Searcy, AR 72143-8829 | 2020-08-11 |
| 1346851607 | Brittany Morgan | Case Manager/Care Coordinator | 111 W Booth Rd, Searcy, AR 72143-8829 | 2020-08-11 |
| 1194360420 | Abigail Marie Plumlee | Case Manager/Care Coordinator | 111 W Booth Rd, Searcy, AR 72143-8829 | 2019-11-11 |
| 1912488065 | Nathan Allen Mccann | Case Manager/Care Coordinator | 111 W Booth Rd, Searcy, AR 72143-8829 | 2018-08-27 |
| 1811478977 | Rosemarie Ruth Shelton | Case Manager/Care Coordinator | 111 W Booth Rd, Searcy, AR 72143-8829 | 2018-08-27 |
| 1093246977 | Laura Ladd | Counselor | 111 W Booth Rd, Searcy, AR 72143-8829 | 2017-03-23 |
| 1477859692 | Paula Treat | Case Manager/Care Coordinator | 111 W Booth Rd, Searcy, AR 72143 | 2011-02-05 |
| 1346552627 | Bobby Davies Armstrong | Social Worker | 111 W Booth Rd, Searcy, AR 72143-8829 | 2010-07-02 |
| 1619206174 | Brenda Worsham | Case Manager/Care Coordinator | 111 W Booth Rd, Searcy, AR 72143 | 2009-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188874 | Jessalyn Elise Tackett | Pharmacist | 200 E. Race Ave, Searcy, AR 72143 | 2020-09-14 |
| 1528697620 | Edward Lee | Student in an Organized Health Care Education/Training Program | 3214 E Race St, Searcy, AR 72143 | 2020-04-02 |
| 1700420338 | Rebecca Joanne Yauilla | Family Medicine | 3214 Race Avenue, Searcy, AR 72143 | 2019-11-06 |
| 1558913517 | The Forge Counseling Group LLC | Counselor | 505 S Elm St Suite C, Searcy, AR 72143 | 2019-07-10 |
| 1023584620 | Lisa Farley | Speech-Language Pathologist | 2918 Hawkins Drive, Searcy, AR 72143 | 2018-10-22 |
| 1144761719 | Christie Brooks | Dietitian, Registered | 91 Lakeway Drive, Searcy, AR 72143 | 2017-03-16 |
| 1639626112 | Kelly Walls | Pharmacist | 805 E Park Ave, Searcy, AR 72143 | 2016-09-01 |
| 1417316480 | Zach Wickes | Student in an Organized Health Care Education/Training Program | 506 N Van, Searcy, AR 72143 | 2016-02-18 |
| 1982081592 | Bethel Burris Oliver Pllc | Dentist | 3245 E. Race St, Searcy, AR 72143 | 2015-05-04 |
| 1053798116 | Ronnie Harlow | Rehabilitation Practitioner | 1005 East Park, Jim Citty Football and Athletic Training Facility, Searcy, AR 72143 | 2015-04-28 |
| Find all providers in zip 72143 | ||||
| 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 |
|---|---|---|---|---|
| 1932696655 | Patrick James Hawkins | Case Manager/Care Coordinator | 1507 E. Race St, Searcy, AR 72143-4661 | 2018-04-18 |
| 1467861997 | Caitlin Forcier | Case Manager/Care Coordinator | 403 S Poplar St Ste 4, Searcy, AR 72143-6017 | 2014-08-08 |
| 1053603720 | Rebecca Rae Wagstaff | Case Manager/Care Coordinator | 3216 E Moore Ave Apt 24, Searcy, AR 72143-4894 | 2011-05-12 |
| 1326330531 | Anita Dillard | Case Manager/Care Coordinator | 400 Llama Street, Searcy, AR 72143 | 2011-05-05 |
| 1962715128 | Stephanie Sagers | Case Manager/Care Coordinator | 3090 East Race Ave, Searcy, AR 72143 | 2010-07-16 |
| 1821312125 | Amy Piker | Case Manager/Care Coordinator | 1507 E Race St, Searcy, AR 72143-4661 | 2010-03-16 |
| 1902135643 | Seth Matthews | Case Manager/Care Coordinator | 400 Llama, Searcy, AR 72143 | 2009-12-09 |
| 1063740256 | Pamela Corrine Threet | Case Manager/Care Coordinator | 3204 E Moore St, Searcy, AR 72143-4826 | 2009-11-26 |
| 1740457290 | Lauren Lawson | Case Manager/Care Coordinator | 309 Race, Searcy, AR 72143 | 2008-05-14 |
| 1134343205 | Andrew Lee Morris Jr. | Case Manager/Care Coordinator | 1507 E. Race, Searcy, AR 72143 | 2007-04-12 |
| Find all providers in SEARCY | ||||
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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.