MR. KEVIN ELLIS (NPI# 1609026426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609026426 |
| Entity Type | Individual |
| Full Name | MR. KEVIN ELLIS |
| Practice Address |
4702 W Commercial Dr Suite C North Little Rock AR 72116-7068 |
| Practice Telephone | 5018125545 |
| Practice Fax Number | 5018125546 |
| Mailing Telephone | 5018125545 |
| Mailing Fax Number | 5018125546 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2010-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528280237 | Kevin Michael Ellis | Pharmacist | 132 E Lake St, Mccall, ID 83638-3811 | 2007-05-03 |
| 1477526069 | Kevin John Ellis | Dentist | 205 34th St, Suite 112, Virginia Beach, VA 23451-2836 | 2006-02-13 |
| 1598272437 | Kevin Dayton Ellis | Counselor | 2801 C Ct, Ashtabula, OH 44004-4577 | 2017-12-31 |
| 1235479080 | Kevin Ellis | Pharmacist | 127 S State Road 7, Wellington, FL 33414-4338 | 2013-02-15 |
| 1306861703 | Kevin Ellis | Family Medicine | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2006-07-13 |
| 1578537098 | Kevin Scott Ellis | Pediatrics | 1963 Memorial Pkwy Sw, Suite 5, Huntsville, AL 35801-5036 | 2006-02-13 |
| Street Address |
4702 W COMMERCIAL DR SUITE C |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72116-7068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861572380 | Mia L Polk | Social Worker | 4702 W Commercial Dr, North Little Rock, AR 72116-7068 | 2006-10-17 |
| 1770874950 | Krystal Nelson | Case Manager/Care Coordinator | 4702 W Commercial Dr, North Little Rock, AR 72116-7068 | 2011-04-22 |
| 1285924019 | Lamarcus D. Harris | Case Manager/Care Coordinator | 4702 W Commercial Dr, North Little Rock, AR 72116-7068 | 2011-04-13 |
| 1154628766 | Catina Brown | Case Manager/Care Coordinator | 4702 W Commercial Dr, North Little Rock, AR 72116-7068 | 2011-02-16 |
| 1265735922 | Yulander Gailey | Case Manager/Care Coordinator | 4702 W Commercial Dr, North Little Rock, AR 72116-7068 | 2010-12-17 |
| 1154624906 | Pamala Himon | Case Manager/Care Coordinator | 4702 W Commercial Dr, North Little Rock, AR 72116-7068 | 2010-12-17 |
| 1396054045 | Racq'uelli Henry | Case Manager/Care Coordinator | 4702 W Commercial Dr, North Little Rock, AR 72116-7068 | 2010-09-29 |
| 1043529092 | Armandis Taylor | Case Manager/Care Coordinator | 4702 W Commercial Dr, North Little Rock, AR 72116-7068 | 2010-09-24 |
| 1811204506 | Felecia Rhodes | Case Manager/Care Coordinator | 4702 W Commercial Dr, North Little Rock, AR 72116-7068 | 2010-09-02 |
| 1912214610 | Heather Terry | Case Manager/Care Coordinator | 4702 W Commercial Dr, North Little Rock, AR 72116-7068 | 2010-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509997 | Dickerson Family Resource Center, LLC | Counselor | 5401 John F. Kennedy Blvd, Suite I Rm 1, North Little Rock, AR 72116 | 2020-05-11 |
| 1831609262 | Bill J Carpenter Sr. | Counselor | 4700 W Commercial Dr Ste B3, North Little Rock, AR 72116 | 2017-10-12 |
| 1992257646 | Meagan Booe | Behavioral Analyst | 3812 Lakewood Valley Drive, North Little Rock, AR 72116 | 2016-10-28 |
| 1295154300 | Min-ji Lee | Family Medicine | 2504 Mccain Blvd Ste 118, North Little Rock, AR 72116 | 2014-04-16 |
| 1255603486 | Crystal N Lackey | Physical Therapist | 3801 Jfk Blvd Ste C, North Little Rock, AR 72116 | 2012-02-03 |
| 1003055724 | North Little Rock, Pllc | Chiropractor | 4614 Jfk Blvd, North Little Rock, AR 72116 | 2009-02-19 |
| 1891933826 | Jennifer Ann Freilino | Counselor | 3805 Mccain Park Dr Ste 112, North Little Rock, AR 72116 | 2009-01-29 |
| 1679729669 | Amy Marie Jones | Speech-Language Pathologist | 5901 John F Kennedy Blvd Apt 5127, North Little Rock, AR 72116 | 2008-08-11 |
| 1992970917 | Ronald F Boyles Od Pa | Eyewear Supplier (Equipment, not the service) | 2520 Crestwood Road, North Little Rock, AR 72116 | 2008-04-30 |
| 1992976377 | Kencur Inc Statco Hearing Labs | Hearing Instrument Specialist | 4000 Mccain Blvd, Suite D, North Little Rock, AR 72116 | 2008-03-13 |
| Find all providers in zip 72116 | ||||
| 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 |
|---|---|---|---|---|
| 1053738633 | Zena Green | Case Manager/Care Coordinator | 1318 Franklin St, North Little Rock, AR 72114-4034 | 2014-03-21 |
| 1598188989 | Marvin Williams | Case Manager/Care Coordinator | 906 W 25th St, North Little Rock, AR 72114-2022 | 2014-01-21 |
| 1396019733 | Robert Rowzee | Case Manager/Care Coordinator | 1 Riverfront Pl, Suite 750, North Little Rock, AR 72114-5641 | 2012-03-02 |
| 1235402561 | Tomeka Townsend | Case Manager/Care Coordinator | 1 Riverfront Pl Ste 750, North Little Rock, AR 72114-5651 | 2012-02-16 |
| 1003193954 | Vekeo Vadas Dowden | Case Manager/Care Coordinator | 209 Mills St, North Little Rock, AR 72117-5017 | 2011-11-07 |
| 1013220334 | Keithen Alex Mathis | Case Manager/Care Coordinator | 4700 W Commercial Dr, Suite B-2, North Little Rock, AR 72116-7068 | 2010-07-15 |
| 1972734382 | Kimberly Renea Palmer | Case Manager/Care Coordinator | 6304 Whitby Ln, North Little Rock, AR 72118-3167 | 2009-08-03 |
| 1174773998 | Bruce Edward Dawson Jr. | Case Manager/Care Coordinator | 3601 Richards Rd, North Little Rock, AR 72117-2954 | 2008-09-29 |
| 1225294374 | Teresa Karen Fortner | Case Manager/Care Coordinator | 525 Wisteria Dr, North Little Rock, AR 72118-3567 | 2008-07-29 |
| 1114109147 | Ronald Kirby | Case Manager/Care Coordinator | 3223 E Broadway St, North Little Rock, AR 72114-6344 | 2007-11-30 |
| Find all providers in NORTH LITTLE ROCK | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72116 |
Please comment or provide details below to improve the information on MR. KEVIN ELLIS.
| 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.