DEVON LATRESIA WILSON


Address: 1658 Hwy 371 North, Prescott, AR 71857-7064
Phone: 8708873660

DEVON LATRESIA WILSON (NPI# 1609147586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609147586
Entity Type Individual
Full Name DEVON LATRESIA WILSON
Practice Address 1658 Hwy 371 North
Prescott
AR 71857-7064
Mailing Address 2904 Arkansas Blvd
Texarkana
AR 71854-2536
Practice Telephone 8708873660
Practice Fax Number 8708873705
Mailing Telephone 8707734655
Mailing Fax Number 8707724650
Enumeration Date 2012-01-24
Last Update Date 2012-01-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers DEVON WILSON

NPI Name Taxonomy Address Enumeration
1508807264 Devon Russell Wilson Dentist 339 Meeker St, Delta, CO 81416-1916 2006-06-10
1104321298 Devon Wilson Behavior Technician 7001 W 79th St, Overland Park, KS 66204-3179 2018-03-29

Office Location

Street Address 1658 HWY 371 NORTH
City PRESCOTT
State AR
Zip Code 71857-7064

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154692952 Chakeytia Marie Edwards Case Manager/Care Coordinator 1658 Hwy 371 North, Prescott, AR 71857-7064 2012-01-25
1114298981 Tanesha Marshea Alexander Case Manager/Care Coordinator 1658 Hwy 371 North, Prescott, AR 71857-7064 2012-01-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598915514 Southwest Arkansas Counseling and Mental Health Center, Inc Community/Behavioral Health 1658 Highway 371 West, Prescott, AR 71857 2008-09-26
1366607897 Texarkana Behavioral Associates Clinic/Center 1484 West 1st Street, North, Prescott, AR 71857 2008-07-24
1295949238 Pnc, Inc. Day Training, Developmentally Disabled Services 504 East 4th St North, Prescott, AR 71857 2007-05-09
1659597698 Charles Vermont, M.d., Pllc Family Medicine 1480 West First North, Prescott, AR 71857 2007-04-18
1255464699 Donisha Lafae Samuels Case Manager/Care Coordinator 1658 Hwy 371 W, Prescott, AR 71857 2007-03-14
1699856278 Audie M Teague O D P A Optometrist 204 E 2nd Sreet S, Prescott, AR 71857 2006-10-18
1154411379 Michele Rhodes Nurse Practitioner 1501 West First Street, Ark Department of Health and Human Services, Prescott, AR 71857 2006-10-16
1821185091 Audie M. Teague Optometrist 204 E 2nd Street S, Prescott, AR 71857 2006-10-06
1760402804 Mary Lou Kaufman Licensed Practical Nurse 1658 Hyw 371 West, Prescott, AR 71857 2006-07-20
1073532388 Cindie Dianne Mckamie Registered Nurse 1658 Hwy 371 West, Prescott, AR 71857 2006-07-18
Find all providers in zip 71857

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063909570 Anthony Marchese Case Manager/Care Coordinator 9640 N American Ranch Rd, Prescott, AZ 86305-9042 2018-04-19
1154875193 Ashley Dixon Case Manager/Care Coordinator 1348 Oak Grv, Prescott, AR 71857-2606 2016-08-08
1124315122 Jacob Brown Case Manager/Care Coordinator 736 Martin St, Prescott, AR 71857-2749 2011-06-29
1922120765 Oliver Marc Scroggins Case Manager/Care Coordinator 1484 W 1st St N, Prescott, AR 71857-3339 2007-04-04
1255464699 Donisha Lafae Samuels Case Manager/Care Coordinator 1658 Hwy 371 W, Prescott, AR 71857 2007-03-14
1821695925 Aubrey Walker Case Manager/Care Coordinator 1658 Us Highway 371, Prescott, AR 71857-7064 2020-10-02
1194350637 Danny Mclay Jr Case Manager/Care Coordinator 1658 Us Highway 371, Prescott, AR 71857-7064 2020-03-05
1902431448 Allegra L Deloney Case Manager/Care Coordinator 1658 Us Highway 371, Prescott, AR 71857-7064 2020-03-05
1346889136 Robert Robbins Case Manager/Care Coordinator 1040 Whipple St, Prescott, AZ 86305-1613 2019-12-27
1811533946 Amari K Davis Case Manager/Care Coordinator 1658 Us Highway 371, Prescott, AR 71857-7064 2019-11-25
Find all providers in PRESCOTT

Competitor

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City PRESCOTT
Zip Code 71857

Improve Information

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Dataset Information

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.

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