UNIQUA WEATHERSBY (NPI# 1629688155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629688155 |
| Entity Type | Individual |
| Full Name | UNIQUA WEATHERSBY |
| Practice Address |
621 E North St Magnolia AR 71753-3120 |
| Mailing Address |
1600 Aldersgate Rd Ste 200 Little Rock AR 72205-6676 |
| Practice Telephone | 8702340739 |
| Practice Fax Number | 8702340706 |
| Mailing Telephone | 5016610720 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| 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 |
621 E NORTH ST |
| City | MAGNOLIA |
| State | AR |
| Zip Code | 71753-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124218177 | Anitra Lynette Bradford | Counselor | 621 E North St, Magnolia, AR 71753-3120 | 2007-07-26 |
| 1457900409 | Katie Crew | Case Manager/Care Coordinator | 621 E North St, Magnolia, AR 71753-3120 | 2019-09-11 |
| 1356824999 | Trena Noble | Case Manager/Care Coordinator | 621 E North St, Magnolia, AR 71753-3120 | 2018-09-10 |
| 1841705324 | Keyana Byrd | Case Manager/Care Coordinator | 621 E North St, Magnolia, AR 71753-3120 | 2017-12-06 |
| 1427417757 | Kasi Nicole Easter | Case Manager/Care Coordinator | 621 E North St, Magnolia, AR 71753-3120 | 2016-02-15 |
| 1528423902 | Michael Gillard | Case Manager/Care Coordinator | 621 E North St, Magnolia, AR 71753-3120 | 2015-12-29 |
| 1205218088 | Sharon Mcmullan | Case Manager/Care Coordinator | 621 E North St, Magnolia, AR 71753 | 2015-06-29 |
| 1114264769 | Toni Marie Hagins | Counselor | 621 E North St, Magnolia, AR 71753 | 2013-01-15 |
| 1457598393 | United Methodist Behavioral Health System, Inc | Clinic/Center | 621 E North St, Magnolia, AR 71753-3120 | 2009-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939862 | Kylie Nokes | Occupational Therapy Assistant | 1403 High School Drive, Magnolia, AR 71753 | 2019-12-20 |
| 1225510266 | Douglas Palmer | Specialist/Technologist | 100 E University St, Magnolia, AR 71753 | 2018-09-06 |
| 1568940781 | Alyssa Scholl | Specialist/Technologist | Msc 8800, Magnolia, AR 71753 | 2018-07-31 |
| 1881141950 | Yuichi Takizawa | Specialist/Technologist | 2212 Lacari Dr., Fox Creek Apt #a1, Magnolia, AR 71753 | 2016-09-07 |
| 1609322981 | Stephen Baldwin Jr. | Specialist/Technologist | 100 E University Msc 9202, Magnolia, AR 71753 | 2016-08-28 |
| 1760830038 | Deborah Ellis | Developmental Therapist | 301 West Calhoun, Magnolia, ARKANSAS 71753 | 2016-05-27 |
| 1053720144 | Alaina Atkinson-murphy | Counselor | 1705 E North St, Magnolia, AR 71753 | 2014-08-04 |
| 1467701250 | Charles P Story | Physical Therapy Assistant | 191 E Columbia # 25, Magnolia, AR 71753 | 2012-09-07 |
| 1043565542 | Magnolia Surgery Center, LLC | Clinic/Center | 25 Columbia Road 47, Magnolia, AR 71753 | 2012-07-20 |
| 1427288232 | Emily Loftin | Physical Therapy Assistant | 310 West Calhoun Road, Magnolia, AR 71753 | 2009-07-15 |
| Find all providers in zip 71753 | ||||
| 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 |
|---|---|---|---|---|
| 1104264688 | Houston Taylor | Case Manager/Care Coordinator | 128 N Washington, Magnolia, AR 71753-2856 | 2013-06-06 |
| 1669734257 | Staci Mae Risher | Case Manager/Care Coordinator | 815 Highway 160, Magnolia, AR 71753-9411 | 2012-06-11 |
| 1902188279 | Andres Zevallos | Case Manager/Care Coordinator | 617 E North St, Magnolia, AR 71753-3120 | 2011-09-13 |
| 1124256573 | Lois D Cooper | Case Manager/Care Coordinator | 218 S Jefferson, Suite 5, Magnolia, AR 71753-3902 | 2009-06-24 |
| 1316185754 | Judith W Gaylord | Case Manager/Care Coordinator | 219 N Dudney Rd, Magnolia, AR 71753-3110 | 2009-01-22 |
| 1689810418 | Robert Charles Snider | Case Manager/Care Coordinator | 229 A St, Magnolia, AR 71753-3653 | 2008-12-29 |
| 1629233564 | Lynda Lou Hillman | Case Manager/Care Coordinator | 5631 Westbrook St Se, Magnolia, OH 44643-9745 | 2008-07-21 |
| 1154441814 | Michael Kennedy Walsh | Case Manager/Care Coordinator | 1832 Pearce, Magnolia, AR 71753-2228 | 2007-03-29 |
| 1457900409 | Katie Crew | Case Manager/Care Coordinator | 621 E North St, Magnolia, AR 71753-3120 | 2019-09-11 |
| 1154899342 | Erin Wright | Case Manager/Care Coordinator | 412 N Vine, Magnolia, AR 71753-2842 | 2018-11-06 |
| Find all providers in MAGNOLIA | ||||
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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.