MARYMARGARET PORTERA (NPI# 1679025324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679025324 |
| Entity Type | Individual |
| Full Name | MARYMARGARET PORTERA |
| Credential | MHPP |
| Practice Address |
2005 Se Walton Blvd Bentonville AR 72714 |
| Mailing Address |
2005 Se Walton Blvd Bentonville AR 72712 |
| Practice Telephone | 4794645925 |
| Mailing Telephone | 4794645925 |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |
| 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 |
2005 SE WALTON BLVD |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821182510 | Julie Marie Scott | Social Worker | 2005 Se Walton Blvd, Bentonville, AR 72712 | 2006-10-03 |
| 1174049993 | Melina Callaway | Case Manager/Care Coordinator | 2005 Se Walton Blvd, Bentonville, AR 72712 | 2017-08-15 |
| 1902322720 | Chealsey Kay Powell | Case Manager/Care Coordinator | 2005 Se Walton Blvd, Bentonville, AR 72712 | 2017-08-15 |
| 1245779982 | Bailey Stephens | Case Manager/Care Coordinator | 2005 Se Walton Blvd, Bentonville, AR 72712 | 2017-02-14 |
| 1336688282 | Satyn Barnes-turner | Case Manager/Care Coordinator | 2005 Se Walton Blvd, Bentonville, AR 72712 | 2017-02-13 |
| 1811449309 | Sarah Sloan | Case Manager/Care Coordinator | 2005 Se Walton Blvd, Bentonville, AR 72712 | 2016-10-31 |
| 1194277855 | Hailey Martinez | Case Manager/Care Coordinator | 2005 Se Walton Blvd, Bentonville, AR 72712 | 2016-10-28 |
| 1396123667 | Marlin Tyler Jackson | Case Manager/Care Coordinator | 2005 Se Walton Blvd, Bentonville, AR 72712 | 2015-05-07 |
| 1912305053 | Emily Hedrick | Counselor | 2005 Se Walton Blvd, Bentonville, AR 72712 | 2014-12-05 |
| 1760883599 | Heather Allen | Case Manager/Care Coordinator | 2005 Se Walton Blvd, Bentonville, AR 72712 | 2014-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710230701 | Maurice A Torres | Clinic/Center | 9 Cresswell Circle, Bella Vista, AR 72714 | 2012-10-16 |
| 1790801991 | Karra D Sparks | Nutritionist | #4 Hanover Drive, Bella Vista, AR 72714 | 2007-03-21 |
| 1659405132 | Bella Vista Hearing Center Pllc | Audiologist | 22 Sugar Creek Center, Bella Vista, AR 72714 | 2007-03-15 |
| 1144329798 | Albert Paul Price Jr. | Nurse Practitioner | 1 Mercy Way Ste 20, Bella Vista, AR 72714 | 2006-09-21 |
| 1982979720 | Ashley L Goss | Nurse Practitioner | 1 Mercy Way Ste 20, Bella Vista, AR 72714 | 2012-03-13 |
| 1538459425 | Jennifer Jo Jennings | Nurse Practitioner | 1 Mercy Way Ste 20, Bella Vista, AR 72714 | 2011-04-12 |
| 1932313491 | Andrea Myane | Physical Therapist | 500 Tiger Blvd, Bentonville, AR 72714 | 2007-05-10 |
| 1427114644 | Robin Renee Ritter | Pharmacist | 408 Town Ctr Ne, Bella Vista, AR 72714-1817 | 2006-12-29 |
| 1841336765 | Bella Vista Pharmacy, Inc | Pharmacy | 408 Town Ctr Ne, Bella Vista, AR 72714-1817 | 2007-01-29 |
| 1386853893 | Shawn Stephen Key | Audiologist | 407 Town Ctr Ne, Bella Vista, AR 72714-1818 | 2007-05-21 |
| Find all providers in zip 72714 | ||||
| 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 |
|---|---|---|---|---|
| 1326524893 | Austin B Larey | Case Manager/Care Coordinator | 1007 Beau Terre Dr Ste 206, Bentonville, AR 72712-6738 | 2018-07-17 |
| 1407375181 | Kaitlyn M Carlson | Case Manager/Care Coordinator | 1007 Beau Terre Dr Ste 406, Bentonville, AR 72712-6798 | 2017-09-14 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1235681073 | Micah Roberts | Case Manager/Care Coordinator | 2005 Se Walton Boulevard, Bentonville, AR 72712-0000 | 2016-10-27 |
| 1255790168 | Baldo Sanchez | Case Manager/Care Coordinator | 1303 Convair St, Bentonville, AR 72712-6566 | 2016-02-19 |
| 1750759288 | Donna Turner | Case Manager/Care Coordinator | 1005 Beau Terre Dr, Suite 308, Bentonville, AR 72712-6738 | 2015-09-15 |
| 1306246459 | Yander Reyes | Case Manager/Care Coordinator | 2005 Se Walton Blvd., Bentonville, AR 72712 | 2014-08-26 |
| 1023426681 | Charles Eric Freeman | Case Manager/Care Coordinator | 2005 S E Walton Blvd, Bentonville, AR 72712 | 2014-07-28 |
| 1568881019 | David Campbell | Case Manager/Care Coordinator | 2005 S Walton Blvd, Bentonville, AR 72712 | 2014-04-14 |
| 1467631556 | Brenda Sue Jackson | Case Manager/Care Coordinator | 2508 S.e. 20th, Bentonville, AR 72712 | 2007-10-25 |
| Find all providers in BENTONVILLE | ||||
| City | BENTONVILLE |
| Zip Code | 72714 |
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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.