STEPHEN WITHERSPOON (NPI# 1700420999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700420999 |
| Entity Type | Individual |
| Full Name | STEPHEN WITHERSPOON |
| Credential | QBHP |
| Practice Address |
109 Frankie Ln White Hall AR 71602-2685 |
| Practice Telephone | 8702473588 |
| Practice Fax Number | 8702472072 |
| Mailing Telephone | 8702473588 |
| Mailing Fax Number | 8702472072 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |
| Gender Code | M |
| 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 |
109 FRANKIE LN |
| City | WHITE HALL |
| State | AR |
| Zip Code | 71602-2685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235336272 | James Bradford Kimbrell | Social Worker | 109 Frankie Ln, White Hall, AR 71602-2685 | 2007-07-02 |
| 1255827655 | Jennifer Fratesi | Social Worker | 109 Frankie Ln, White Hall, AR 71602-2685 | 2018-07-09 |
| 1669971057 | Carriell Brown | Case Manager/Care Coordinator | 109 Frankie Ln, White Hall, AR 71602-2685 | 2018-02-12 |
| 1861913105 | Maricha Walker | Social Worker | 109 Frankie Ln, White Hall, AR 71602-2685 | 2017-06-27 |
| 1508387846 | Ebone' Edgerson | Social Worker | 109 Frankie Ln, White Hall, AR 71602-2685 | 2017-06-27 |
| 1124575295 | Glynn Nooner | Counselor | 109 Frankie Ln, White Hall, AR 71602 | 2016-09-07 |
| 1689028144 | Linda Smith | Social Worker | 109 Frankie Ln, White Hall, AR 71602-2685 | 2016-04-20 |
| 1407227176 | Tequlia Everett | Social Worker | 109 Frankie Ln, White Hall, AR 71602-2685 | 2015-10-07 |
| 1215343207 | Nikki Thornton | Social Worker | 109 Frankie Ln, White Hall, AR 71602-2685 | 2014-07-10 |
| 1346677150 | Lamarcus Gaddy | Case Manager/Care Coordinator | 109 Frankie Ln, White Hall, AR 71602-2685 | 2013-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050447 | Bridget Furlong | Occupational Therapist | 2226 Barncy Lane, White Hall, AR 71602 | 2020-07-14 |
| 1609399963 | Interventional Surgery Institute of White Hall LLC | Clinic/Center | 7211 Dollarway Road, White Hall, AR 71602 | 2017-07-19 |
| 1679935761 | Pain Treatment Centers of America, Pllc | Durable Medical Equipment & Medical Supplies | 7211 Dollarway Rd, White Hall, AR 71602 | 2016-03-28 |
| 1326450446 | Rafeek Hegazy | Anesthesiology | 202 Frankie Ln, White Hall, AR 71602 | 2014-05-22 |
| 1275873515 | Craig Paul Anderson | Preventive Medicine | 13-020 Kabrich Circle, Pine Bluff, AR 71602 | 2013-02-24 |
| 1124258553 | Shellia Anne Kornegay | Nurse Practitioner | 1515 West 42nd Street, Pine Bluff, AR 71602 | 2009-07-20 |
| 1275789109 | Sarah Allison Rushing | Speech-Language Pathologist | 1020 West Holland Avenue, White Hall, AR 71602 | 2008-08-12 |
| 1245438852 | White Hall School District | Local Education Agency (LEA) | 1020 West Holland, White Hall, AR 71602 | 2007-07-05 |
| 1972622652 | Dewey Charles Scarbrough | Physician Assistant | 109 Frankie Lane, White Hall, AR 71602 | 2007-03-27 |
| 1427126135 | Donna D Massey | Dentist | 7215 Sheridan Road, White Hall, AR 71602 | 2006-12-01 |
| Find all providers in zip 71602 | ||||
| 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 |
|---|---|---|---|---|
| 1669971057 | Carriell Brown | Case Manager/Care Coordinator | 109 Frankie Ln, White Hall, AR 71602-2685 | 2018-02-12 |
| 1053713404 | Mia Williams | Case Manager/Care Coordinator | 204 Frankie Ln, White Hall, AR 71602-2699 | 2014-09-17 |
| 1215343579 | Christopher Dwayne Fields | Case Manager/Care Coordinator | 204 Frankie Ln, White Hall, AR 71602-2699 | 2014-07-08 |
| 1679987309 | Stephen C. Green | Case Manager/Care Coordinator | 204 Frankie Ln, White Hall, AR 71602-2699 | 2014-06-20 |
| 1427463157 | Virginia Jones | Case Manager/Care Coordinator | 204 Frankie Ln, White Hall, AR 71602-2699 | 2014-06-20 |
| 1043624778 | Joshua Strong | Case Manager/Care Coordinator | 204 Frankie Ln, White Hall, AR 71602-2699 | 2014-06-20 |
| 1073926614 | Latonia Michelle Adams | Case Manager/Care Coordinator | 204 Frankie Ln, White Hall, AR 71602-2699 | 2014-06-10 |
| 1477966620 | Sharon Machell Rejistre | Case Manager/Care Coordinator | 204 Frankie Ln, White Hall, AR 71602-2699 | 2014-06-05 |
| 1992120687 | Shatobeca Moutry | Case Manager/Care Coordinator | 204 Frankie Ln, White Hall, AR 71602-2699 | 2014-03-04 |
| 1164846382 | Jamiah Chatman | Case Manager/Care Coordinator | 204 Frankie Ln, White Hall, AR 71602-2699 | 2014-02-07 |
| Find all providers in WHITE HALL | ||||
| City | WHITE HALL |
| Zip Code | 71602 |
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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.