JENNIFER NICHOLS


Address: 790 Roberts Dr, Monticello, AR 71655-5723
Phone: 8703672461

JENNIFER NICHOLS (NPI# 1770936064) 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) 1770936064
Entity Type Individual
Full Name JENNIFER NICHOLS
Practice Address 790 Roberts Dr
Monticello
AR 71655-5723
Practice Telephone 8703672461
Practice Fax Number 8703671690
Mailing Telephone 8703672461
Mailing Fax Number 8703671690
Enumeration Date 2016-07-21
Last Update Date 2016-07-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

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

Other Providers JENNIFER NICHOLS

NPI Name Taxonomy Address Enumeration
1598235319 Jennifer Nichols Speech-Language Pathologist 8445 Spires Way Ste Cc, Frederick, MD 21701-5035 2018-12-05
1710346549 Jennifer Nichols Massage Therapist 15410 Heintz Ave Se, Monroe, WA 98272-1629 2016-02-22
1699198820 Jennifer Lindsy Nichols I Massage Therapist 2695 Patterson Rd, Grand Junction, CO 81506-8814 2014-01-23
1972924702 Jennifer Nichols Student in an Organized Health Care Education/Training Program 669 W 34th St, Los Angeles, CA 90089-0067 2013-12-20
1639505993 Jennifer Nichols Speech-Language Pathologist 1000 Saint Louis Ave Ste 102, Fort Worth, TX 76104-3377 2013-09-18
1790028801 Jennifer Lauren Nichols Psychiatry & Neurology 25 N Winfield Rd Ste 432, Winfield, IL 60190-1222 2013-03-27
1003960451 Jennifer A. Nichols Dentist 756 N College St, Harrodsburg, KY 40330-1019 2007-01-23
1871131482 Jennifer A Nichols Counselor 200 Mason St Ste 11, Onalaska, WI 54650-7061 2019-12-13
1447757976 Jennifer Nichols Social Worker 2000 East Lamar Blvd, Suite 500, Arlington, TX 76006 2018-04-11
1083118939 Jennifer Marie Nichols Student in an Organized Health Care Education/Training Program 110 S Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201 2018-03-23

Office Location

Street Address 790 ROBERTS DR
City MONTICELLO
State AR
Zip Code 71655-5723

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114995198 Althea T Conley Psychiatry & Neurology 790 Roberts Dr, Monticello, AR 71655-5723 2006-03-08
1518583293 Katy Streeter Case Manager/Care Coordinator 790 Roberts Dr, Monticello, AR 71655-5723 2020-06-18
1558987248 Shannon Davis Case Manager/Care Coordinator 790 Roberts Dr, Monticello, AR 71655-5723 2020-06-18
1841822970 April Gardner Case Manager/Care Coordinator 790 Roberts Dr, Monticello, AR 71655-5723 2020-02-06
1396261418 Jason A Palmer Case Manager/Care Coordinator 790 Roberts Dr, Monticello, AR 71655-5723 2017-08-21
1164950705 Clare N Franklin Case Manager/Care Coordinator 790 Roberts Dr, Monticello, AR 71655-5723 2017-05-26
1689027971 Martha Taylor Case Manager/Care Coordinator 790 Roberts Dr, Monticello, AR 71655-5723 2016-07-21
1902284979 John Edward Bolding Social Worker 790 Roberts Dr, Monticello, AR 71655-5723 2015-05-11
1518271477 Lesa Kilpatrick Social Worker 790 Roberts Dr, Monticello, AR 71655-5723 2010-08-03
1750603999 Michael Andrew Brannon Case Manager/Care Coordinator 790 Roberts Dr, Monticello, AR 71655-5723 2010-02-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104462712 Ashley Leanna Huitt Nurse Practitioner Drew Memorial Health System, 778 Scogin Drive, Monticello, AR 71655 2019-11-19
1043716525 Mmc Rural Health Clinics, Pllc Clinic/Center 733 Roberts Drive, Monticello, AR 71655 2018-04-03
1760991640 Kristen Leigh Harvey Registered Nurse 162 University Heights Drive, Monticello, AR 71655 2017-09-24
1124578075 Morgan Family Dentistry, Pllc Dentist 501 Hwy 425 South, Monticello, AR 71655 2016-10-04
1770039752 Jesse Bone Nurse Practitioner 766 Hl Ross Drive, Monticello, AR 71655 2016-08-30
1487050076 Sara Tucker Speech-Language Pathologist 178 W. College Street, Monticello, AR 71655 2014-11-10
1164859203 Dustin Clint Eubanks Chiropractor 604 A West Bolling Street, Monticello, AR 71655 2013-10-03
1194009431 Rebecca Shea Woodall Social Worker 600 Highway 425 North, Suite B, Monticello, AR 71655 2011-10-05
1568744522 Britney Leigh Box Occupational Therapist 178 W College St, Monticello, AR 71655 2011-09-15
1740415611 Julia Danielle Nicholson Family Medicine 906 Roberts Drive, Monticello, AR 71655 2009-05-21
Find all providers in zip 71655

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
1669936621 Alisa D Wallace Case Manager/Care Coordinator 803 Columbia Ave, Monticello, KY 42633 2019-01-24
1255861175 Casey Smith Case Manager/Care Coordinator 600 Highway 425 N Ste B, Monticello, AR 71655-4020 2017-06-13
1861814899 Carla Candy Groce Case Manager/Care Coordinator 735 W Columbia Ave, Monticello, KY 42633-1627 2014-01-10
1285869552 Hannah M Ransom Case Manager/Care Coordinator 1010 N Mulberry St, Monticello, FL 32344-1534 2009-05-15
1588783070 Julie K Mcclellan Case Manager/Care Coordinator 301 Mary Linda St, Monticello, KY 42633-1027 2007-03-28
1861516163 Jessica L Riddle Case Manager/Care Coordinator Rr 6 Box 1754, West Hwy. 90, Monticello, KY 42633-3507 2007-03-19
1518583293 Katy Streeter Case Manager/Care Coordinator 790 Roberts Dr, Monticello, AR 71655-5723 2020-06-18
1356967004 Minerva Huante Case Manager/Care Coordinator 139c E Jackson Ave, Monticello, AR 71655-4933 2020-06-18
1558987248 Shannon Davis Case Manager/Care Coordinator 790 Roberts Dr, Monticello, AR 71655-5723 2020-06-18
1841822970 April Gardner Case Manager/Care Coordinator 790 Roberts Dr, Monticello, AR 71655-5723 2020-02-06
Find all providers in MONTICELLO

Competitor

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City MONTICELLO
Zip Code 71655

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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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