HEATHER LACKEY (NPI# 1801402243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801402243 |
| Entity Type | Individual |
| Full Name | HEATHER LACKEY |
| Credential | QBHP |
| Practice Address |
307 Cherry St Mena AR 71953-4382 |
| Mailing Address |
Po Box 11818 Fort Smith AR 72917-1818 |
| Practice Telephone | 4793945277 |
| Practice Fax Number | 4793945546 |
| Mailing Telephone | 4794526650 |
| Mailing Fax Number | 4794525847 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912532052 | Heather Dawn Lackey | Counselor | 1609 N Swan St, Silver City, NM 88061-6551 | 2020-03-10 |
| 1023673993 | Heather Taylor Lackey | Nurse Practitioner | 1771 Tate Blvd Se Ste 101, Hickory, NC 28602-4250 | 2019-05-07 |
| 1477098119 | Heather Lackey | Massage Therapist | 970 N Kalaheo Ave Ste C316, Kailua, HI 96734-1883 | 2017-01-04 |
| Street Address |
307 CHERRY ST |
| City | MENA |
| State | AR |
| Zip Code | 71953-4382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912115353 | Brandi Titsworth | Counselor | 307 Cherry St, Mena, AR 71953-4382 | 2007-05-18 |
| 1235407545 | Western Arkansas Counseling & Guidance Center, Inc.-polk County Clinic | Community/Behavioral Health | 307 Cherry St, Mena, AR 71953-4382 | 2011-12-01 |
| 1447545801 | Ginny Reding | Counselor | 307 Cherry St, Mena, AR 71953-4382 | 2011-06-14 |
| 1356516579 | Western Arkansas Counseling & Guidance Center, Inc.-polk County | Community/Behavioral Health | 307 Cherry St, Mena, AR 71953-4382 | 2008-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174166623 | Joshua Daniel Sirkis | Physical Therapist | 500 Crestwood Circle Suite G, Mena, AR 71953 | 2019-10-28 |
| 1841639960 | Village Apothecary, Inc. | Durable Medical Equipment & Medical Supplies | 134 S George, Mt Ida, AR 71953 | 2013-06-21 |
| 1922326586 | Boone Home Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 803-a Highway 71 North, Mena, AR 71953 | 2010-05-06 |
| 1841529112 | Chad Hill | Hearing Instrument Specialist | 601 W Hwy 71 N, Mena, AR 71953 | 2009-12-16 |
| 1467612085 | Kent Allen Schnetzler | Orthopaedic Surgery | 400 Crestwood Circle, Suite L, Mena, AR 71953 | 2008-06-17 |
| 1710101548 | Family Dentistry | Dentist | 701 C 7th Street, Mena, AR 71953 | 2007-04-12 |
| 1629291455 | Jennifer Rowland | Occupational Therapist | 1801 Hamilton Avenue, Mena, AR 71953 | 2007-04-10 |
| 1093886822 | Alina Mielnick | Urology | 601 Bd Hwy 71 N, Mena, AR 71953 | 2006-11-13 |
| 1821195256 | Robert Martin Cohen | Psychiatry & Neurology | 311 North Morrow Street, Mena, AR 71953 | 2006-09-20 |
| 1730284357 | Sidney H Simpson | Chiropractor | 1402-b Hwy 71 S, Mena, AR 71953 | 2006-09-14 |
| Find all providers in zip 71953 | ||||
| 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 |
|---|---|---|---|---|
| 1053521369 | Christy Nance | Case Manager/Care Coordinator | 600 Dequeen St, Mena, AR 71953-3218 | 2007-05-23 |
| 1225314750 | Jessica Elizabeth Anderson | Case Manager/Care Coordinator | 311 Morrow St N, Mena, AR 71953-2516 | 2011-10-28 |
| 1710197371 | Jeremiah Brewer | Case Manager/Care Coordinator | 1210 Dequeen St, Mena, AR 71953-4132 | 2007-05-23 |
| 1467662049 | Jennifer Nance | Case Manager/Care Coordinator | 600 Dequeen St, Mena, AR 71953-3218 | 2007-05-23 |
| 1699983049 | Sharon Mcgee | Case Manager/Care Coordinator | 1210 Dequeen St, Mena, AR 71953-4132 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256014 | Jessica Marie Hazelip | Case Manager/Care Coordinator | 2126 N 1st St, Jacksonville, AR 72076-2870 | 2020-08-24 |
| 1619587383 | First Choice Care Management Consulting LLC | Case Manager/Care Coordinator | 155 Leatherwood Loop, Hot Springs, AR 71901-9580 | 2020-08-06 |
| 1649889775 | Haley Kathryn Mehan | Case Manager/Care Coordinator | 109 2nd Ave Sw Apt A, Gravette, AR 72736-6009 | 2020-07-24 |
| 1114535838 | Amber Michelle Cansler | Case Manager/Care Coordinator | 637 Ar-8, Amity, AR 71921 | 2020-07-20 |
| 1649807595 | Vickie Carter | Case Manager/Care Coordinator | 1704 Highway 49 West, Trumann, AR 72472-2029 | 2020-03-23 |
| 1619501087 | 1 Source Senior Care | Case Manager/Care Coordinator | 1820 Shelby Ln, Fayetteville, AR 72704-5255 | 2020-02-25 |
| 1194356964 | Yanira Harper | Case Manager/Care Coordinator | 204 Martha Ln Apt B, Gurdon, AR 71743-2210 | 2020-01-30 |
| 1326679473 | Megan Thomas | Case Manager/Care Coordinator | 3715 N Business Dr Ste 201, Fayetteville, AR 72703-5288 | 2020-01-28 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1619516051 | Kyjione King | Case Manager/Care Coordinator | 721 S Gee St Ste A, Jonesboro, AR 72401-3308 | 2020-01-02 |
| Find all providers with the same taxonomy | ||||
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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.