MR. JAYSON TODD CRISP (NPI# 1831335678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831335678 |
| Entity Type | Individual |
| Full Name | MR. JAYSON TODD CRISP |
| Practice Address |
229 A St Magnolia AR 71753-3653 |
| Mailing Address |
124 S Jackson St Magnolia AR 71753-3526 |
| Practice Telephone | 8702342600 |
| Mailing Telephone | 8702346550 |
| Mailing Fax Number | 8702343822 |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | MENTAL HEALTH PARAPROFESSIONAL | NONE | 01 |
| Street Address |
229 A ST |
| City | MAGNOLIA |
| State | AR |
| Zip Code | 71753-3653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689810418 | Robert Charles Snider | Case Manager/Care Coordinator | 229 A St, Magnolia, AR 71753-3653 | 2008-12-29 |
| 1376958579 | Reginald Green | Counselor | 229 A St, Magnolia, AR 71753-3653 | 2014-06-25 |
| 1700228137 | Evelyn Stevenson | Counselor | 229 A St, Magnolia, AR 71753-3653 | 2013-07-26 |
| 1306283262 | Bianca F Oliver | Counselor | 229 A St, Magnolia, AR 71753-3653 | 2013-05-31 |
| 1124392592 | Tina Ellis | Counselor | 229 A St, Magnolia, AR 71753-3653 | 2012-03-02 |
| 1477841450 | Lashonda Lafayette | Counselor | 229 A St, Magnolia, AR 71753-3653 | 2011-07-12 |
| 1518276005 | Demetrica Green | Case Manager/Care Coordinator | 229 A St, Magnolia, AR 71753-3653 | 2010-09-30 |
| 1083934962 | William David Bates | Case Manager/Care Coordinator | 229 A St, Magnolia, AR 71753-3653 | 2010-06-02 |
| 1528386893 | Linda Walsh | Registered Nurse | 229 A St, Magnolia, AR 71753-3653 | 2010-05-12 |
| 1558694653 | Sara Clements | Social Worker | 229 A St, Magnolia, AR 71753-3653 | 2009-09-08 |
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| 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 |
| 1629688155 | Uniqua Weathersby | Case Manager/Care Coordinator | 621 E North St, Magnolia, AR 71753-3120 | 2020-08-10 |
| 1457900409 | Katie Crew | Case Manager/Care Coordinator | 621 E North St, Magnolia, AR 71753-3120 | 2019-09-11 |
| 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.