TAKA MARQUETTE SMITH


Address: 110 Skyline Dr, Russellville, AR 72801-3362
Phone: 4799681298

TAKA MARQUETTE SMITH (NPI# 1831406214) 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) 1831406214
Entity Type Individual
Full Name TAKA MARQUETTE SMITH
Practice Address 110 Skyline Dr
Russellville
AR 72801-3362
Mailing Address 350 Salem Rd
Conway
AR 72034-7525
Practice Telephone 4799681298
Practice Fax Number 4799686053
Mailing Telephone 5013368300
Mailing Fax Number 5013295508
Enumeration Date 2010-09-08
Last Update Date 2010-09-14
Gender Code F
Is Sole Proprietor N

Taxonomy

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

Office Location

Street Address 110 SKYLINE DR
City RUSSELLVILLE
State AR
Zip Code 72801-3362

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588769491 Richard L Moore Counselor 110 Skyline Dr, Russellville, AR 72801-3362 2006-09-14
1720618267 Chantal Doucet-brice Counselor 110 Skyline Dr, Russellville, AR 72801-3362 2020-01-23
1659921914 Mercedes A Bender Counselor 110 Skyline Dr, Russellville, AR 72801-3362 2019-09-18
1730749995 Sydney Nicole Allen Case Manager/Care Coordinator 110 Skyline Dr, Russellville, AR 72801-3362 2019-06-19
1205301645 Melinda L Arnold Licensed Practical Nurse 110 Skyline Dr, Russellville, AR 72801-3362 2018-10-12
1134615404 Trakia Tucker Case Manager/Care Coordinator 110 Skyline Dr, Russellville, AR 72801-3362 2018-07-10
1134621451 Tanner Leigh Yates Case Manager/Care Coordinator 110 Skyline Dr, Russellville, AR 72801-3362 2018-03-02
1306352943 Leilani Harmon Licensed Practical Nurse 110 Skyline Dr, Russellville, AR 72801-3362 2017-12-19
1205359510 Cody Layne Horn Nurse Practitioner 110 Skyline Dr, Russellville, AR 72801-3362 2017-07-18
1043749682 Lindsey Howard Case Manager/Care Coordinator 110 Skyline Dr, Russellville, AR 72801-3362 2017-06-07
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NPI Name Taxonomy Address Enumeration
1962002782 Randy Paul Stayton Pharmacist 2109 W Main, Russellville, AR 72801 2020-10-30
1871134825 Just Spreading Love Senior Care LLC Student in an Organized Health Care Education/Training Program 1411 N. Pittsburg Avenue, Russellville, AR 72801 2019-10-01
1124670369 Richard L Morgan Dds Pa Dentist 1700 West C Place, Russellville, AR 72801 2019-07-09
1407342371 Andrew James Hickman Optometrist 2711 E Parkway Drive, Russellville, AR 72801 2018-07-03
1154859833 Felicia Head Speech-Language Pathologist 220 W 10th St., Russellville, AR 72801 2017-05-25
1295281293 Arkansas Liver and Gastroenterology, P.a. Internal Medicine 1605 West Main Street, Russellville, AR 72801 2016-08-30
1467802405 Kah Development 4, LLC Hospice Care, Community Based 3801 W Main St Ste A, Russellville, AR 72801 2016-06-21
1871904839 Sleep Partners, LLC Clinic/Center 1310 West B Street, Suite A, Russellville, AR 72801 2014-05-13
1942647029 Rpi Sleep Complete LLC Clinic/Center 1310 West Main Street, Suite 201, Russellville, AR 72801 2013-05-29
1184967291 Amedco Arkansas Pllc Optometrist 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 2013-03-27
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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
1932623980 Leronda Garrison Case Manager/Care Coordinator 1505 S Oswego Avenue, Russellville, AR 72820 2017-08-01
1437555315 Laura Easter Case Manager/Care Coordinator 1505 S, Oswego Ave., Russellville, AR 72802 2014-11-05
1982005252 Yariela Borras Case Manager/Care Coordinator 1415 S. Oswego Avenue, Russellville, AR 72802 2014-09-05
1477953818 Kelly Sutton Case Manager/Care Coordinator 1505 S. Oswego Avenue, Russellville, AR 72802 2014-09-03
1720491095 Kaitlin Spry Case Manager/Care Coordinator 1401 Parker Rd, Apt. 54, Russellville, AR 72801-3180 2014-06-04
1104236660 Allison Caldwell Case Manager/Care Coordinator 520 E 16th St Apt A, Russellville, AR 72801-6936 2014-05-05
1477963569 Heather Rash Case Manager/Care Coordinator 1009 N Greenwich Ave, Russellville, AR 72801-3134 2014-04-29
1376960757 Meagan Votteler Case Manager/Care Coordinator 195 Bregar Pl, Russellville, AR 72802-1649 2014-03-24
1528498151 Kari Green Case Manager/Care Coordinator 1310 W Main St Ste 100, Russellville, AR 72801-2803 2013-11-18
1821434101 Carolyn Courim Case Manager/Care Coordinator 1402 E 16th St, Russellville, AR 72802-2648 2013-05-14
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City RUSSELLVILLE
Zip Code 72801

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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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