MACKENZIE MOORE (NPI# 1841647427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841647427 |
| Entity Type | Individual |
| Full Name | MACKENZIE MOORE |
| Practice Address |
1200 W Center St Greenwood AR 72936-3716 |
| Mailing Address |
117 E Ray Fine Blvd Roland OK 74954-5198 |
| Practice Telephone | 4794525040 |
| Practice Fax Number | 4794525047 |
| Mailing Telephone | 9184273344 |
| Mailing Fax Number | 9184273375 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2020-02-18 |
| 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 |
|---|---|---|---|---|
| 1710452412 | Mackenzie Moore | Pharmacist | 7 Raven Ter, Londonderry, NH 03053-3926 | 2018-10-09 |
| 1629422993 | Mackenzie Moore | Surgery | 420 Delaware St Se, Mmc 195, Minneapolis, MN 55455-0341 | 2016-04-22 |
| Street Address |
1200 W CENTER ST |
| City | GREENWOOD |
| State | AR |
| Zip Code | 72936-3716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700093507 | Greenwood Retirement Center | Custodial Care Facility | 1200 W Center St, Greenwood, AR 72936-3716 | 2007-05-17 |
| 1144854886 | Western Arkansas Counseling and Guidance Center,inc.-rcf Greenwood | Community/Behavioral Health | 1200 W Center St, Greenwood, AR 72936-3716 | 2020-03-02 |
| 1043876915 | John Gooch | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2019-05-15 |
| 1851820013 | Melissa Phillips | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2017-06-09 |
| 1598293169 | Jillian Moore | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2017-05-26 |
| 1699203265 | Jamie Webb | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2017-05-26 |
| 1679025142 | Autumn Robinson | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2016-10-31 |
| 1275904518 | Kimberly Tomlin | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2015-10-13 |
| 1881065134 | Katelyn Friday | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2015-10-13 |
| 1316328685 | Shelby Knapple | Counselor | 1200 W Center St, Greenwood, AR 72936-3716 | 2015-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376022988 | Sonja Kay Cooper | Pharmacist | 2708 Old Chismville Rd, Greenwood, AR 72936 | 2018-08-14 |
| 1225585201 | Henry Counseling Services | Marriage & Family Therapist | 105 North Main St., Greenwood, AR 72936 | 2016-09-07 |
| 1720316235 | Sports Plus Physical Therapy | Physical Therapist | 250 Old Hackett Road, Greenwood, AR 72936 | 2009-11-20 |
| 1285812255 | Lisa Jan Bohne Clay | Psychologist | 2711 Shadow Lake Dr, Greenwood, AR 72936 | 2008-02-01 |
| 1366639684 | Rhonda Michele Barnes | Social Worker | 300 Westwood Ave, Greenwood, AR 72936 | 2007-10-01 |
| 1619018793 | Robert Gary Mack II | Contractor | 2712 Edgewater Drive, Greenwood, AR 72936 | 2007-02-09 |
| 1003963075 | Brent Wade Dunavin | Dentist | 7 W Center Street, Greenwood, AR 72936 | 2007-01-04 |
| 1891851804 | James A Burgess Jr. | Dentist | 7 West Center, Greenwood, AR 72936 | 2006-12-28 |
| 1467512079 | Terrell Wayne Bailey | Dentist | 520 Hamilton Lane, Greenwood, AR 72936 | 2006-12-12 |
| 1801808837 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 1530 W Center, Greenwood, AR 72936 | 2006-08-11 |
| Find all providers in zip 72936 | ||||
| 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 |
|---|---|---|---|---|
| 1609248897 | Tammy Crawford | Case Manager/Care Coordinator | 2806 S Highway 253, Greenwood, AR 72936-9005 | 2015-10-27 |
| 1720467269 | Claudia Vanessa Louden | Case Manager/Care Coordinator | 452 Vaughn St, Greenwood, SC 29646-2505 | 2015-05-28 |
| 1205225885 | Vera Kemp | Case Manager/Care Coordinator | 207 Briarwood Cir, Greenwood, MS 38930-3354 | 2015-01-20 |
| 1043876915 | John Gooch | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2019-05-15 |
| 1851820013 | Melissa Phillips | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2017-06-09 |
| 1598293169 | Jillian Moore | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2017-05-26 |
| 1699203265 | Jamie Webb | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2017-05-26 |
| 1679025142 | Autumn Robinson | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2016-10-31 |
| 1275904518 | Kimberly Tomlin | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2015-10-13 |
| 1881065134 | Katelyn Friday | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2015-10-13 |
| Find all providers in GREENWOOD | ||||
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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.