MALLORI MILLER (NPI# 1891335519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891335519 |
| Entity Type | Individual |
| Full Name | MALLORI MILLER |
| Practice Address |
837 Willett Rd Jonesboro AR 72401 |
| Mailing Address |
2400 S 48th St Springdale AR 72762-6683 |
| Practice Telephone | 8703935335 |
| Practice Fax Number | 8704970007 |
| Mailing Telephone | 4797502020 |
| Mailing Fax Number | 4797504843 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |
| 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 |
| Street Address |
837 WILLETT RD |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001141 | Natasha Samudzi | Behavior Technician | 837 Willett Rd, Jonesboro, AR 72401 | 2020-07-23 |
| 1306461967 | Megan Posey | Behavior Technician | 837 Willett Rd, Jonesboro, AR 72401 | 2020-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| 1336633387 | Center for Eating Disorders and Behavioral Wellness Plc | Social Worker | 225 S Main St Ste 102, Jonesboro, AR 72401 | 2018-06-21 |
| Find all providers in zip 72401 | ||||
| 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 |
|---|---|---|---|---|
| 1619516051 | Kyjione King | Case Manager/Care Coordinator | 721 S Gee St Ste A, Jonesboro, AR 72401-3308 | 2020-01-02 |
| 1487205845 | Jamie Lynn Echeverria | Case Manager/Care Coordinator | 837 Willett Road, Jonesboro, AR 72401-7240 | 2019-09-26 |
| 1043877608 | Tristan Kole Meador | Case Manager/Care Coordinator | 1905 Race St, Jonesboro, AR 72401-7212 | 2019-05-20 |
| 1972088425 | Kenan Shell | Case Manager/Care Coordinator | 4009 Clay Dr, Jonesboro, AR 72404-8543 | 2018-10-01 |
| 1710462759 | Kelly Seltzer | Case Manager/Care Coordinator | 320 Monterey Cir, Jonesboro, GA 30236-8242 | 2018-09-26 |
| 1891273546 | Charlotte Amos | Case Manager/Care Coordinator | 248 Collin Rd, Jonesboro, LA 71251 | 2018-08-04 |
| 1407376486 | Angelijica Ivey | Case Manager/Care Coordinator | 8322 Marlborough Dr, Jonesboro, GA 30238-2943 | 2017-06-21 |
| 1275071607 | Coral Nicole Burke | Case Manager/Care Coordinator | 1806 Kathleen St, Apt. B, Jonesboro, AR 72401-9104 | 2017-02-06 |
| 1356889794 | Juan Sheppard | Case Manager/Care Coordinator | 3309 Kingsbury St, Jonesboro, AR 72401-5412 | 2017-02-06 |
| 1487196044 | Coretta King-braswell | Case Manager/Care Coordinator | 2822 Woodhollow Ln, Jonesboro, GA 30236-2829 | 2016-11-14 |
| Find all providers in JONESBORO | ||||
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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.