KATHERINE MACKENZIE BLACK (NPI# 1922631027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922631027 |
| Entity Type | Individual |
| Full Name | KATHERINE MACKENZIE BLACK |
| Practice Address |
2400 S 48th St Springdale AR 72762-6683 |
| Practice Telephone | 4797502020 |
| Practice Fax Number | 4797504843 |
| Mailing Telephone | 4797502020 |
| Mailing Fax Number | 4797504843 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |
| 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 |
|---|---|---|---|---|
| 1881056646 | Katherine Black | Pediatrics | 10233 Doctors Office Tower 2200 Children's Way, Nashville, TN 37232 | 2016-03-22 |
| 1700442613 | Katherine Marie Black | Occupational Therapist | 2400 Maryland Rd Ste 20, Willow Grove, PA 19090-1732 | 2019-05-15 |
| 1841750825 | Katherine Black | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2019-03-25 |
| 1700342540 | Katherine L Black | Social Worker | 1543 Kingsley Ave Ste 14, Orange Park, FL 32073-4570 | 2019-02-18 |
| 1053886283 | Katherine Nichole Black | Social Worker | 635 Cox Rd Ste B, Gastonia, NC 28054-3441 | 2018-10-03 |
| 1821523218 | Katherine Black | Technician, Other | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-04-24 |
| 1699041848 | Katherine Ward Black | Dermatology | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2012-03-31 |
| 1033315551 | Katherine A. Black | Anesthesiology | 1215 Lee St, Charlottesville, VA 22908-0001 | 2007-06-22 |
| 1801018122 | Katherine Rollins Black | Internal Medicine | 1130 Nw 22nd Ave Ste 410, Portland, OR 97210-2911 | 2007-05-03 |
| 1811014830 | Katherine Thomas Black | Social Worker | 12099 W Washington Blvd, Suite 200, Los Angeles, CA 90066-5882 | 2007-03-23 |
| Street Address |
2400 S 48TH ST |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762-6683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461887 | Ozark Guidance Center, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2400 S 48th St, Springdale, AR 72762-6683 | 2005-07-19 |
| 1043811136 | Brook Taylor Mattison | Social Worker | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-11-04 |
| 1861093171 | Leah Belote | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-11-03 |
| 1578162764 | Cierra Creek | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-10-20 |
| 1083211718 | Michelle Legan | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-10-06 |
| 1235736976 | Haley Medford | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-10-06 |
| 1174130926 | Mallory Cornett | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-09-25 |
| 1235742859 | Emily Magee | Social Worker | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-08-24 |
| 1932710134 | Sara Ruth Nelson | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-08-11 |
| 1659904548 | Danica Bass | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| 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 |
|---|---|---|---|---|
| 1174778641 | Elizabeth Leakey | Case Manager/Care Coordinator | 1505 S Old Missouri Rd, Springdale, AR 72764-1158 | 2008-11-24 |
| 1124271051 | D'andre Jones | Case Manager/Care Coordinator | 2514 S. 48th St., Springdale, AR 72762 | 2008-10-23 |
| 1528186459 | Alexis Ann Necessary | Case Manager/Care Coordinator | 2466 S 48th St., Springdale, AR 72762 | 2007-03-27 |
| 1194840751 | Blanche Angela Cunningham | Case Manager/Care Coordinator | 2514 S 48th St, Springdale, AR 72762-6684 | 2007-03-20 |
| 1275658726 | Peter Thomas Cooper | Case Manager/Care Coordinator | 2400 Se 48th Street, Springdale, AR 72762 | 2007-03-20 |
| 1861093171 | Leah Belote | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-11-03 |
| 1578162764 | Cierra Creek | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-10-20 |
| 1083211718 | Michelle Legan | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-10-06 |
| 1235736976 | Haley Medford | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-10-06 |
| 1174130926 | Mallory Cornett | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-09-25 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
Please comment or provide details below to improve the information on KATHERINE MACKENZIE BLACK.
| 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.