ANGELA HOLT (NPI# 1013404102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013404102 |
| Entity Type | Individual |
| Full Name | ANGELA HOLT |
| Practice Address |
1622 Donaghey Ave Conway AR 72034-3221 |
| Mailing Address |
110 Skyline Dr Russellville AR 72801-3362 |
| Practice Telephone | 5013282242 |
| Practice Fax Number | 5013282244 |
| Mailing Telephone | 4799681298 |
| Mailing Fax Number | 4799686053 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | AR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285122309 | Angela Holt | Licensed Practical Nurse | 913 Seymour Ave, Jackson, MI 49202-2543 | 2018-04-24 |
| 1679130264 | Angela A Holt | Counselor | 4501 Diplomacy Dr, Anchorage, AK 99508-5919 | 2019-05-20 |
| 1487219499 | Angela Holt | Community Health Worker | 380 S Portage Path, Akron, OH 44320-2326 | 2019-05-06 |
| 1316401268 | Angela M Holt | Nurse Practitioner | 1617 N Front St, Harrisburg, PA 17102-2414 | 2019-01-24 |
| 1215963210 | Angela Michele Holt | Specialist | 139 Garau St, Bluffton, OH 45817-1027 | 2006-06-23 |
| 1396786984 | Angela Holt | Genetic Counselor, MS | 3325 N Interstate Ave, Kpnw Genetics Dept, Portland, OR 97227-1020 | 2006-06-08 |
| Street Address |
1622 DONAGHEY AVE |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-3221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922498807 | Alex Schluterman | Counselor | 1622 Donaghey Ave, Conway, AR 72034-3221 | 2015-01-29 |
| 1023490406 | Amanda Schluterman | Case Manager/Care Coordinator | 1622 Donaghey Ave, Conway, AR 72034-3221 | 2015-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| 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 |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1720516289 | Wendy A Magbanua | Case Manager/Care Coordinator | 317 Lower Ridge Rd, Conway, AR 72035-0001 | 2017-05-30 |
| 1538609417 | Eric Dillinger | Case Manager/Care Coordinator | 61 Winding Branch Ln, Conway, AR 72032-8701 | 2017-02-27 |
| 1023487097 | Comeatrieze Vantelia Ester | Case Manager/Care Coordinator | 816 N. Creek Dr., Conway, AR 72032 | 2015-09-21 |
| 1275938615 | Ian Evans | Case Manager/Care Coordinator | 818 N. Creek Dr., Conway, AR 72032 | 2014-10-28 |
| 1982007977 | Tina Boone | Case Manager/Care Coordinator | 816 N. Creek Dr, Conway, AR 72032 | 2014-10-03 |
| 1154738110 | Brittney Morgan Wood | Case Manager/Care Coordinator | 2175 B Rosemary Drive, Conway, AR 72034 | 2014-07-22 |
| 1063779437 | Sara Coleta Garland | Case Manager/Care Coordinator | 1100 Bob Courtway Dr # Dre, Suite 9, Conway, AR 72032-4766 | 2012-04-23 |
| 1427363209 | Careteam Plus, Inc. | Case Manager/Care Coordinator | 100 Professional Park Drive, Conway, SC 29526-9260 | 2010-08-17 |
| Find all providers in CONWAY | ||||
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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.