MELIA JOHNSGARD (NPI# 1013420488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013420488 |
| Entity Type | Individual |
| Full Name | MELIA JOHNSGARD |
| Practice Address |
1301 Russell Rd Russellville AR 72802-4320 |
| Mailing Address |
Po Box 2109 Russellville AR 72811-2109 |
| Practice Telephone | 4799672322 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Street Address |
1301 RUSSELL RD |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72802-4320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184732752 | Amanda Ellisha Keaster | Occupational Therapist | 1301 Russell Rd, Russellville, AR 72802-4320 | 2006-08-25 |
| 1205452976 | Elizabeth Witt | Occupational Therapy Assistant | 1301 Russell Rd, Russellville, AR 72802-4320 | 2020-06-18 |
| 1306480645 | Kristen Johnston | Developmental Therapist | 1301 Russell Rd, Russellville, AR 72802-4320 | 2019-10-30 |
| 1538723911 | Casi Shadowens | Occupational Therapy Assistant | 1301 Russell Rd, Russellville, AR 72802-4320 | 2019-05-01 |
| 1639637663 | Leanna Hoffpauir | Occupational Therapy Assistant | 1301 Russell Rd, Russellville, AR 72802-4320 | 2019-03-08 |
| 1619483229 | Jennifer Metz | Day Training/Habilitation Specialist | 1301 Russell Rd, Russellville, AR 72802-4320 | 2017-12-19 |
| 1285149203 | Sonya Roach | Day Training/Habilitation Specialist | 1301 Russell Rd, Russellville, AR 72802-4320 | 2017-12-13 |
| 1154836161 | Kimberly Fountain | Day Training/Habilitation Specialist | 1301 Russell Rd, Russellville, AR 72802-4320 | 2017-12-13 |
| 1972952257 | Sara Tingle | Speech-Language Pathologist | 1301 Russell Rd, Russellville, AR 72802-4320 | 2016-06-08 |
| 1336518372 | Brittany Paladino | Occupational Therapist | 1301 Russell Rd, Russellville, AR 72802-4320 | 2015-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316587850 | Friends of Freedom House Inc. | Counselor | 404 Lake Front Drive, Russellville, AR 72802 | 2020-01-13 |
| 1922527027 | Sarah Huey | Counselor | 1505 S. Oswego Ave., Russellville, AR 72802 | 2017-09-11 |
| 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 |
| 1891080909 | Tera Dacus | Counselor | 1505 S. Oswego Ave, Russellville, AR 72802 | 2011-06-16 |
| 1992034763 | Central Arkansas Surgical Center, LLC | Clinic/Center | 151 East Aspen Ln, Russellville, AR 72802 | 2009-12-08 |
| 1134302854 | Twin Rivers Respiratory Care, Inc | Durable Medical Equipment & Medical Supplies | 1400 S Knoxville Ave, Russellville, AR 72802 | 2007-12-17 |
| 1003945007 | Phyllis Wells | Case Manager/Care Coordinator | 1400 East 16th St, Russellville, AR 72802 | 2007-03-05 |
| 1609902295 | Debi C Day Damron Burns | Case Manager/Care Coordinator | 1402 East 16th St, Russellville, AR 72802 | 2007-02-26 |
| Find all providers in zip 72802 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538677869 | Regina Sloan | Day Training/Habilitation Specialist | 920 University Dr, Russellville, AR 72801-4303 | 2018-01-22 |
| 1447869417 | Heather Marie Jones | Day Training/Habilitation Specialist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2020-07-27 |
| 1215403670 | Kelsey L Gonzalez | Day Training/Habilitation Specialist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2018-10-23 |
| 1467960781 | Ashley Haney | Day Training/Habilitation Specialist | 920 University Dr, Russellville, AR 72801-4303 | 2018-01-22 |
| 1619483229 | Jennifer Metz | Day Training/Habilitation Specialist | 1301 Russell Rd, Russellville, AR 72802-4320 | 2017-12-19 |
| 1285149203 | Sonya Roach | Day Training/Habilitation Specialist | 1301 Russell Rd, Russellville, AR 72802-4320 | 2017-12-13 |
| 1154836161 | Kimberly Fountain | Day Training/Habilitation Specialist | 1301 Russell Rd, Russellville, AR 72802-4320 | 2017-12-13 |
| 1548774920 | Patti 'suzy' Suzanne Young | Day Training/Habilitation Specialist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2017-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396375796 | Diana L Beck | Day Training/Habilitation Specialist | 1008 W Childress St, Morrilton, AR 72110-1708 | 2020-01-24 |
| 1194230169 | Amanda Morgan | Day Training/Habilitation Specialist | 272 School Ave, West Fork, AR 72774-3124 | 2017-12-12 |
| 1396268090 | Dawn Bridges | Day Training/Habilitation Specialist | 3920 Woodland Heights Road, Little Rock, AR 72223 | 2017-07-25 |
| 1871016923 | Emily A Huddleston | Day Training/Habilitation Specialist | 1801 N Buerkle St, Stuttgart, AR 72160-2519 | 2017-07-20 |
| 1255866604 | Race Cunningham | Day Training/Habilitation Specialist | 2871 American St, Springdale, AR 72764-6938 | 2017-04-24 |
| 1619417896 | Amy Pinkston | Day Training/Habilitation Specialist | 149 Old Trestle Ln, Batesville, AR 72501-9597 | 2017-03-07 |
| 1891155719 | Karen Hartsfield | Day Training/Habilitation Specialist | 524 Self Ln, Newark, AR 72562-9615 | 2016-03-04 |
| 1821458738 | Sarah Sexton | Day Training/Habilitation Specialist | 1334 Red Deer Trl, Salem, AR 72576-5510 | 2016-03-04 |
| 1063885002 | Jaime Smith | Day Training/Habilitation Specialist | 56 Buck Ln, Poughkeepsie, AR 72569-9150 | 2015-11-12 |
| 1942673983 | Rhonda Strain | Day Training/Habilitation Specialist | 352 Curia Creek Ln Apt 6, Cave City, AR 72521-9031 | 2015-11-12 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELLVILLE |
| Zip Code | 72802 |
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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.