RODERICK NELSON (NPI# 1033322763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033322763 |
| Entity Type | Individual |
| Full Name | RODERICK NELSON |
| Credential | CMP |
| Practice Address |
6701 Highway 67 Benton AR 72015-8909 |
| Mailing Address |
Po Box 1589 Benton AR 72018-1589 |
| Practice Telephone | 5013153344 |
| Mailing Telephone | 5013153344 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-11-18 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1205476314 | Roderick Carlton Nelson Jr. | Non-emergency Medical Transport (VAN) | 250 Mill Street, First Foor, Rochester, NY 14614 | 2020-01-07 |
| Street Address |
6701 HIGHWAY 67 |
| City | BENTON |
| State | AR |
| Zip Code | 72015-8909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831157148 | Bradford Owen Holloway | Social Worker | 6701 Highway 67, Benton, AR 72015 | 2006-05-03 |
| 1548876527 | Amelia Seamon | Case Manager/Care Coordinator | 6701 Highway 67, Benton, AR 72015-8909 | 2020-09-16 |
| 1780297507 | Kayla Neal | Case Manager/Care Coordinator | 6701 Highway 67, Benton, AR 72015-8909 | 2020-08-31 |
| 1154975159 | Lisa Ware-wilks | Case Manager/Care Coordinator | 6701 Highway 67, Benton, AR 72015-8909 | 2019-07-29 |
| 1932666294 | William Lee | Case Manager/Care Coordinator | 6701 Highway 67, Benton, AR 72015-8909 | 2019-02-22 |
| 1578036539 | Alison Lawton | Case Manager/Care Coordinator | 6701 Highway 67, Benton, AR 72015-8909 | 2019-01-02 |
| 1497222301 | Jenna Langston | Case Manager/Care Coordinator | 6701 Highway 67, Benton, AR 72015-8909 | 2018-10-29 |
| 1942776489 | Marsha Mcdaniel | Case Manager/Care Coordinator | 6701 Highway 67, Benton, AR 72015-8909 | 2018-10-23 |
| 1891261236 | Cynthia Kemp | Case Manager/Care Coordinator | 6701 Highway 67, Benton, AR 72015-8909 | 2018-10-23 |
| 1467937326 | Preston Green | Case Manager/Care Coordinator | 6701 Highway 67, Benton, AR 72015-8909 | 2018-09-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| 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 |
|---|---|---|---|---|
| 1508493404 | Nahum Prophet | Case Manager/Care Coordinator | 3610 Coleman Rd, Benton, LA 71006-9675 | 2020-03-23 |
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1265715072 | James Michael Bell | Case Manager/Care Coordinator | 1502 Mary Kaye Blvd, Benton, AR 72015-8909 | 2011-09-28 |
| 1386934206 | Debra A Davis | Case Manager/Care Coordinator | 6701 Hwy 67 S. Bldg 4, Benton, AR 72015 | 2011-04-12 |
| 1174833016 | Allen Cooper | Case Manager/Care Coordinator | 6701 Hwy 67 S Bldg 4, Benton, AR 72015 | 2010-10-13 |
| 1942454517 | Kathy James | Case Manager/Care Coordinator | 2270 Helmich Dr, Benton, AR 72019-8322 | 2008-11-10 |
| 1194994558 | Roshunda Denise Foreman | Case Manager/Care Coordinator | 307 E Sevier, Benton, AR 72015 | 2008-02-29 |
| 1609063791 | Sean Rock | Case Manager/Care Coordinator | 307 E Sevier St., Counseling Clinic Inc, Benton, AR 72015 | 2007-10-02 |
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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.