JENNIFER PUGH (NPI# 1043638695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043638695 |
| Entity Type | Individual |
| Full Name | JENNIFER PUGH |
| Credential | RECOVERY ASSISTANT |
| Practice Address |
242 Shake Rag Rd Clinton AR 72031-6629 |
| Mailing Address |
Po Box 1589 Benton AR 72018-1589 |
| Practice Telephone | 5017456644 |
| Mailing Telephone | 5013153344 |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |
| 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 |
|---|---|---|---|---|
| 1619351194 | Jennifer Pugh | Nurse Practitioner | 2709 Pelham Rd Ste B, Greenville, SC 29615-4083 | 2015-07-15 |
| 1164757118 | Jennifer Ruth Pugh | Nurse Practitioner | 4701 Ogletown-stanton Rd., Newark, DE 19713 | 2009-10-08 |
| 1265821599 | Jennifer Pugh | Counselor | 151 N Main St, Decatur, IL 62523-1206 | 2015-01-09 |
| 1457774333 | Jennifer Pugh | Licensed Practical Nurse | 520 Youngstown Poland Rd, Struthers, OH 44471-1103 | 2014-01-28 |
| 1881025245 | Jennifer Pugh | Specialist | 10513 Silverdale Way Nw, 102, Silverdale, WA 98383-9499 | 2013-12-10 |
| 1013343094 | Jennifer C Pugh | Acupuncturist | 601 Summit Ave, Jenkintown, PA 19046-3238 | 2013-09-23 |
| 1336572288 | Jennifer Pugh | Social Worker | 150 S Huntington Ave, Boston, MA 02130-4817 | 2013-08-14 |
| 1548609787 | Jennifer M Pugh | Specialist | 395 N Grand St, Cobleskill, NY 12043-4168 | 2013-06-20 |
| 1427393495 | Jennifer A. Pugh | Occupational Therapist | 9430 Park West Blvd, Suite 230, Knoxville, TN 37923-4200 | 2012-12-03 |
| 1104057223 | Jennifer Lynn Pugh | Emergency Medicine | 230 Mckee Pl, Suite 500, Pittsburgh, PA 15213-3903 | 2009-08-06 |
| Street Address |
242 SHAKE RAG RD |
| City | CLINTON |
| State | AR |
| Zip Code | 72031-6629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215087572 | Sandra Hope Bondelier | Social Worker | 242 Shake Rag Rd, Clinton, AR 72031-6629 | 2007-01-11 |
| 1316545445 | Jentry Wade | Case Manager/Care Coordinator | 242 Shake Rag Rd, Clinton, AR 72031-6629 | 2020-10-12 |
| 1780209478 | Mary Halford | Case Manager/Care Coordinator | 242 Shake Rag Rd, Clinton, AR 72031-6629 | 2020-06-09 |
| 1861017550 | Seriah Ross | Case Manager/Care Coordinator | 242 Shake Rag Rd, Clinton, AR 72031-6629 | 2020-06-09 |
| 1457987091 | Payton Gadberry | Case Manager/Care Coordinator | 242 Shake Rag Rd, Clinton, AR 72031-6629 | 2020-03-16 |
| 1750917415 | Tiffani Scroggins | Case Manager/Care Coordinator | 242 Shake Rag Rd, Clinton, AR 72031-6629 | 2020-03-13 |
| 1518593268 | Shanean Fulbright | Case Manager/Care Coordinator | 242 Shake Rag Rd, Clinton, AR 72031-6629 | 2020-03-13 |
| 1225669369 | Abby Sanders | Case Manager/Care Coordinator | 242 Shake Rag Rd, Clinton, AR 72031-6629 | 2020-01-28 |
| 1952932097 | Jenny Andrews | Case Manager/Care Coordinator | 242 Shake Rag Rd, Clinton, AR 72031-6629 | 2020-01-28 |
| 1578194619 | Nancy Croston | Case Manager/Care Coordinator | 242 Shake Rag Rd, Clinton, AR 72031-6629 | 2020-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857909 | Marinda Renee Bryan | Pharmacist | 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 | 2020-10-07 |
| 1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
| 1992352637 | Peggy Michelle Mann | Occupational Therapy Assistant | 765 Yellow Jacket Lane, Clinton, AR 72031 | 2019-08-19 |
| 1225518475 | Rebecca Sangi | Counselor | 244 U.S. 65, Suite 6, Clinton, AR 72031 | 2018-08-17 |
| 1437668175 | Caitlin Abiseid Shull | Nurse Practitioner | 194 Shake Rag Rd, Clinton, AR 72031 | 2017-09-26 |
| 1386048890 | Jones Family Pharmacy Inc. | Pharmacy | 1930 Hwy 65 South, Clinton, AR 72031 | 2014-10-13 |
| 1275846784 | Timeless Family Chiropractic, LLC | Chiropractor | 116 Maxwell St., Clinton, AR 72031 | 2010-07-26 |
| 1417189481 | Karen Thomas | Case Manager/Care Coordinator | 1303 Hwy 65, Suite 3, Clinton, AR 72031 | 2009-08-10 |
| 1962637082 | Conway County Community Service Inc | Community/Behavioral Health | Hwy 65, Rt. 6, Box 243, Clinton, AR 72031 | 2009-05-19 |
| 1699910596 | Dorthy D Hill | Behavioral Analyst | 1681 Hwy 65 S, Clinton, AR 72031 | 2008-12-05 |
| Find all providers in zip 72031 | ||||
| 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 |
|---|---|---|---|---|
| 1437758794 | Rachel Marie Hensley | Case Manager/Care Coordinator | 320 Red Frk, Clinton, OK 73601-3644 | 2020-10-19 |
| 1073121976 | Jackson Kerry England | Case Manager/Care Coordinator | 512 S 9th St, Clinton, OK 73601-4430 | 2020-07-16 |
| 1053945717 | Shannon Gautier | Case Manager/Care Coordinator | 209 Huntington Hill Dr, Clinton, MS 39056-6322 | 2020-03-02 |
| 1770124729 | Heart 2 Heart Industries | Case Manager/Care Coordinator | 1623 W 600 N, Clinton, UT 84015-8470 | 2019-10-01 |
| 1164079281 | Amber Dawn Cox | Case Manager/Care Coordinator | 1206 Orient Ave, Clinton, OK 73601-2756 | 2019-08-22 |
| 1982262101 | Timothy Cook | Case Manager/Care Coordinator | 604 Highway 80 W Ste Roffice2, Clinton, MS 39056-4108 | 2019-06-03 |
| 1487111902 | Leslie Washington | Case Manager/Care Coordinator | 9508 Plank Rd Ste C, Clinton, LA 70722-3701 | 2019-02-21 |
| 1841768009 | Khaila Nicoll Mitchell | Case Manager/Care Coordinator | 423 S 15th St, Clinton, OK 73601-4207 | 2018-11-06 |
| 1689169831 | Jordyn Taylor Laughlin | Case Manager/Care Coordinator | 2962 Serfass Rd, Clinton, OH 44216-9369 | 2018-06-28 |
| 1588160741 | United Care Homes | Case Manager/Care Coordinator | 11001 Sweet Gum Way, Clinton, MD 20735-3934 | 2018-04-04 |
| Find all providers in CLINTON | ||||
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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.