EDWARD HARRIS (NPI# 1093331035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093331035 |
| Entity Type | Individual |
| Full Name | EDWARD HARRIS |
| Practice Address |
6601 W 12th St Little Rock AR 72204-1513 |
| Mailing Address |
Po Box 251970 Little Rock AR 72225-1970 |
| Practice Telephone | 5016606821 |
| Practice Fax Number | 5016606830 |
| Mailing Telephone | 5016606821 |
| Mailing Fax Number | 5016606830 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-25 |
| 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 |
|---|---|---|---|---|
| 1225668270 | Edward Todd Harris IIi | Counselor | 224 Oakridge Ave, Buffalo, NY 14217-1165 | 2020-01-17 |
| 1518224963 | Edward Harris | Home Health Aide | 4921 Bloomfield Dr, Apt L, Trotwood, OH 45426 | 2012-04-23 |
| 1215244405 | Edward Flynn Harris | Dentist | 1433 Heather Ln Ste C, Suite C, Charlotte, NC 28209-2563 | 2010-09-09 |
| 1790925550 | Edward Michael Harris | Chore Provider | 409 W 145th St, 503, New York, NY 10031-5200 | 2009-03-05 |
| 1528277332 | Edward F. Harris | Dentist | Pleasant Point Health Center, 11 Back Road, Perry, ME 04667 | 2007-05-21 |
| 1255395448 | Edward I Harris | Podiatrist | 20 Prospect Ave Ste 803, Hackensack, NJ 07601-1999 | 2006-04-14 |
| 1780206433 | Edward B Harris | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-05-15 |
| 1629548003 | Edward Lee Harris | Case Manager/Care Coordinator | 3780 Rosin Ct Ste 130, Sacramento, CA 95834-1644 | 2018-11-28 |
| 1437694270 | Edward G Harris | Nurse Practitioner | 4900 Houston Rd, Florence, KY 41042 | 2017-01-04 |
| 1164975546 | Edward Harris Jr. | Counselor | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2016-08-02 |
| Street Address |
6601 W 12TH ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013020494 | Michael Ekdahl | Counselor | 6601 W 12th St, Little Rock, AR 72204-1513 | 2006-08-17 |
| 1033719786 | Alexis Stallings | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-10-30 |
| 1164022810 | James Tolbert | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-10-30 |
| 1558961490 | Jordan Pegues | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-10-29 |
| 1518567387 | Michael Simmons | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-10-29 |
| 1477151595 | Tianna Glover | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-10-12 |
| 1922606045 | Kadarius Knapper | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-10-12 |
| 1700491263 | Ferrell Bonner | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-09-11 |
| 1336754878 | Shantale Harris | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-09-11 |
| 1316552854 | Taylor Collins | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| 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 |
|---|---|---|---|---|
| 1346803988 | M-pacting Youth and Families Inc | Case Manager/Care Coordinator | 4001 Cobb St, Little Rock, AR 72204-7444 | 2019-04-18 |
| 1568921211 | Derrick Hunter | Case Manager/Care Coordinator | 10025 W. Markham St Ste 150, Little Rock, AR 72205-2178 | 2019-03-12 |
| 1447720115 | Leslie Ross | Case Manager/Care Coordinator | 1 Lile Ct Ste 201, Little Rock, AR 72205-6242 | 2018-11-26 |
| 1740785823 | Lataveya Vault | Case Manager/Care Coordinator | 10025 W Markham St Ste 150, Little Rock, AR 72205-1416 | 2018-03-29 |
| 1346759982 | Rekia Shanette Porchia | Case Manager/Care Coordinator | 61 Purdue Cir, Little Rock, AR 72204-5949 | 2017-09-27 |
| 1245754555 | Yolanda Johnson | Case Manager/Care Coordinator | 1100 N University Suite 200, Little Rock, AR 72207 | 2017-07-28 |
| 1700326790 | Denira Zardoost | Case Manager/Care Coordinator | 1100 N.uiversity, Evergreen Place Suite 200, Little Rock, AR 72207 | 2017-02-24 |
| 1639616162 | Jasmine Ford | Case Manager/Care Coordinator | 1100 N. University, 200, Little Rock, AR 72207-3549 | 2017-01-23 |
| 1447709639 | Cecil Ray Chew Jr. | Case Manager/Care Coordinator | 5 Falcon Ct Apt 4, Little Rock, AR 72210-4425 | 2016-09-28 |
| 1508310038 | Tennille Hill | Case Manager/Care Coordinator | 5517 Western Ln, Little Rock, AR 72209-1957 | 2016-08-13 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
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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.