KELSEY SELF


Address: 1543 County Road 3350, Clarksville, AR 72830-8162
Phone: 4796478063

KELSEY SELF (NPI# 1104246966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104246966
Entity Type Individual
Full Name KELSEY SELF
Practice Address 1543 County Road 3350
Clarksville
AR 72830-8162
Practice Telephone 4796478063
Mailing Telephone 4796478063
Enumeration Date 2014-04-21
Last Update Date 2014-04-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator AR Other Service Providers

Office Location

Street Address 1543 COUNTY ROAD 3350
City CLARKSVILLE
State AR
Zip Code 72830-8162

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NPI Name Taxonomy Address Enumeration
1649737545 Marilyn Elaine Laster Pharmacist 211 East Main St, Clarksville, AR 72830 2019-02-27
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1669995619 Karla D Snow Case Manager/Care Coordinator 718 Brown Street, Clarksville, AR 72830 2017-07-21
1811426232 Netscript Telemedicine Solutions Family Medicine 235 Cr 3520, Clarksville, AR 72830 2017-06-08
1275882060 Shay Morgan Dietitian, Registered 1100 East Poplar Street, Clarksville, AR 72830 2012-09-07
1518111566 Melisa Leann Traylor Case Manager/Care Coordinator 522 Mill Road, Clarksville, AR 72830 2008-11-04
1669635280 Family Foot Clinic Podiatrist 203 Sevier St, Clarksville, AR 72830 2008-07-03
1891969721 Scott Lee Landis Counselor 522 Mills Rd., Clarksville, Ar, AR 72830 2008-04-22
1437364684 Snider Family Chiropractic Clinic Chiropractor 1012 Poplar St., Clarksville, AR 72830 2007-05-11
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629626197 Diana Ocampo Esparza Case Manager/Care Coordinator 709 N. Brown Street, Clarksville, AR 72830-7283 2019-08-28
1376021501 Stephen Lawrence Rego Case Manager/Care Coordinator Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 2018-07-31
1669995619 Karla D Snow Case Manager/Care Coordinator 718 Brown Street, Clarksville, AR 72830 2017-07-21
1336590058 Bobby Bonner Jr. Case Manager/Care Coordinator 1697putnum Drive, Clarksville, TN 37042 2016-06-23
1457661365 Darrell Paul Noble Case Manager/Care Coordinator 201 Uffelmans, Ste F, Clarksville, TN 37043 2010-10-13
1265742126 Amy Jean Guilliams Case Manager/Care Coordinator 201 Uffleman Dr., Suite F, Clarksville, TN 37043-2975 2010-10-13
1689983058 Michelle Nathalie Strachan Case Manager/Care Coordinator 201 Uffelman Drive, Suite F, Clarksville, TN 37043 2010-10-01
1386964393 Amy Marie Anderson Fryer Case Manager/Care Coordinator 201 Uffelman Dr., Suite F, Clarksville, TN 37204 2010-06-02
1518111566 Melisa Leann Traylor Case Manager/Care Coordinator 522 Mill Road, Clarksville, AR 72830 2008-11-04
1275725046 Kimberly Ann Sweck Case Manager/Care Coordinator 511 Eighth Street, Clarksville, TN 37040 2007-08-15
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Competitor

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City CLARKSVILLE
Zip Code 72830

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Dataset Information

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.

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