JENNIFER DAWN BUSHONG (NPI# 1104438837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104438837 |
| Entity Type | Individual |
| Full Name | JENNIFER DAWN BUSHONG |
| Credential | QBHP |
| Practice Address |
1815 Pleasant Grove Rd Jonesboro AR 72405-7870 |
| Practice Telephone | 8709336886 |
| Practice Fax Number | 8709336886 |
| Mailing Telephone | 8709336886 |
| Mailing Fax Number | 8709336886 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| 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 |
|---|---|---|---|---|
| 1386872992 | Jennifer Bushong | Physical Therapist | 900 Willow Valley Lakes Dr, Willow Street, PA 17584-9663 | 2009-06-23 |
| Street Address |
1815 PLEASANT GROVE RD |
| City | JONESBORO |
| State | AR |
| Zip Code | 72405-7870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376586297 | Walter Lee Crawford | Counselor | 1815 Pleasant Grove Rd, Jonesboro, AR 72401 | 2006-06-14 |
| 1992306534 | Haley Elizabeth Ballard | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-11-02 |
| 1457967986 | Ana-liese Torres | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-09-21 |
| 1669084380 | Chaney Elise Weaver | Social Worker | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-08-24 |
| 1659900892 | Elizabeth Nicole Allbritton | Social Worker | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-04-08 |
| 1033745260 | Angel Carter | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-03-19 |
| 1295375616 | Brittany Roedel | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-01-14 |
| 1003456427 | Jake Ford | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-01-14 |
| 1730729146 | Phishon Bass | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-01-14 |
| 1720628134 | Breanna Ballew | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023554 | Christopher Marshall | Dentist | 1804 Old Greensboro Rd Bldg B, Jonesboro, AR 72405-0003 | 2020-08-10 |
| 1346841756 | Hannah Beth Johnston | Occupational Therapy Assistant | 970 County Road 753, Jonesboro, AR 72405-0232 | 2020-11-03 |
| 1275168213 | Blaine Carson | Optometrist | 3705 E Johnson Ave, Jonesboro, AR 72405-1858 | 2020-03-10 |
| 1669006359 | Megan Maureen Anderson | Nurse Practitioner | 2712 E Johnson Ave, Jonesboro, AR 72405-1874 | 2020-03-03 |
| 1922539915 | Whitney Taylor | Registered Nurse | 2712 E Johnson Ave, Jonesboro, AR 72405-1874 | 2017-03-22 |
| 1205211976 | Higginbotham Dental Group, Pllc | Dentist | 1804 Old Greensboro Rd Ste D, Jonesboro, AR 72405-2076 | 2015-07-23 |
| 1265087092 | Richardson Anesthesia Pllc | Anesthesiology | 320 County Road 794, Jonesboro, AR 72405-7087 | 2019-08-08 |
| 1194346304 | Toni Cecil | Student in an Organized Health Care Education/Training Program | 4505 Mockernut Ln, Jonesboro, AR 72405-7848 | 2020-04-28 |
| 1265050512 | Rossie Goolsby | Case Manager/Care Coordinator | 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 | 2020-07-13 |
| 1922634161 | Steven Austin Harmon | Counselor | 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 | 2020-03-19 |
| Find all providers in zip 72405 | ||||
| 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 |
|---|---|---|---|---|
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1619516051 | Kyjione King | Case Manager/Care Coordinator | 721 S Gee St Ste A, Jonesboro, AR 72401-3308 | 2020-01-02 |
| 1487205845 | Jamie Lynn Echeverria | Case Manager/Care Coordinator | 837 Willett Road, Jonesboro, AR 72401-7240 | 2019-09-26 |
| 1043877608 | Tristan Kole Meador | Case Manager/Care Coordinator | 1905 Race St, Jonesboro, AR 72401-7212 | 2019-05-20 |
| 1972088425 | Kenan Shell | Case Manager/Care Coordinator | 4009 Clay Dr, Jonesboro, AR 72404-8543 | 2018-10-01 |
| 1710462759 | Kelly Seltzer | Case Manager/Care Coordinator | 320 Monterey Cir, Jonesboro, GA 30236-8242 | 2018-09-26 |
| 1891273546 | Charlotte Amos | Case Manager/Care Coordinator | 248 Collin Rd, Jonesboro, LA 71251 | 2018-08-04 |
| 1407376486 | Angelijica Ivey | Case Manager/Care Coordinator | 8322 Marlborough Dr, Jonesboro, GA 30238-2943 | 2017-06-21 |
| 1275071607 | Coral Nicole Burke | Case Manager/Care Coordinator | 1806 Kathleen St, Apt. B, Jonesboro, AR 72401-9104 | 2017-02-06 |
| 1356889794 | Juan Sheppard | Case Manager/Care Coordinator | 3309 Kingsbury St, Jonesboro, AR 72401-5412 | 2017-02-06 |
| Find all providers in JONESBORO | ||||
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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.