FREDRICKA TABOR (NPI# 1114540051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114540051 |
| Entity Type | Individual |
| Full Name | FREDRICKA TABOR |
| Credential | QBHP |
| Practice Address |
2199 Harrison St Batesville AR 72501-7416 |
| Practice Telephone | 8707936774 |
| Practice Fax Number | 8707931997 |
| Mailing Telephone | 8707936774 |
| Mailing Fax Number | 8707931997 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |
| 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 |
| Street Address |
2199 HARRISON ST |
| City | BATESVILLE |
| State | AR |
| Zip Code | 72501-7416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295800720 | Melanie Hooper | Counselor | 2199 Harrison St, Batesville, AR 72501-7416 | 2006-11-21 |
| 1750997045 | Samantha Brown | Social Worker | 2199 Harrison St, Batesville, AR 72501-7416 | 2020-09-22 |
| 1053922070 | Lisa Mohlke | Social Worker | 2199 Harrison St, Batesville, AR 72501-7416 | 2020-08-13 |
| 1124641063 | Ashley Crafton | Case Manager/Care Coordinator | 2199 Harrison St, Batesville, AR 72501-7416 | 2020-05-27 |
| 1215595699 | Abby Mcneil | Case Manager/Care Coordinator | 2199 Harrison St, Batesville, AR 72501-7416 | 2019-05-31 |
| 1407411499 | Evelyn Munoz Carrillo | Case Manager/Care Coordinator | 2199 Harrison St, Batesville, AR 72501-7416 | 2019-05-06 |
| 1114495918 | Hayley Sederberg | Case Manager/Care Coordinator | 2199 Harrison St, Batesville, AR 72501-7416 | 2018-11-09 |
| 1689153942 | Ashdon Wilson | Case Manager/Care Coordinator | 2199 Harrison St, Batesville, AR 72501-7416 | 2018-08-08 |
| 1164916466 | Cassidy Kubli | Social Worker | 2199 Harrison St, Batesville, AR 72501-7416 | 2018-06-20 |
| 1780138032 | April Fitch | Case Manager/Care Coordinator | 2199 Harrison St, Batesville, AR 72501-7416 | 2016-08-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
| 1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
| 1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
| 1437655040 | Bradely Stout | Social Worker | 1650 White Drive, Batesville, AR 72501 | 2018-04-03 |
| 1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
| 1912457854 | Melanie Ashleigh Brashers | Occupational Therapy Assistant | 1925 White Drive, Batesville, AR 72501 | 2016-10-04 |
| 1588112346 | Chelli Pollet | Developmental Therapist | 1000 White Dr, Batesville, AR 72501 | 2016-09-21 |
| 1184170482 | Taylor Mynatt | Speech-Language Pathologist | 1000 White Drive, Batesville, AR 72501 | 2016-08-28 |
| 1346626165 | Edward Shaw | Pharmacist | 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 | 2015-08-04 |
| 1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
| Find all providers in zip 72501 | ||||
| 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 |
|---|---|---|---|---|
| 1063826360 | Ashley Baker | Case Manager/Care Coordinator | 35 Wrcc Ln, Batesville, AR 72501-7802 | 2014-06-13 |
| 1720401037 | Kelly Elizabeth Pierson | Case Manager/Care Coordinator | 697 28th St, Batesville, AR 72501-6209 | 2014-01-23 |
| 1013296540 | Deborah Ann. Cuevas | Case Manager/Care Coordinator | 70 Batesville Blvd, Suite C, Batesville, AR 72501-8970 | 2011-08-15 |
| 1295014728 | Amy Claire Hodges | Case Manager/Care Coordinator | 70 Batesville Blvd Ste 201, Batesville, AR 72501-8970 | 2011-08-15 |
| 1568757664 | Whitney Dianne Childress | Case Manager/Care Coordinator | 400 Harrison St Rm 107, Batesville, AR 72501-6906 | 2011-06-16 |
| 1659676468 | Ella Rudd | Case Manager/Care Coordinator | 1355 East Main St., 25 Gap Rd., Batesville, AR 72501-2314 | 2011-01-26 |
| 1992005037 | Justin William Smith | Case Manager/Care Coordinator | 1355 E. Main, Batesville, AR 72501 | 2010-10-22 |
| 1003952540 | Pamela Stanley | Case Manager/Care Coordinator | 1355 E Main St, Batesville, AR 72501-3159 | 2007-01-30 |
| 1124641063 | Ashley Crafton | Case Manager/Care Coordinator | 2199 Harrison St, Batesville, AR 72501-7416 | 2020-05-27 |
| 1215595699 | Abby Mcneil | Case Manager/Care Coordinator | 2199 Harrison St, Batesville, AR 72501-7416 | 2019-05-31 |
| Find all providers in BATESVILLE | ||||
| City | BATESVILLE |
| Zip Code | 72501 |
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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.