SHALETTA WILLIAMSON (NPI# 1154558187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154558187 |
| Entity Type | Individual |
| Full Name | SHALETTA WILLIAMSON |
| Practice Address |
10600 Train Station Dr Mabelvale AR 72103-1644 |
| Mailing Address |
829 Halbert St Malvern AR 72104-2607 |
| Practice Telephone | 5017538400 |
| Practice Fax Number | 5017538401 |
| Mailing Telephone | 5013324400 |
| Mailing Fax Number | 5013324403 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2019-03-06 |
| 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 |
10600 TRAIN STATION DR |
| City | MABELVALE |
| State | AR |
| Zip Code | 72103-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811147879 | Leona M Colson | Speech-Language Pathologist | 10600 Train Station Dr, Mabelvale, AR 72103-1644 | 2008-09-26 |
| 1760095632 | Faranda Marshall | Case Manager/Care Coordinator | 10600 Train Station Dr, Mabelvale, AR 72103-1644 | 2020-08-28 |
| 1356900146 | Kizmet Johnson | Social Worker | 10600 Train Station Dr, Mabelvale, AR 72103-1644 | 2019-06-06 |
| 1881253664 | Shayla Evans | Social Worker | 10600 Train Station Dr, Mabelvale, AR 72103-1644 | 2019-06-06 |
| 1659738607 | Johndrea Tatum | Case Manager/Care Coordinator | 10600 Train Station Dr, Mabelvale, AR 72103-1644 | 2016-01-21 |
| 1932475993 | Casey Carter | Counselor | 10600 Train Station Dr, Mabelvale, AR 72103-1644 | 2012-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053667022 | American Care Foundation | Registered Nurse | 8116 Depriest Rd, Suite 100, Mabelvale, AR 72103 | 2012-07-27 |
| 1831385442 | Thomas Sean Stroud | Home Health Aide | 2480 Mcpherson Springs Rd, Mabelvale, AR 72103 | 2007-09-18 |
| 1255582748 | Jenifer Williamson | Counselor | 10600 Train Station Dr Ste C, Mabelvale, AR 72103-1644 | 2008-10-02 |
| 1801074877 | Wrinkle Respiratory and Dme Inc. | Durable Medical Equipment & Medical Supplies | 1 Otter Creek Cir, Ste. D, Mabelvale, AR 72103-1657 | 2008-02-01 |
| 1689729113 | A-plus Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 10711 Otter Creek East Blvd, Mabelvale, AR 72103-1670 | 2007-01-24 |
| 1104470905 | Amber Nicole Fleming | Speech-Language Pathologist | 9401 Mabelvale Cut Off Rd, Mabelvale, AR 72103-1702 | 2019-07-30 |
| 1154964872 | Carol Sue Heavin | Counselor | 10500 Woodman St, Mabelvale, AR 72103-1789 | 2019-10-25 |
| 1437382322 | Kings's Kids Learning Center, LLC | Health Maintenance Organization | 10610 Chicot Rd, Mabelvale, AR 72103-2200 | 2009-08-26 |
| 1821554858 | Julianna Nix | Speech-Language Pathologist | 11100 Chicot Rd, Mabelvale, AR 72103-2236 | 2019-02-14 |
| 1386154185 | Alicia Atchley | Specialist/Technologist | 8711 Taliaferro Dr, Mabelvale, AR 72103-2326 | 2017-10-05 |
| Find all providers in zip 72103 | ||||
| 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 |
|---|---|---|---|---|
| 1760095632 | Faranda Marshall | Case Manager/Care Coordinator | 10600 Train Station Dr, Mabelvale, AR 72103-1644 | 2020-08-28 |
| 1659738607 | Johndrea Tatum | Case Manager/Care Coordinator | 10600 Train Station Dr, Mabelvale, AR 72103-1644 | 2016-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256014 | Jessica Marie Hazelip | Case Manager/Care Coordinator | 2126 N 1st St, Jacksonville, AR 72076-2870 | 2020-08-24 |
| 1619587383 | First Choice Care Management Consulting LLC | Case Manager/Care Coordinator | 155 Leatherwood Loop, Hot Springs, AR 71901-9580 | 2020-08-06 |
| 1649889775 | Haley Kathryn Mehan | Case Manager/Care Coordinator | 109 2nd Ave Sw Apt A, Gravette, AR 72736-6009 | 2020-07-24 |
| 1114535838 | Amber Michelle Cansler | Case Manager/Care Coordinator | 637 Ar-8, Amity, AR 71921 | 2020-07-20 |
| 1649807595 | Vickie Carter | Case Manager/Care Coordinator | 1704 Highway 49 West, Trumann, AR 72472-2029 | 2020-03-23 |
| 1619501087 | 1 Source Senior Care | Case Manager/Care Coordinator | 1820 Shelby Ln, Fayetteville, AR 72704-5255 | 2020-02-25 |
| 1194356964 | Yanira Harper | Case Manager/Care Coordinator | 204 Martha Ln Apt B, Gurdon, AR 71743-2210 | 2020-01-30 |
| 1326679473 | Megan Thomas | Case Manager/Care Coordinator | 3715 N Business Dr Ste 201, Fayetteville, AR 72703-5288 | 2020-01-28 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHALETTA WILLIAMSON.
| 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.