JASON OTIS MOORE (NPI# 1154705382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154705382 |
| Entity Type | Individual |
| Full Name | JASON OTIS MOORE |
| Practice Address |
500 W. Ave E St. Hope AR 71801 |
| Mailing Address |
2607 Caddo St. - Ste. 6 Arkadelphia AR 71923-5307 |
| Practice Telephone | 8707730700 |
| Practice Fax Number | 8707730705 |
| Mailing Telephone | 8702308217 |
| Mailing Fax Number | 8702308201 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2019-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | AR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 226648795 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266011 | Jason Wade Moore | Peer Specialist | 5 West Pearce Boulevard, Wentzville, MO 63385 | 2020-08-17 |
| 1629532734 | Jason Dewitt Moore | Chiropractor | 2204 2nd Ave W Ste 102, Williston, ND 58801-3485 | 2019-01-23 |
| 1134602204 | Jason Moore | Community Health Worker | 431 William St, Buffalo, NY 14204-1819 | 2018-09-13 |
| 1215436852 | Jason T Moore | Hearing Instrument Specialist | 1525 Port Clinton Rd Ste D, Fremont, OH 43420-1234 | 2018-02-09 |
| 1235641622 | Jason Moore | Private Vehicle | 5526 Bandera Springs Cir, Riverview, FL 33578-3686 | 2017-10-25 |
| 1588191258 | Jason Moore | Specialist | 522 Ne Thompson St, Portland, OR 97212-3843 | 2017-05-12 |
| 1346772662 | Jason Moore | Home Health Aide | 209a Rocky Run Rd, Fredericksburg, VA 22406-5413 | 2017-03-28 |
| 1497020721 | Jason L Moore | Massage Therapist | 1920 Springville Rd, Wooster, OH 44691-9729 | 2012-03-20 |
| 1093923864 | Jason Ellis Moore | Occupational Therapist | 35 Edmar Ave, Marietta, OH 45750-7603 | 2007-05-17 |
| 1790826675 | Jason Wayne Moore | Physical Therapist | 2021 Columbus Ave, Washington Court House, OH 43160-9094 | 2007-02-12 |
| Street Address |
500 W. AVE E ST. |
| City | HOPE |
| State | AR |
| Zip Code | 71801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528524956 | Yasmin Morgan Lpc | Counselor | 1806 N. Spruce St, Hope, AR 71801 | 2019-02-11 |
| 1205318169 | Dewayne Bonner | Case Manager/Care Coordinator | 1401 S. Main St, Hope, AR 71801 | 2018-09-06 |
| 1194207118 | Cassie Gonzales | Case Manager/Care Coordinator | 1401 S. Main Street, Hope, AR 71801 | 2018-09-06 |
| 1912457136 | Stacy Davis | Occupational Therapist | 510 Hempstead 173w, Hope, AR 71801 | 2016-10-12 |
| 1114386976 | Elizabeth Kay Henley | Specialist | 5180 Hemstead 3, Hope, AR 71801 | 2016-02-22 |
| 1053783894 | Kourtney Smith | Pharmacist | 1004 Commerce Blvd, Hope, AR 71801 | 2015-10-20 |
| 1700284163 | Cox Family Practice | Preferred Provider Organization | 2015 Main Street, Hope, AR 71801 | 2014-12-16 |
| 1932512068 | Gregory Alan Davis | Counselor | 802 E 3rd St, Hope, AR 71801 | 2014-06-05 |
| 1821420688 | Callie Brooke Gilbey | Speech-Language Pathologist | 249 Hempstead 243, Hope, AR 71801 | 2013-08-05 |
| 1205056595 | The Clinic for Children, Youth and Young Adults | Pediatrics | 820 Main St S, Hope, AR 71801 | 2007-04-27 |
| Find all providers in zip 71801 | ||||
| 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 |
|---|---|---|---|---|
| 1770115164 | John Daivd Rittenburg | Case Manager/Care Coordinator | 1359 Cassaday Dr, Hope, MI 48628-9765 | 2020-02-04 |
| 1205318169 | Dewayne Bonner | Case Manager/Care Coordinator | 1401 S. Main St, Hope, AR 71801 | 2018-09-06 |
| 1194207118 | Cassie Gonzales | Case Manager/Care Coordinator | 1401 S. Main Street, Hope, AR 71801 | 2018-09-06 |
| 1336410224 | Yvonne Marie Nelson | Case Manager/Care Coordinator | 707 Greenwood, Hope, AR 71801-9666 | 2012-01-24 |
| 1861525198 | Christina Ann Regan | Case Manager/Care Coordinator | 707 E Greensboro, Hope, AR 71801 | 2007-03-14 |
| 1437791423 | Tennelle O Thomas | Case Manager/Care Coordinator | 707 E Greenwood St, Hope, AR 71801-9666 | 2019-10-11 |
| 1164064150 | Nathan J Lafrenz | Case Manager/Care Coordinator | 707 E Greenwood St, Hope, AR 71801-9666 | 2019-10-11 |
| 1750935540 | Vanessa Lashell Satterfield | Case Manager/Care Coordinator | 707 E Greenwood St, Hope, AR 71801-9666 | 2019-07-30 |
| 1194283036 | Gabriel Javon Hickman | Case Manager/Care Coordinator | 707 E Greenwood St, Hope, AR 71801-9666 | 2019-03-11 |
| 1013492768 | Willie Terence Harris | Case Manager/Care Coordinator | 300 E 20th St, Hope, AR 71801-8217 | 2018-09-28 |
| Find all providers in HOPE | ||||
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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.