JESSICA G RUSSOM


Address: 1910 Rector Rd, Paragould, AR 72450-2004
Phone: 8702408500

JESSICA G RUSSOM (NPI# 1154815744) 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) 1154815744
Entity Type Individual
Full Name JESSICA G RUSSOM
Practice Address 1910 Rector Rd
Paragould
AR 72450-2004
Mailing Address 3012 Turman Dr
Jonesboro
AR 72404-8998
Practice Telephone 8702408500
Mailing Telephone 8708190200
Enumeration Date 2018-06-18
Last Update Date 2018-06-18
Gender Code F
Is Sole Proprietor N

Taxonomy

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

Office Location

Street Address 1910 RECTOR RD
City PARAGOULD
State AR
Zip Code 72450-2004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174678106 Kelly Lynn Kasserman Physical Therapist 1910 Rector Rd, Paragould, AR 72450-2004 2007-01-23
1750849006 Miracle Kids Success Academy of Paragould Clinic/Center 1910 Rector Rd, Paragould, AR 72450-2004 2019-03-06
1316405665 Miracle Kids Success Academy of Paragould Occupational Therapist 1910 Rector Rd, Paragould, AR 72450-2004 2019-03-06
1093291551 Tiffany L Kirby Registered Nurse 1910 Rector Rd, Paragould, AR 72450-2004 2018-07-17
1629562186 Shaclara C Weaver Case Manager/Care Coordinator 1910 Rector Rd, Paragould, AR 72450-2004 2018-06-19
1851880884 Jeia R Cowell Case Manager/Care Coordinator 1910 Rector Rd, Paragould, AR 72450-2004 2018-05-04
1033607627 Sarah E Small Case Manager/Care Coordinator 1910 Rector Rd, Paragould, AR 72450-2004 2018-04-29
1669975538 Brook A Zepecki Case Manager/Care Coordinator 1910 Rector Rd, Paragould, AR 72450-2004 2018-03-16
1639681810 Holley A Estes Case Manager/Care Coordinator 1910 Rector Rd, Paragould, AR 72450-2004 2017-10-28
1760908834 Crystal L Andrew Physical Therapist 1910 Rector Rd, Paragould, AR 72450-2004 2017-08-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063029460 Onward and Upward Counseling, Pllc Counselor 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 2020-09-29
1871104182 Michele Lynn Jones Technician 2905 Stonegate Dr, Paragould, AR 72450 2020-08-11
1205457405 Arkansas Methodist Hospital Corp. Family Medicine 1000 W. Kinshighway, Suite 14, Paragould, AR 72450 2020-04-29
1053968222 Stewart Pediatric Therapy LLC Occupational Therapist 1908 Mockingbird Lane, Suite A, Paragould, AR 72450 2019-08-22
1821575911 Ashley Brooke Mcleskey Physical Therapy Assistant 9504 Hwy 135 N, Paragould, AR 72450 2018-07-23
1437660925 Susan Leigh Boling Behavioral Analyst 3171 Green 905 Road, Paragould, AR 72450 2017-10-24
1518481589 Amy Elms Nurse Practitioner 1000 W Kingshighway Ste 3, Paragould, AR 72450 2017-08-01
1073065074 Sarah Katherine Medley Case Manager/Care Coordinator 1101 West Morgan, Paragould, AR 72450 2016-10-26
1285097949 Chelsea Lee Thompson Family Medicine 1110 W. Kingshighway, Paragould, AR 72450 2016-03-31
1609234269 Bethel Burris Oliver Dentist 2713 W Kings Highway, Paragould, AR 72450 2016-02-10
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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
1073065074 Sarah Katherine Medley Case Manager/Care Coordinator 1101 West Morgan, Paragould, AR 72450 2016-10-26
1730596974 Andrew Withrow Case Manager/Care Coordinator 45 Ashcraft Ct, Paragould, AR 72450-7592 2014-07-21
1255755146 Timothy Cavaness Case Manager/Care Coordinator 100 N Rockingchair Rd Ste 2, Paragould, AR 72450-2475 2014-02-12
1710308473 Tonia Scales I Case Manager/Care Coordinator 100 Nth Rockingchair Rd, Paragould, AR 72450 2013-12-26
1811326408 Brandi Mcfadden Case Manager/Care Coordinator 3404 Club View Dr, Paragould, AR 72450-8611 2013-11-05
1215293766 Amalie Fields Case Manager/Care Coordinator 1101 West Morgan Street, Paragould, AR 72450 2012-04-10
1609164896 Alicia Gardner Case Manager/Care Coordinator 211 N. 23rd Street, Suite 6, Paragould, AR 72450 2011-07-21
1912299207 Whitney Leigh Siebert Case Manager/Care Coordinator 211 N 23rd Street #6 & #7, Paragould, AR 72450 2011-05-05
1700183332 Tyler Garmrath Case Manager/Care Coordinator 1101 W Morgan St, Suite 8, Paragould, AR 72450-3949 2011-02-17
1619103702 Matthew Matthew Jackson Case Manager/Care Coordinator 1101 West Morgan St, Suite 8, Paragould, AR 72450-3949 2009-06-03
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Competitor

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City PARAGOULD
Zip Code 72450

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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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