NICOLE SKIDMORE (NPI# 1164687687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164687687 |
| Entity Type | Individual |
| Full Name | NICOLE SKIDMORE |
| Credential | MHPP |
| Practice Address |
#4 E. Cherokee Village Mall Cherokee Village AR 72529 |
| Mailing Address |
Po Box 176 Cherokee Village AR 72525-0176 |
| Practice Telephone | 8702573336 |
| Practice Fax Number | 8702573339 |
| Mailing Telephone | 8702573336 |
| Mailing Fax Number | 8702573339 |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |
| 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 |
|---|---|---|---|---|
| 1063557619 | Nicole D Skidmore | Home Health Aide | 4711 Walnut Rd, Buckeye Lake, OH 43008 | 2007-02-21 |
| 1134344070 | Nicole Marie Skidmore | Pharmacist | 3865 S 2300 E, Salt Lake City, UT 84109-3422 | 2007-04-16 |
| Street Address |
#4 E. CHEROKEE VILLAGE MALL |
| City | CHEROKEE VILLAGE |
| State | AR |
| Zip Code | 72529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861032963 | David Gregory | Physical Therapy Assistant | Therapy Works, Inc., 31 Choctaw Center, Cherokee Village, AR 72529 | 2020-01-07 |
| 1578970315 | Jennifer Lindsey Jones | Specialist/Technologist | 1 Hictochee Trace, Cherokee Village, AR 72529 | 2014-07-14 |
| 1619301512 | Cindy Cox | Case Manager/Care Coordinator | 4 E Village Mall, Cherokee Village, AR 72529 | 2013-08-27 |
| 1659616498 | Shannon M Harris | Case Manager/Care Coordinator | 4 East Village Mall, Cherokee Village, AR 72529 | 2012-12-05 |
| 1295030815 | Urban Medical Clinic | General Practice | 1 West Cherokee Village Mall #12, Cherokee Village, AR 72529 | 2011-01-12 |
| 1225331333 | Shyronn Dee Crider | Case Manager/Care Coordinator | 4 E. Cherokee Village Mall, Cherokee Village, AR 72529 | 2010-12-10 |
| 1588894299 | Samantha Sandridge | Case Manager/Care Coordinator | 4 Cherokee Village Mall, E, Cherokee Village, AR 72529 | 2009-07-16 |
| 1295977726 | Andrea Michelle Goodwin | Counselor | 4 E. Village Mall, Cherokee Village, AR 72529 | 2009-03-30 |
| 1245484617 | David Brittingham | Case Manager/Care Coordinator | 4 E Cherokee Village Mall, Cherokee Village, AR 72529 | 2008-11-11 |
| 1629255120 | Robin Stuntz-christian | Counselor | #4 Cherokee Village Mall, Cherokee Village, AR 72529 | 2008-01-28 |
| Find all providers in zip 72529 | ||||
| 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 |
|---|---|---|---|---|
| 1619301512 | Cindy Cox | Case Manager/Care Coordinator | 4 E Village Mall, Cherokee Village, AR 72529 | 2013-08-27 |
| 1659616498 | Shannon M Harris | Case Manager/Care Coordinator | 4 East Village Mall, Cherokee Village, AR 72529 | 2012-12-05 |
| 1225331333 | Shyronn Dee Crider | Case Manager/Care Coordinator | 4 E. Cherokee Village Mall, Cherokee Village, AR 72529 | 2010-12-10 |
| 1588894299 | Samantha Sandridge | Case Manager/Care Coordinator | 4 Cherokee Village Mall, E, Cherokee Village, AR 72529 | 2009-07-16 |
| 1245484617 | David Brittingham | Case Manager/Care Coordinator | 4 E Cherokee Village Mall, Cherokee Village, AR 72529 | 2008-11-11 |
| 1689144545 | Tobi Nipp | Case Manager/Care Coordinator | 4 East Cherokee Village Mall, Cherokee Village, AR 72529 | 2018-12-04 |
| 1326518283 | Rosemary Catherine Murdie | Case Manager/Care Coordinator | 4 East Cherokee Village Mall, Cherokee Village, AR 72529 | 2018-12-04 |
| 1912419409 | Mary A. Lee | Case Manager/Care Coordinator | 4 East Cherokee Village Mall, Cherokee Village, AR 72529 | 2017-10-25 |
| 1790211126 | Rachel Jones | Case Manager/Care Coordinator | 4 East Cherokee Village Mall, Cherokee Village, AR 72529 | 2017-05-04 |
| 1639616964 | Dawn Boddie | Case Manager/Care Coordinator | 4 East Cherokee Village Mall, Cherokee Village, AR 72529 | 2017-01-25 |
| Find all providers in CHEROKEE VILLAGE | ||||
| City | CHEROKEE VILLAGE |
| Zip Code | 72529 |
Please comment or provide details below to improve the information on NICOLE SKIDMORE.
| 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.