TIFFANY MAHON (NPI# 1174121222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174121222 |
| Entity Type | Individual |
| Full Name | TIFFANY MAHON |
| Practice Address |
210 N Shamrock Blvd Russellville AR 72802-9658 |
| Mailing Address |
Po Box 1589 Benton AR 72018-1589 |
| Practice Telephone | 5013153344 |
| Mailing Telephone | 5013153344 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| 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 |
210 N SHAMROCK BLVD |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72802-9658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083882906 | Frances Murdock | Counselor | 210 N Shamrock Blvd, Russellville, AR 72802-9658 | 2008-02-13 |
| 1235738766 | Jordan Forrest | Case Manager/Care Coordinator | 210 N Shamrock Blvd, Russellville, AR 72802-9658 | 2020-10-26 |
| 1588296073 | Zachary Glass | Case Manager/Care Coordinator | 210 N Shamrock Blvd, Russellville, AR 72802-9658 | 2020-02-12 |
| 1801428396 | Arely Cervantes | Case Manager/Care Coordinator | 210 N Shamrock Blvd, Russellville, AR 72802-9658 | 2020-02-12 |
| 1386287555 | Regina James | Case Manager/Care Coordinator | 210 N Shamrock Blvd, Russellville, AR 72802-9658 | 2019-10-21 |
| 1003459272 | Nathaniel Dow | Case Manager/Care Coordinator | 210 N Shamrock Blvd, Russellville, AR 72802-9658 | 2019-10-21 |
| 1134761232 | Jodi Simmons | Case Manager/Care Coordinator | 210 N Shamrock Blvd, Russellville, AR 72802-9658 | 2019-10-10 |
| 1023570611 | Marty Bender | Case Manager/Care Coordinator | 210 N Shamrock Blvd, Russellville, AR 72802-9658 | 2019-04-02 |
| 1487111746 | Megan Sperow | Case Manager/Care Coordinator | 210 N Shamrock Blvd, Russellville, AR 72802-9658 | 2019-02-22 |
| 1346713567 | Leslie Lawhorn | Case Manager/Care Coordinator | 210 N Shamrock Blvd, Russellville, AR 72802-9658 | 2019-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316587850 | Friends of Freedom House Inc. | Counselor | 404 Lake Front Drive, Russellville, AR 72802 | 2020-01-13 |
| 1922527027 | Sarah Huey | Counselor | 1505 S. Oswego Ave., Russellville, AR 72802 | 2017-09-11 |
| 1437555315 | Laura Easter | Case Manager/Care Coordinator | 1505 S, Oswego Ave., Russellville, AR 72802 | 2014-11-05 |
| 1982005252 | Yariela Borras | Case Manager/Care Coordinator | 1415 S. Oswego Avenue, Russellville, AR 72802 | 2014-09-05 |
| 1477953818 | Kelly Sutton | Case Manager/Care Coordinator | 1505 S. Oswego Avenue, Russellville, AR 72802 | 2014-09-03 |
| 1891080909 | Tera Dacus | Counselor | 1505 S. Oswego Ave, Russellville, AR 72802 | 2011-06-16 |
| 1992034763 | Central Arkansas Surgical Center, LLC | Clinic/Center | 151 East Aspen Ln, Russellville, AR 72802 | 2009-12-08 |
| 1134302854 | Twin Rivers Respiratory Care, Inc | Durable Medical Equipment & Medical Supplies | 1400 S Knoxville Ave, Russellville, AR 72802 | 2007-12-17 |
| 1003945007 | Phyllis Wells | Case Manager/Care Coordinator | 1400 East 16th St, Russellville, AR 72802 | 2007-03-05 |
| 1609902295 | Debi C Day Damron Burns | Case Manager/Care Coordinator | 1402 East 16th St, Russellville, AR 72802 | 2007-02-26 |
| Find all providers in zip 72802 | ||||
| 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 |
|---|---|---|---|---|
| 1932623980 | Leronda Garrison | Case Manager/Care Coordinator | 1505 S Oswego Avenue, Russellville, AR 72820 | 2017-08-01 |
| 1437555315 | Laura Easter | Case Manager/Care Coordinator | 1505 S, Oswego Ave., Russellville, AR 72802 | 2014-11-05 |
| 1982005252 | Yariela Borras | Case Manager/Care Coordinator | 1415 S. Oswego Avenue, Russellville, AR 72802 | 2014-09-05 |
| 1477953818 | Kelly Sutton | Case Manager/Care Coordinator | 1505 S. Oswego Avenue, Russellville, AR 72802 | 2014-09-03 |
| 1720491095 | Kaitlin Spry | Case Manager/Care Coordinator | 1401 Parker Rd, Apt. 54, Russellville, AR 72801-3180 | 2014-06-04 |
| 1104236660 | Allison Caldwell | Case Manager/Care Coordinator | 520 E 16th St Apt A, Russellville, AR 72801-6936 | 2014-05-05 |
| 1477963569 | Heather Rash | Case Manager/Care Coordinator | 1009 N Greenwich Ave, Russellville, AR 72801-3134 | 2014-04-29 |
| 1376960757 | Meagan Votteler | Case Manager/Care Coordinator | 195 Bregar Pl, Russellville, AR 72802-1649 | 2014-03-24 |
| 1528498151 | Kari Green | Case Manager/Care Coordinator | 1310 W Main St Ste 100, Russellville, AR 72801-2803 | 2013-11-18 |
| 1821434101 | Carolyn Courim | Case Manager/Care Coordinator | 1402 E 16th St, Russellville, AR 72802-2648 | 2013-05-14 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 72802 |
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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.