SULLIVAN REACH (NPI# 1265042634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265042634 |
| Entity Type | Individual |
| Full Name | SULLIVAN REACH |
| Practice Address |
105 Highway 9 Oxford AR 72565-7201 |
| Mailing Address |
Po Box 1589 Benton AR 72018-1589 |
| Practice Telephone | 5013153344 |
| Mailing Telephone | 5013153344 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |
| 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 |
105 HIGHWAY 9 |
| City | OXFORD |
| State | AR |
| Zip Code | 72565-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558545897 | Christopher Jackson | Counselor | 105 Highway 9, Oxford, AR 72565-0096 | 2007-12-21 |
| 1770181489 | Matthew Brewer | Case Manager/Care Coordinator | 105 Highway 9, Oxford, AR 72565 | 2020-10-14 |
| 1477172039 | Kathryn Fortner | Licensed Practical Nurse | 105 Highway 9, Oxford, AR 72565 | 2020-04-14 |
| 1427686443 | Arthur Crider | Case Manager/Care Coordinator | 105 Highway 9, Oxford, AR 72565-7201 | 2020-03-27 |
| 1770111791 | Sydney Elliff | Case Manager/Care Coordinator | 105 Highway 9, Oxford, AR 72565 | 2020-03-27 |
| 1649806100 | Rebekah Carter | Case Manager/Care Coordinator | 105 Highway 9, Oxford, AR 72565-7201 | 2020-03-17 |
| 1093341562 | David Lee Brantley | Case Manager/Care Coordinator | 105 Highway 9, Oxford, AR 72565 | 2020-03-17 |
| 1861031288 | Constance Young | Case Manager/Care Coordinator | 105 Highway 9, Oxford, AR 72565-0096 | 2020-01-02 |
| 1972142396 | Amanda Gillihan | Case Manager/Care Coordinator | 105 Highway 9, Oxford, AR 72565-7201 | 2020-01-02 |
| 1366081762 | Melissa Nelson | Case Manager/Care Coordinator | 105 Highway 9, Oxford, AR 72565 | 2020-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679818397 | Daniel Lee Miller | Case Manager/Care Coordinator | 105 Hwy 9 North, Oxford, AR 72565 | 2012-12-06 |
| 1629503651 | Angela Steer | Registered Nurse | 105 Hwy 9, Oxford, AR 72565 | 2017-04-27 |
| 1396278453 | Chandra Buchanan | Case Manager/Care Coordinator | 105 Hwy 9, Oxford, AR 72565 | 2017-04-06 |
| 1780127423 | Haley Mccandlis | Case Manager/Care Coordinator | 105 Hwy 9, Oxford, AR 72565 | 2016-11-29 |
| 1518409838 | Shelia Hill | Case Manager/Care Coordinator | 105 Hwy 9, Oxford, AR 72565 | 2016-11-17 |
| 1801338397 | Jennifer Haney | Case Manager/Care Coordinator | 105 Hwy 9, Oxford, AR 72565 | 2016-11-15 |
| 1699175547 | Michala Shrable | Case Manager/Care Coordinator | 105 Hwy 9, Oxford, AR 72565 | 2014-08-28 |
| 1982939997 | Lisa Estabrook | Case Manager/Care Coordinator | 105 Hwy 9, Oxford, AR 72565 | 2009-10-08 |
| 1578792750 | Davonda Lawrence | Case Manager/Care Coordinator | 105 Hwy 9, Oxford, AR 72565 | 2009-07-08 |
| 1962657361 | Debra A Vanhorn | Case Manager/Care Coordinator | 105 Hwy 9, Oxford, AR 72565 | 2008-11-26 |
| Find all providers in zip 72565 | ||||
| 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 |
|---|---|---|---|---|
| 1588262331 | Emmarose Malone Dwyer | Case Manager/Care Coordinator | 3843 Thomas Rd, Oxford, MI 48371-1556 | 2020-10-14 |
| 1366066763 | Deandra Christiansen | Case Manager/Care Coordinator | 384 Franklin Lake Cir, Oxford, MI 48371-6704 | 2020-06-01 |
| 1417420035 | Matthew Matteson | Case Manager/Care Coordinator | 105 Highway 9 N, Oxford, AR 72565-7256 | 2019-01-07 |
| 1174069983 | Christina Williams | Case Manager/Care Coordinator | 1985 Lakesview Dr, Oxford, MI 48371-4553 | 2017-01-17 |
| 1679818397 | Daniel Lee Miller | Case Manager/Care Coordinator | 105 Hwy 9 North, Oxford, AR 72565 | 2012-12-06 |
| 1295983120 | Miranda Kim Worthey | Case Manager/Care Coordinator | 108 N 1st St, Oxford, AR 72565-9038 | 2008-09-04 |
| 1083890446 | Alicia A Kelley | Case Manager/Care Coordinator | 108 N First St, Oxford, AR 72565-9038 | 2008-01-16 |
| 1174731020 | Renee Brown | Case Manager/Care Coordinator | 105 Hwy 9, Oxford, AR 72565-9749 | 2007-05-21 |
| 1770181489 | Matthew Brewer | Case Manager/Care Coordinator | 105 Highway 9, Oxford, AR 72565 | 2020-10-14 |
| 1487272894 | Jennifer Nicole Mae Lechnyr | Case Manager/Care Coordinator | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2020-07-13 |
| Find all providers in OXFORD | ||||
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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.