BOBBY BONNER JR. (NPI# 1336590058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336590058 |
| Entity Type | Individual |
| Full Name | BOBBY BONNER JR. |
| Practice Address |
1697putnum Drive Clarksville TN 37042 |
| Mailing Address |
731 Cheatham St. Springfield TN 37172 |
| Practice Telephone | 3154895545 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | TN | Other Service Providers |
| Street Address |
1697PUTNUM DRIVE |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275186603 | Elizabeth Louise Eckart | Physical Therapist | 305 Rue Le Mans Dr., Clarksville, TN 37042 | 2019-07-24 |
| 1740844802 | Lana Sperry | Speech-Language Pathologist | 1255 Northfield Drive, Clarksville, TN 37042 | 2019-04-24 |
| 1497263941 | Cumberland Surgical Arts and Associates, Pllc | Oral & Maxillofacial Surgery | 1275 Parkway Place, Clarksville, TN 37042 | 2018-01-18 |
| 1184078040 | Sheena Williams | Counselor | 901 Martin St., Clarksville, TN 37042 | 2016-04-18 |
| 1568847069 | Sara Hyun Seung Oh | Dentist | 1692 Fort Campbell Blvd, Clarksville, TN 37042 | 2015-07-25 |
| 1346621323 | Rocky Mountain Holdings, LLC | Ambulance | 248 Outlaw Field Rd, Clarksville, TN 37042 | 2015-06-15 |
| 1528448974 | Tennessee State Veterans Home Board | Skilled Nursing Facility | 250 Arrowood Drive, Clarksville, TN 37042 | 2015-06-01 |
| 1851709331 | Brent Michael Hazlewood | Dentist | 466 Tiny Town Rd, Ste A, Clarksville, TN 37042 | 2014-07-28 |
| 1619304318 | Regina G Goldwire | Nurse Practitioner | 351 Dover Road, North Clarksville Medical Center, Clarksville, TN 37042 | 2013-09-26 |
| 1528494432 | Jeffrey Trembley | Dentist | 1502 Tiny Town Rd, Suite A, Clarksville, TN 37042 | 2013-09-24 |
| Find all providers in zip 37042 | ||||
| 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 |
|---|---|---|---|---|
| 1629626197 | Diana Ocampo Esparza | Case Manager/Care Coordinator | 709 N. Brown Street, Clarksville, AR 72830-7283 | 2019-08-28 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1669995619 | Karla D Snow | Case Manager/Care Coordinator | 718 Brown Street, Clarksville, AR 72830 | 2017-07-21 |
| 1104246966 | Kelsey Self | Case Manager/Care Coordinator | 1543 County Road 3350, Clarksville, AR 72830-8162 | 2014-04-21 |
| 1457661365 | Darrell Paul Noble | Case Manager/Care Coordinator | 201 Uffelmans, Ste F, Clarksville, TN 37043 | 2010-10-13 |
| 1265742126 | Amy Jean Guilliams | Case Manager/Care Coordinator | 201 Uffleman Dr., Suite F, Clarksville, TN 37043-2975 | 2010-10-13 |
| 1689983058 | Michelle Nathalie Strachan | Case Manager/Care Coordinator | 201 Uffelman Drive, Suite F, Clarksville, TN 37043 | 2010-10-01 |
| 1386964393 | Amy Marie Anderson Fryer | Case Manager/Care Coordinator | 201 Uffelman Dr., Suite F, Clarksville, TN 37204 | 2010-06-02 |
| 1518111566 | Melisa Leann Traylor | Case Manager/Care Coordinator | 522 Mill Road, Clarksville, AR 72830 | 2008-11-04 |
| 1275725046 | Kimberly Ann Sweck | Case Manager/Care Coordinator | 511 Eighth Street, Clarksville, TN 37040 | 2007-08-15 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37042 |
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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.