AMANDA CAMPBELL (NPI# 1508994633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508994633 |
| Entity Type | Individual |
| Full Name | AMANDA CAMPBELL |
| Credential | CASE MANAGER PARAPRO |
| Practice Address |
1701 Donaghey Conway AR 72032 |
| Practice Telephone | 4799675570 |
| Practice Fax Number | 4798905364 |
| Mailing Telephone | 4799675570 |
| Mailing Fax Number | 4798905364 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |
| 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 |
|---|---|---|---|---|
| 1023570801 | Amanda Campbell | Student in an Organized Health Care Education/Training Program | 764 Lobelia Dr, Davenport, FL 33837-9122 | 2019-04-02 |
| 1831504612 | Amanda Campbell | Dentist | 4090 North M.l.k. Blvd, North Las Vegas, NV 89032 | 2014-06-30 |
| 1831503184 | Amanda Beth Campbell | Nurse Practitioner | 2204 Pavilion Dr Ste 108, Kingsport, TN 37660-4651 | 2014-06-15 |
| 1518200278 | Amanda Campbell | Social Worker | 515 700 E Suite 2a, Salt Lake City, UT 84102 | 2013-04-01 |
| 1821303942 | Amanda Marie Campbell | Occupational Therapist | 400 Oak Ridge Ct, Lake Bluff, IL 60044-1346 | 2010-08-12 |
| 1023335429 | Amanda J Campbell | Marriage & Family Therapist | 205 S 4th St Ste D4, Manhattan, KS 66502-6168 | 2010-04-23 |
| 1346473949 | Amanda Hope Campbell | Physical Therapy Assistant | 102 Tuscany Ln, Greenwood, SC 29649-7949 | 2009-08-29 |
| 1154519122 | Amanda Jill Campbell | Counselor | 120 Camilla Ct, Suite D, Westfield, IN 46074-9863 | 2007-10-04 |
| 1184757882 | Amanda Lee Campbell | Physical Therapy Assistant | 3891 Charlestown Rd, New Albany, IN 47150-9562 | 2007-03-13 |
| 1215016613 | Amanda J Campbell | Chiropractor | 1101 Hutchings St, Goldthwaite, TX 76844-2425 | 2006-11-04 |
| Street Address |
1701 DONAGHEY |
| City | CONWAY |
| State | AR |
| Zip Code | 72032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669500757 | Jennifer Wyse | Case Manager/Care Coordinator | 1701 Donaghey, Conway, AR 72032 | 2007-03-01 |
| 1760514756 | Ashleigh Mahan | Case Manager/Care Coordinator | 1701 Donaghey, Conway, AR 72032 | 2007-03-12 |
| 1235268236 | Laura Armstrong | Case Manager/Care Coordinator | 1701 Donaghey, Conway, AR 72032 | 2007-03-05 |
| 1497883144 | Debra Bradley | Case Manager/Care Coordinator | 1701 Donaghey, Conway, AR 72032 | 2007-03-02 |
| 1184752701 | Kelle Ieleen Hackler | Case Manager/Care Coordinator | 1701 Donaghey, Conway, AR 72032 | 2007-03-02 |
| 1053449199 | Jenny Morse | Case Manager/Care Coordinator | 1701 Donaghey, Conway, AR 72032 | 2007-03-01 |
| 1427186543 | Misty Funderburg | Case Manager/Care Coordinator | 1701 Donaghey, Conway, AR 72032 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| 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 |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1720516289 | Wendy A Magbanua | Case Manager/Care Coordinator | 317 Lower Ridge Rd, Conway, AR 72035-0001 | 2017-05-30 |
| 1538609417 | Eric Dillinger | Case Manager/Care Coordinator | 61 Winding Branch Ln, Conway, AR 72032-8701 | 2017-02-27 |
| 1023487097 | Comeatrieze Vantelia Ester | Case Manager/Care Coordinator | 816 N. Creek Dr., Conway, AR 72032 | 2015-09-21 |
| 1275938615 | Ian Evans | Case Manager/Care Coordinator | 818 N. Creek Dr., Conway, AR 72032 | 2014-10-28 |
| 1982007977 | Tina Boone | Case Manager/Care Coordinator | 816 N. Creek Dr, Conway, AR 72032 | 2014-10-03 |
| 1154738110 | Brittney Morgan Wood | Case Manager/Care Coordinator | 2175 B Rosemary Drive, Conway, AR 72034 | 2014-07-22 |
| 1063779437 | Sara Coleta Garland | Case Manager/Care Coordinator | 1100 Bob Courtway Dr # Dre, Suite 9, Conway, AR 72032-4766 | 2012-04-23 |
| 1427363209 | Careteam Plus, Inc. | Case Manager/Care Coordinator | 100 Professional Park Drive, Conway, SC 29526-9260 | 2010-08-17 |
| Find all providers in CONWAY | ||||
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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.