MR. JEREMY OREN WILSON (NPI# 1619124096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619124096 |
| Entity Type | Individual |
| Full Name | MR. JEREMY OREN WILSON |
| Credential | MHPP |
| Practice Address |
700 S. Main Mountain Home AR 72653-4445 |
| Mailing Address |
1815 Pleasant Grove Rd Jonesboro AR 72401-7870 |
| Practice Telephone | 8704251041 |
| Practice Fax Number | 8704251049 |
| Mailing Telephone | 8709336886 |
| Mailing Fax Number | 8709339395 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2016-12-08 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1962929216 | Jeremy Wilson | Physical Therapist | 10 Silver View Ct, Morgantown, WV 26505-3932 | 2017-08-28 |
| 1821357716 | Jeremy Wilson | Behavioral Analyst | 1673 Donlon St Ste 204, Ventura, CA 93003-5668 | 2012-05-11 |
| 1154933364 | Jeremy Gordon Wilson | Behavior Technician | 900 Branchview Dr Ne, Concord, NC 28025-2213 | 2020-08-19 |
| 1609347699 | Jeremy Wilson | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-12-17 |
| 1245747757 | Jeremy Shane Wilson | Social Worker | 5400 Edalbert Dr, Cincinnati, OH 45239-7604 | 2018-01-05 |
| 1053863027 | Jeremy Wilson | Massage Therapist | 2701 Northwest Ave, Bellingham, WA 98225-2300 | 2016-10-26 |
| 1295289593 | Jeremy Daniel Wilson | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72401-7870 | 2016-08-04 |
| 1447703277 | Jeremy Wilson | Chiropractor | 3710 I 55 N, Jackson, MS 39211-6323 | 2016-07-28 |
| 1902275142 | Jeremy L Wilson | Registered Nurse | 888 Swift Blvd, Richland, WA 99352-3514 | 2015-09-17 |
| 1801106158 | Jeremy R Wilson | Chiropractor | 3223a N Pleasantburg Dr, Greenville, SC 29609-2900 | 2010-10-19 |
| Street Address |
700 S. MAIN |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-4445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104247469 | Richard R. Melick | Case Manager/Care Coordinator | 700 S. Main, Mountain Home, AR 72653 | 2014-01-03 |
| 1851737951 | Joy Smith | Case Manager/Care Coordinator | 700 S. Main, Mountain Home, AR 72653 | 2013-05-15 |
| 1548517030 | Joy Melick | Case Manager/Care Coordinator | 700 S. Main, Mountain Home, AR 72653 | 2012-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| 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 |
|---|---|---|---|---|
| 1104478031 | Christopher E Cupples | Case Manager/Care Coordinator | 707 N Cardinal Dr Ste 107, Mountain Home, AR 72653-3253 | 2019-07-11 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1467989400 | Shelby Tayler Feeney | Case Manager/Care Coordinator | 75 Kenmar Ln, Mountain Home, AR 72653-5490 | 2017-05-22 |
| 1568842516 | Matthew Hafer | Case Manager/Care Coordinator | 706 S Main St Ste 1, Mountain Home, AR 72653-4408 | 2015-06-04 |
| 1831462225 | Cindy Wilbur | Case Manager/Care Coordinator | 700 S. Main Street, Mountain Home, AR 72653-6544 | 2012-02-15 |
| 1346552940 | Laurie Ann. James | Case Manager/Care Coordinator | 700 S Main Street, Mountain Home, AR 72653-3143 | 2010-07-12 |
| 1548477425 | Amber Raley | Case Manager/Care Coordinator | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2007-05-17 |
| 1083211882 | Miranda Lauren Reynolds | Case Manager/Care Coordinator | 353 E 8th St, Mountain Home, AR 72653-4423 | 2020-10-05 |
| 1336767698 | Ashley Hogan | Case Manager/Care Coordinator | 700 S Main Street, Mountain Home, AR 72653-3143 | 2020-07-13 |
| 1104453067 | Carolyn Featherstone | Case Manager/Care Coordinator | 707 N Cardinal Dr Ste 7, Mountain Home, AR 72653-3274 | 2020-03-23 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
Please comment or provide details below to improve the information on MR. JEREMY OREN WILSON.
| 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.