SHALONDA STEPHENS (NPI# 1629314745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629314745 |
| Entity Type | Individual |
| Full Name | SHALONDA STEPHENS |
| Credential | RECOVERY ASSISTANT |
| Practice Address |
1506 Mary Kay Blvd Benton AR 72015-8909 |
| Mailing Address |
Po Box 1589 Benton AR 72018-1589 |
| Practice Telephone | 5013153344 |
| Mailing Telephone | 5013153344 |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2013-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | AR | Other Service Providers |
| Street Address |
1506 MARY KAY BLVD |
| City | BENTON |
| State | AR |
| Zip Code | 72015-8909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396786075 | Andrew Roach | Social Worker | 1506 Mary Kay Blvd, Benton, AR 72015-8909 | 2006-06-10 |
| 1205434917 | Jared Thielke | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015 | 2020-10-14 |
| 1528666732 | David Kidd | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015 | 2020-10-12 |
| 1639789001 | Chase Albaugh | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015-7201 | 2020-07-31 |
| 1962059154 | Keeshunna Reed | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015-7201 | 2019-08-22 |
| 1972158780 | Joel Eldridge | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015-7201 | 2019-08-08 |
| 1134771884 | Abby Fowler | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015-7201 | 2019-07-12 |
| 1881252211 | Larry Houston-huff | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015 | 2019-05-31 |
| 1831651413 | Brandy Ortiz | Licensed Practical Nurse | 1506 Mary Kay Blvd, Benton, AR 72015-7201 | 2019-04-03 |
| 1508320565 | Jennifer House | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015-7201 | 2019-01-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| 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 |
|---|---|---|---|---|
| 1508493404 | Nahum Prophet | Case Manager/Care Coordinator | 3610 Coleman Rd, Benton, LA 71006-9675 | 2020-03-23 |
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1265715072 | James Michael Bell | Case Manager/Care Coordinator | 1502 Mary Kaye Blvd, Benton, AR 72015-8909 | 2011-09-28 |
| 1386934206 | Debra A Davis | Case Manager/Care Coordinator | 6701 Hwy 67 S. Bldg 4, Benton, AR 72015 | 2011-04-12 |
| 1174833016 | Allen Cooper | Case Manager/Care Coordinator | 6701 Hwy 67 S Bldg 4, Benton, AR 72015 | 2010-10-13 |
| 1942454517 | Kathy James | Case Manager/Care Coordinator | 2270 Helmich Dr, Benton, AR 72019-8322 | 2008-11-10 |
| 1194994558 | Roshunda Denise Foreman | Case Manager/Care Coordinator | 307 E Sevier, Benton, AR 72015 | 2008-02-29 |
| 1609063791 | Sean Rock | Case Manager/Care Coordinator | 307 E Sevier St., Counseling Clinic Inc, Benton, AR 72015 | 2007-10-02 |
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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.