MARY K DARRELL (NPI# 1669004115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669004115 |
| Entity Type | Individual |
| Full Name | MARY K DARRELL |
| Other Name | MARY K ELLERBROEK |
| Credential | BS, QBHP |
| Practice Address |
114 E Crandall Ave Ste B Harrison AR 72601-3628 |
| Mailing Address |
2153 E Joyce Blvd Ste 201 Fayetteville AR 72703-5285 |
| Practice Telephone | 8707418484 |
| Practice Fax Number | 8707414088 |
| Mailing Telephone | 4795759471 |
| Mailing Fax Number | 4795879392 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 0000 | AR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 238655795 | 05 |
| Street Address |
114 E CRANDALL AVE STE B |
| City | HARRISON |
| State | AR |
| Zip Code | 72601-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083937858 | Connie A Dyer | Social Worker | 114 E Crandall Ave Ste B, Harrison, AR 72601-3628 | 2010-03-09 |
| 1528671336 | Trisha D Wiatt | Counselor | 114 E Crandall Ave Ste B, Harrison, AR 72601-3628 | 2020-08-31 |
| 1073146510 | Cassidy Graham | Social Worker | 114 E Crandall Ave Ste B, Harrison, AR 72601-3628 | 2020-02-12 |
| 1518599042 | Gunner Evenson | Case Manager/Care Coordinator | 114 E Crandall Ave Ste B, Harrison, AR 72601-3628 | 2020-02-12 |
| 1477184935 | Ashley Tatum | Social Worker | 114 E Crandall Ave Ste B, Harrison, AR 72601-3628 | 2020-02-03 |
| 1831746429 | Robert Conner Yerton | Social Worker | 114 E Crandall Ave Ste B, Harrison, AR 72601-3628 | 2019-08-20 |
| 1912474297 | Michelle Coffman | Case Manager/Care Coordinator | 114 E Crandall Ave Ste B, Harrison, AR 72601-3628 | 2018-10-25 |
| 1700202991 | Cindy Dawn Magness | Counselor | 114 E Crandall Ave Ste B, Harrison, AR 72601-3628 | 2014-03-12 |
| 1528310752 | Holly Lois Duck | Counselor | 114 E Crandall Ave Ste B, Harrison, AR 72601-3628 | 2012-10-11 |
| 1730465394 | Candy Lowery | Case Manager/Care Coordinator | 114 E Crandall Ave Ste B, Harrison, AR 72601-3628 | 2011-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280364 | Linda Marie Balcerak | Physical Therapy Assistant | 400 Hwy 43 East, Harrison, AR 72601 | 2019-05-14 |
| 1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
| 1154808236 | Carrie Lynn Miller | Midwife | 5977 Sulphur. Mt. Rd, Harrison, AR 72601 | 2018-07-23 |
| 1255833778 | Julie Foster, Speech Language Pathologist, Inc. | Speech-Language Pathologist | 1898 Foley Rd, Harrison, AR 72601 | 2018-02-28 |
| 1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
| 1306394465 | Rebecca Jane Mcanulty | Nurse Practitioner | 702 N. Springs Street, Harrison, AR 72601 | 2016-09-19 |
| 1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
| 1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
| 1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
| 1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
| Find all providers in zip 72601 | ||||
| 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 |
|---|---|---|---|---|
| 1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
| 1518494558 | Melissa Nicole Frisby | Case Manager/Care Coordinator | 206 Kitchens St, Harrison, AR 72601-6166 | 2017-05-22 |
| 1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
| 1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
| 1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
| 1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
| 1750738571 | Kayla Rose Henson | Case Manager/Care Coordinator | 5050 Yardell Rd, Harrison, AR 72601-8883 | 2016-05-23 |
| 1750757357 | Elizabeth Horton | Case Manager/Care Coordinator | 121 Sawgrass Pt., Harrison, AR 72601 | 2015-08-18 |
| 1740662436 | Jesse Shelton Rose | Case Manager/Care Coordinator | 520 E Gordon Ave, Harrison, AR 72601-5923 | 2015-06-18 |
| 1679953723 | Shelby Kait Nichols | Case Manager/Care Coordinator | 6874 White Oak Rd, Harrison, AR 72601-6113 | 2015-06-04 |
| Find all providers in HARRISON | ||||
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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.