LISA MARIE WATSON (NPI# 1669609764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669609764 |
| Entity Type | Individual |
| Full Name | LISA MARIE WATSON |
| Other Name | LISA MARIE WILBANKS |
| Credential | MHPP |
| Practice Address |
1425 W. Main Street Walnut Ridge AR 72476-1431 |
| Mailing Address |
1815 Pleasant Grove Road Jonesboro AR 72401-7870 |
| Practice Telephone | 8708865303 |
| Practice Fax Number | 8708867002 |
| Mailing Telephone | 8709336886 |
| Mailing Fax Number | 8709339395 |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2016-04-06 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 169348795 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881197176 | Lisa Ervin Watson | Speech-Language Pathologist | 6016 Providence Rd, Virginia Beach, VA 23464-3807 | 2018-03-13 |
| 1699293183 | Lisa Camille Watson | Psychologist | 7750 Okeechobee Boulevard, Suite 4-9-19, West Palm Beach, FL 33411 | 2017-09-05 |
| 1457700312 | Lisa Watson | Counselor | 304 Olson Dr Ste 115, Papillion, NE 68046-2979 | 2016-06-10 |
| 1548658859 | Lisa Watson | Occupational Therapy Assistant | 5426 Homeside Ave, Los Angeles, CA 90016-3712 | 2015-01-08 |
| 1821323486 | Lisa Ann Watson | Speech-Language Pathologist | 4407 N Division St Ste 304, Spokane, WA 99207-1613 | 2009-10-14 |
| 1548432594 | Lisa Ann Watson | Speech-Language Pathologist | 6902 Pine Dr, Paragould, AR 72450-8539 | 2008-03-31 |
| 1164576773 | Lisa Watson | Speech-Language Pathologist | 405 8th Ave Sw, Mandan, ND 58554-4030 | 2007-01-22 |
| 1396206678 | Lisa M Watson | Nurse Practitioner | 130 Hospital Rd Ste 102, Prince Frederick, MD 20678-4029 | 2019-03-28 |
| 1568937167 | Lisa Watson | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239-7604 | 2018-10-10 |
| 1417461831 | Lisa D Watson | Licensed Practical Nurse | 59 Hospital Rd, Newnan, GA 30263-1209 | 2017-11-21 |
| Street Address |
1425 W. MAIN STREET |
| City | WALNUT RIDGE |
| State | AR |
| Zip Code | 72476-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205226461 | Julia Michelle Blevins | Case Manager/Care Coordinator | 1425 W. Main Street, Walnut Ridge, AR 72476 | 2015-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871113126 | Lauren Felts | Pharmacist | 1405 W Main Suite B, Walnut Ridge, AR 72476 | 2020-04-16 |
| 1033609995 | Misty Dawn Colvey | Specialist/Technologist | 60 W Fulbright Avenue, Walnut Ridge, AR 72476 | 2018-05-16 |
| 1427570803 | Heartline Home Care LLC | Home Health | 329 West Poplar, Walnut Ridge, AR 72476 | 2017-07-07 |
| 1093246035 | Allyson Claire Smith | Case Manager/Care Coordinator | 1425 W Main, Walnut Ridge, AR 72476 | 2017-03-22 |
| 1780134098 | H4l Ranch, Inc. | Community Based Residential Treatment Facility, Mental Illness | 853 Us 63, Walnut Ridge, AR 72476 | 2016-10-11 |
| 1386023943 | Meghon Lanae Mink | Physical Therapist | 200 South Memorial Drive, Walnut Ridge, AR 72476 | 2015-05-28 |
| 1013308436 | Meaghan Danielle Kingston | Nurse Practitioner | 1045 W Main St Ste C, Walnut Ridge, AR 72476 | 2015-02-06 |
| 1962789826 | Amber Fawn Adams | Family Medicine | 402 Sw Larkspur Dr, Walnut Ridge, AR 72476 | 2011-11-07 |
| 1528348760 | Pamela Wilcoxson | Case Manager/Care Coordinator | 1425 West Main, Walnut Ridge, AR 72476 | 2011-08-19 |
| 1184928764 | Lauara Beth Rhein | Case Manager/Care Coordinator | 1425 West Main Street, Walnut Ridge, AR 72476 | 2010-12-22 |
| Find all providers in zip 72476 | ||||
| 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 |
|---|---|---|---|---|
| 1699275792 | Emily Dawn Snell | Case Manager/Care Coordinator | 1425 W Main Street, Walnut Ridge, AR 72476-1431 | 2018-02-15 |
| 1093246035 | Allyson Claire Smith | Case Manager/Care Coordinator | 1425 W Main, Walnut Ridge, AR 72476 | 2017-03-22 |
| 1528348760 | Pamela Wilcoxson | Case Manager/Care Coordinator | 1425 West Main, Walnut Ridge, AR 72476 | 2011-08-19 |
| 1184928764 | Lauara Beth Rhein | Case Manager/Care Coordinator | 1425 West Main Street, Walnut Ridge, AR 72476 | 2010-12-22 |
| 1386871192 | Kiann Lee Wright | Case Manager/Care Coordinator | 1425 W. Main, Walnut Ridge, AR 72476 | 2009-06-18 |
| 1215543749 | Summer Taylor | Case Manager/Care Coordinator | 1425 W Main St, Walnut Ridge, AR 72476-1431 | 2020-09-21 |
| 1942840665 | Tammy Marie Monteniszs | Case Manager/Care Coordinator | 1425 W Main St, Walnut Ridge, AR 72476-1431 | 2020-01-10 |
| 1326681057 | Fredrick Webb | Case Manager/Care Coordinator | 1425 W Main St, Walnut Ridge, AR 72476-1431 | 2019-10-25 |
| 1598315509 | Monica Keeley Pearcy | Case Manager/Care Coordinator | 102 South Larkspur, Walnut Ridge, AR 72476-7247 | 2019-09-12 |
| 1336619261 | Joseph Andrew Noto | Case Manager/Care Coordinator | 1425 W Main St, Walnut Ridge, AR 72476-1431 | 2018-12-04 |
| Find all providers in WALNUT RIDGE | ||||
| City | WALNUT RIDGE |
| Zip Code | 72476 |
Please comment or provide details below to improve the information on LISA MARIE WATSON.
| 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.