JESSICA MCKINNIE (NPI# 1669893657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669893657 |
| Entity Type | Individual |
| Full Name | JESSICA MCKINNIE |
| Practice Address |
1310 E Rose St Blytheville AR 72315-3726 |
| Practice Telephone | 8702815628 |
| Mailing Telephone | 8702815628 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316442619 | Jessica Mckinnie | Social Worker | 3300 Olney Sandy Spring Rd Ste 340, Olney, MD 20832-3306 | 2018-03-28 |
| Street Address |
1310 E ROSE ST |
| City | BLYTHEVILLE |
| State | AR |
| Zip Code | 72315-3726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770055923 | Gosnell Drugs Inc. | Pharmacy | 134 Bevill Ave, Gosnell, AR 72315 | 2018-12-28 |
| 1770938441 | Kay Chan Powell | Optometrist | 527 N6th St, Ste A, Blythevile, AR 72315 | 2016-04-29 |
| 1124417142 | Victoria Jacoby | Nurse Practitioner | 1521 N. 10th Street, Suite A, Blytheville, AR 72315 | 2015-01-14 |
| 1154736635 | Hanna Kirk | Case Manager/Care Coordinator | 829 East Main St, Blytheville, AR 72315 | 2014-06-24 |
| 1700207909 | Hannah Browning | Speech-Language Pathologist | 4555 North State Highway 137, Blytheville, AR 72315 | 2013-12-16 |
| 1164859286 | Valarie Ranae Oldham | Physical Therapist | 827 E Main, Suite B, Blytheville, AR 72315 | 2013-10-03 |
| 1013350339 | Air Evac Ems Inc. | Ambulance | 1021 Highland Street, Blytheville, AR 72315 | 2013-04-17 |
| 1962707158 | Diffine Family Practice Pllc | Family Medicine | 1100 Medical Plaza Drive South, Suite C, Blytheville, AR 72315 | 2011-01-19 |
| 1447451984 | Diabetes Institute Inc | Durable Medical Equipment & Medical Supplies | 623 W Moultrie, Blytheville, AR 72315 | 2007-05-31 |
| 1043426109 | Connie Bromley | Social Worker | 514 Chickasawba, Blytheville, AR 72315 | 2007-05-15 |
| Find all providers in zip 72315 | ||||
| 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 |
|---|---|---|---|---|
| 1568954691 | Marcus Avery Mullins Jr. | Case Manager/Care Coordinator | 1205 S Lilly St, Blytheville, AR 72315-5309 | 2018-06-04 |
| 1154736635 | Hanna Kirk | Case Manager/Care Coordinator | 829 East Main St, Blytheville, AR 72315 | 2014-06-24 |
| 1366864456 | Sossity Lewis | Case Manager/Care Coordinator | 829 E Main St, Blytheville, AR 72315-2521 | 2014-01-09 |
| 1720400872 | Kelly Eileen Privett | Case Manager/Care Coordinator | 604 N Tennessee St, Blytheville, AR 72315-2157 | 2014-01-08 |
| 1538368543 | 1rodney Dornell Walton | Case Manager/Care Coordinator | 397 Summit St, Blytheville, AR 72315-2241 | 2007-07-11 |
| 1720606254 | Donna R Brown | Case Manager/Care Coordinator | 209 S Lockard St, Blytheville, AR 72315-2541 | 2020-07-10 |
| 1578114419 | Tiffany Danielle Cooper | Case Manager/Care Coordinator | 209 S Lockard St, Blytheville, AR 72315-2541 | 2019-09-23 |
| 1144872078 | Stephanie Rochelle Williams | Case Manager/Care Coordinator | 209 S Lockard St, Blytheville, AR 72315-2541 | 2019-07-11 |
| 1497230056 | Janette N Houser | Case Manager/Care Coordinator | 1510 Byrum Rd, Blytheville, AR 72315-8033 | 2018-09-30 |
| 1932691565 | Erica D Beal | Case Manager/Care Coordinator | 1510 Byrum Rd, Blytheville, AR 72315-8033 | 2018-05-30 |
| Find all providers in BLYTHEVILLE | ||||
| City | BLYTHEVILLE |
| Zip Code | 72315 |
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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.