SIERRA AUGUST KELLY (NPI# 1699316562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699316562 |
| Entity Type | Individual |
| Full Name | SIERRA AUGUST KELLY |
| Practice Address |
105 N Mill Ave Fayetteville AR 72701-4273 |
| Mailing Address |
2400 S 48th St Springdale AR 72762-6683 |
| Practice Telephone | 4797502020 |
| Practice Fax Number | 4797504843 |
| Mailing Telephone | 4797502020 |
| Mailing Fax Number | 4797504843 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |
| 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 |
| Street Address |
105 N MILL AVE |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72701-4273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346624343 | Rebecca Hanssen | Case Manager/Care Coordinator | 105 N Mill Ave, Fayetteville, AR 72701-4273 | 2015-07-20 |
| 1437750411 | Arisa Health, Inc. | Community/Behavioral Health | 105 N Mill Ave, Fayetteville, AR 72701-4273 | 2020-11-05 |
| 1689216277 | Fatim Soumah | Registered Nurse | 105 N Mill Ave, Fayetteville, AR 72701-4273 | 2019-10-15 |
| 1013578756 | Sydney Zane Hill | Case Manager/Care Coordinator | 105 N Mill Ave, Fayetteville, AR 72701-4273 | 2019-06-24 |
| 1770141434 | Janna Kay Hulet | Registered Nurse | 105 N Mill Ave, Fayetteville, AR 72701-4273 | 2019-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588213417 | Biggers Counseling, LLC | Social Worker | 349 S Hill Ave, Fayetteville, AR 72701 | 2019-09-04 |
| 1235603200 | Arkansas Holistic Health Care Chiropractic | Chiropractor | 2618 Mlk Jr Blvd, Fayetteville, AR 72701 | 2019-01-14 |
| 1225520828 | Jacoby Markie Clemons | Specialist/Technologist | 1201 West Leroy Pond Dr, Fayetteville, AR 72701 | 2018-05-31 |
| 1952892390 | Ambur Dryer | Specialist/Technologist | 994 W Mlk Jr. Blvd., Fayetteville, AR 72701 | 2018-05-22 |
| 1851814230 | Blakely Low | Psychologist | 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 | 2017-07-18 |
| 1518496215 | Van Michael Mcqueen Jr. | Dentist | 640 N Garland Ave # 104, Fayetteville, AR 72701 | 2017-06-06 |
| 1407204217 | Kenna Megan Hodeaux | Specialist/Technologist | 1201 Leroy Pond Drive, Sports Medicine Department, Fayetteville, AR 72701 | 2016-06-02 |
| 1740634435 | Crystal Susan Rofkahr | Psychologist | 26 E Meadow St Ste 3, Fayetteville, AR 72701 | 2016-04-19 |
| 1942663521 | Satoshi IIda | Specialist/Technologist | 1010 S Dunn Ave., Apt 205a, Fayetteville, AR 72701 | 2016-04-01 |
| 1992163901 | Dr Don M Chaney Dds Pa | Dentist | 1826 N. Crossover Road, Suite 2, Fayetteville, AR 72701 | 2016-02-04 |
| Find all providers in zip 72701 | ||||
| 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 |
|---|---|---|---|---|
| 1700495595 | Brittany Huerta | Case Manager/Care Coordinator | 5649 Gatewood Rd, Fayetteville, WV 25840-5135 | 2020-07-28 |
| 1508474867 | Anna L Kincaid | Case Manager/Care Coordinator | 1257 Terry Ave, Fayetteville, WV 25840-5444 | 2020-07-22 |
| 1619501087 | 1 Source Senior Care | Case Manager/Care Coordinator | 1820 Shelby Ln, Fayetteville, AR 72704-5255 | 2020-02-25 |
| 1326679473 | Megan Thomas | Case Manager/Care Coordinator | 3715 N Business Dr Ste 201, Fayetteville, AR 72703-5288 | 2020-01-28 |
| 1275172298 | Kelsy Timas | Case Manager/Care Coordinator | 143 Skateway Dr, Fayetteville, NC 28304-2640 | 2019-12-23 |
| 1679131726 | Scharmane Porter | Case Manager/Care Coordinator | 110 Westbridge Cir, Fayetteville, GA 30214-2638 | 2019-06-04 |
| 1790259117 | Mackenzie Birdsong | Case Manager/Care Coordinator | 3715 N Business Dr Ste 105, Fayetteville, AR 72703-5287 | 2019-01-18 |
| 1134659162 | Sheila May Reynolds | Case Manager/Care Coordinator | 1872 N Cannondale Dr, Fayetteville, AR 72704-6931 | 2017-06-13 |
| 1528596285 | Alexander Garcia II | Case Manager/Care Coordinator | 1687 W Lodge Way Apt 100a, Fayetteville, AR 72701-5084 | 2017-05-25 |
| 1619414786 | Markese Ware | Case Manager/Care Coordinator | 3715 N Business Dr, Ste 104, Fayetteville, AR 72703-5204 | 2017-01-26 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72701 |
Please comment or provide details below to improve the information on SIERRA AUGUST KELLY.
| 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.