MS. BRANDI BRISTOW (NPI# 1700951068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700951068 |
| Entity Type | Individual |
| Full Name | MS. BRANDI BRISTOW |
| Practice Address |
1615 Martin Luther King Blvd. Malvern AR 72104 |
| Mailing Address |
125 Dons Way Hot Springs AR 71913 |
| Practice Telephone | 5013325236 |
| Practice Fax Number | 5016205109 |
| Mailing Telephone | 5016205130 |
| Mailing Fax Number | 5016205109 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2008-12-19 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548789381 | Brandi Jo Bristow | Community Health Worker | 2310 E 8th St, Cheyenne, WY 82001-5256 | 2017-09-13 |
| Street Address |
1615 MARTIN LUTHER KING BLVD. |
| City | MALVERN |
| State | AR |
| Zip Code | 72104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013187202 | Yvonne S Cook | Counselor | 1615 Martin Luther King Blvd., Malvern, AR 72104 | 2008-03-04 |
| 1750579603 | Pamela J Thomas | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd., Malvern, AR 72104 | 2007-10-04 |
| 1851506570 | Michelle Raynee Kveum | Counselor | 1615 Martin Luther King Blvd., Malvern, AR 72104 | 2007-05-14 |
| 1639233364 | Pamela Sampson | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd., Malvern, AR 72104 | 2006-12-20 |
| 1033273503 | Freeman Peters | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd., Malvern, AR 72104 | 2006-12-20 |
| 1720141534 | Monica Young | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd., Malvern, AR 72104 | 2006-12-19 |
| 1629132485 | Laurey Kagebein | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd., Malvern, AR 72104 | 2006-12-19 |
| 1275696072 | James Sanders | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd., Malvern, AR 72104 | 2006-12-19 |
| 1912060773 | Brandi Nolen | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd., Malvern, AR 72104 | 2006-12-19 |
| 1194888404 | Patrick Beasley | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd., Malvern, AR 72104 | 2006-12-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
| 1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
| 1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
| 1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
| 1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
| 1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
| Find all providers in zip 72104 | ||||
| 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 |
|---|---|---|---|---|
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1588876197 | Eric Hines | Case Manager/Care Coordinator | 1708 E Page Ave, Malvern, AR 72104-4540 | 2007-05-04 |
| 1497353502 | Heath Roseberry | Case Manager/Care Coordinator | 1628 E Page Ave, Malvern, AR 72104-4524 | 2020-10-12 |
| 1245842343 | Kelcey Crutchfield | Case Manager/Care Coordinator | 829 Halbert St, Malvern, AR 72104-2607 | 2020-08-19 |
| 1295346757 | Bonnie Lynn Mann | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2020-08-10 |
| 1538787890 | Caleb Mckissick | Case Manager/Care Coordinator | 1628 E Page Ave, Malvern, AR 72104-4524 | 2020-07-13 |
| 1356977037 | Malik Ware | Case Manager/Care Coordinator | 1628 E Page Ave, Malvern, AR 72104-4524 | 2020-03-13 |
| 1558997213 | Akena Holliman | Case Manager/Care Coordinator | 1628 E Page Ave, Malvern, AR 72104-4524 | 2020-03-13 |
| 1477186518 | Joe Bryant | Case Manager/Care Coordinator | 829 Halbert St, Malvern, AR 72104-2607 | 2020-02-18 |
| 1003449356 | Dayla Rogers | Case Manager/Care Coordinator | 829 Halbert St, Malvern, AR 72104-2607 | 2020-02-14 |
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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.