WENDY A MAGBANUA (NPI# 1720516289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720516289 |
| Entity Type | Individual |
| Full Name | WENDY A MAGBANUA |
| Practice Address |
317 Lower Ridge Rd Conway AR 72035-0001 |
| Mailing Address |
Po Box 1589 Benton AR 72018-1589 |
| Practice Telephone | 5013033105 |
| Mailing Telephone | 5013033105 |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2017-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | AR | Other Service Providers |
| Street Address |
317 LOWER RIDGE RD |
| City | CONWAY |
| State | AR |
| Zip Code | 72035-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726922 | Alicia Landry | Dietitian, Registered | 201 Donaghey Ave, Mcalister 100, Conway, AR 72035 | 2020-09-25 |
| 1932638327 | Hyung Rock Lee | Specialist/Technologist | 201 Donaghey Ave, Prince Center 133d, Conway, AR 72035 | 2017-06-08 |
| 1639227929 | Dominic L Moreno | Specialist/Technologist | 128 Uca Prince Ctr, 201 Donaghey, Conway, AR 72035-0001 | 2007-01-05 |
| 1770546152 | Ellen Epping | Specialist/Technologist | University of Central Arkansas, Prince Center 133e, Conway, AR 72035-0001 | 2006-04-07 |
| 1497965917 | James Arthur Gillaspy Jr. | Psychologist | 201 Donaghey Ave, Department of Psychology and Counseling, Conway, AR 72035-0001 | 2007-05-23 |
| 1982667465 | Stephen David Hornor | Specialist/Technologist | University of Central Arkansas, Prince Center - Room 133c, Conway, AR 72035-0001 | 2006-04-07 |
| 1912543240 | University of Central Arkansas | Family Medicine | 201 Donaghey Ave Uca Student Health Center, Conway, AR 72035-5001 | 2019-11-21 |
| 1831154335 | David Edward Strickland | Specialist/Technologist | 201 Donaghey Ave, Conway, AR 72035-5001 | 2006-04-18 |
| 1235749359 | Jm Wellness, LLC | Dietitian, Registered | 201 Donaghey Ave, Conway, AR 72035-5001 | 2020-08-04 |
| 1871123968 | Holly Jo Langster | Nurse Practitioner | 201 Donaghey Ave, Conway, AR 72035-5001 | 2020-01-17 |
| Find all providers in zip 72035 | ||||
| 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 |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1538609417 | Eric Dillinger | Case Manager/Care Coordinator | 61 Winding Branch Ln, Conway, AR 72032-8701 | 2017-02-27 |
| 1023487097 | Comeatrieze Vantelia Ester | Case Manager/Care Coordinator | 816 N. Creek Dr., Conway, AR 72032 | 2015-09-21 |
| 1275938615 | Ian Evans | Case Manager/Care Coordinator | 818 N. Creek Dr., Conway, AR 72032 | 2014-10-28 |
| 1982007977 | Tina Boone | Case Manager/Care Coordinator | 816 N. Creek Dr, Conway, AR 72032 | 2014-10-03 |
| 1154738110 | Brittney Morgan Wood | Case Manager/Care Coordinator | 2175 B Rosemary Drive, Conway, AR 72034 | 2014-07-22 |
| 1063779437 | Sara Coleta Garland | Case Manager/Care Coordinator | 1100 Bob Courtway Dr # Dre, Suite 9, Conway, AR 72032-4766 | 2012-04-23 |
| 1427363209 | Careteam Plus, Inc. | Case Manager/Care Coordinator | 100 Professional Park Drive, Conway, SC 29526-9260 | 2010-08-17 |
| 1689904377 | Amanda Ruby Jane Troutman | Case Manager/Care Coordinator | 123 Lower Ridge Rd, Conway, AR 72032-8518 | 2010-01-04 |
| Find all providers in CONWAY | ||||
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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.