KELLI NICOLE HOLLOWAY (NPI# 1720598295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720598295 |
| Entity Type | Individual |
| Full Name | KELLI NICOLE HOLLOWAY |
| Practice Address |
4451 N Washington St Forrest City AR 72335-7711 |
| Mailing Address |
2707 Browns Ln Jonesboro AR 72401-7213 |
| Practice Telephone | 8703383900 |
| Practice Fax Number | 8706303892 |
| Mailing Telephone | 8709724939 |
| Mailing Fax Number | 8709724911 |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |
| 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 |
|---|---|---|---|---|
| 1548408206 | Kelli Lea Holloway | Counselor | 4800 Sw Macadam Avenue, Suite 325, Portland, OR 97239-3927 | 2009-02-03 |
| Street Address |
4451 N WASHINGTON ST |
| City | FORREST CITY |
| State | AR |
| Zip Code | 72335-7711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295847820 | Annette Sims Slater | Psychiatry & Neurology | 4451 N Washington St, Forrest City, AR 72335-7711 | 2006-08-31 |
| 1750996898 | Dwain Whitfield | Case Manager/Care Coordinator | 4451 N Washington St, Forrest City, AR 72335-7711 | 2020-09-15 |
| 1902419450 | Jada Olloway | Behavior Technician | 4451 N Washington St, Forrest City, AR 72335-7711 | 2020-08-25 |
| 1255942595 | Pearlie White | Case Manager/Care Coordinator | 4451 N Washington St, Forrest City, AR 72335-7711 | 2020-08-11 |
| 1730738154 | Jerry Xavier Hampton | Case Manager/Care Coordinator | 4451 N Washington St, Forrest City, AR 72335-7711 | 2019-09-09 |
| 1518425255 | Kameron Lynae Parks | Counselor | 4451 N Washington St, Forrest City, AR 72335-7711 | 2019-03-12 |
| 1265908263 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 4451 N Washington St, Forrest City, AR 72335-7711 | 2018-10-17 |
| 1235625617 | Helen Ann Hood | Counselor | 4451 N Washington St, Forrest City, AR 72335-7711 | 2018-07-09 |
| 1518459668 | Felicia Samantha Stewart | Case Manager/Care Coordinator | 4451 N Washington St, Forrest City, AR 72335-7711 | 2018-06-05 |
| 1699288597 | Robin Nicole Dawson | Case Manager/Care Coordinator | 4451 N Washington St, Forrest City, AR 72335-7711 | 2017-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285112888 | Briana Lanay Hatcher | Specialist/Technologist | 801 Deadrick Rd., Forrest City, AR 72335 | 2018-08-06 |
| 1922545383 | Kimberly Burnett | Speech-Language Pathologist | 400 Dawson Rd., Forrest City, AR 72335 | 2017-01-24 |
| 1134510951 | Kaylee Marple | Occupational Therapy Assistant | 726 North Washington St, Forrest City, AR 72335 | 2015-02-16 |
| 1033534185 | My Ride Transportation 2, LLC. | Non-emergency Medical Transport (VAN) | 224 Bond Dr., Forrest City, AR 72335 | 2014-02-26 |
| 1457796187 | Katherine Elizabeth Ramsey | Occupational Therapy Assistant | 3326 Highway 1 South, Forrest City, AR 72335 | 2013-05-08 |
| 1902158785 | Brittany Nicole Mitchell | Speech-Language Pathologist | 149 Water St., Lincoln Middle School, Forrest City, AR 72335 | 2012-10-04 |
| 1114278058 | Ashley Danielle Busby | Speech-Language Pathologist | 801 Deadrick Road, Forrest City, AR 72335 | 2012-10-01 |
| 1548569585 | East Arkansas Physical Therapy | Clinic/Center | 3150 N Washington, Forrest City, AR 72335 | 2011-03-16 |
| 1487801007 | David George Boyles | Psychologist | 3998 Highway 1 North, Forrest City, AR 72335 | 2008-08-26 |
| 1255515581 | Shontel Denise Wilson | Speech-Language Pathologist | 300 Eldridge Rd, Suite 1, Forrest City, AR 72335 | 2007-12-21 |
| Find all providers in zip 72335 | ||||
| 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 |
|---|---|---|---|---|
| 1700251733 | Denishio Murray | Case Manager/Care Coordinator | 1718 Lindauer Rd, Forrest City, AR 72335-2523 | 2015-12-02 |
| 1457489353 | Linda Mckinney | Case Manager/Care Coordinator | 1521 N Washington St, Forrest City, AR 72335-2152 | 2007-03-01 |
| 1750996898 | Dwain Whitfield | Case Manager/Care Coordinator | 4451 N Washington St, Forrest City, AR 72335-7711 | 2020-09-15 |
| 1255942595 | Pearlie White | Case Manager/Care Coordinator | 4451 N Washington St, Forrest City, AR 72335-7711 | 2020-08-11 |
| 1457974982 | Tanisha Harper | Case Manager/Care Coordinator | 1501 Dawson Rd, Forrest City, AR 72335-2088 | 2020-05-19 |
| 1790311389 | Nellie Freeman | Case Manager/Care Coordinator | 1825 E Broadway St, Forrest City, AR 72335-3409 | 2020-03-16 |
| 1336784990 | Robbie Wallace | Case Manager/Care Coordinator | 1825 E Broadway St, Forrest City, AR 72335-3409 | 2019-11-07 |
| 1730738154 | Jerry Xavier Hampton | Case Manager/Care Coordinator | 4451 N Washington St, Forrest City, AR 72335-7711 | 2019-09-09 |
| 1780248567 | Renee Ratton | Case Manager/Care Coordinator | 1825 E Broadway St, Forrest City, AR 72335-3409 | 2019-04-26 |
| 1083278873 | Amber King | Case Manager/Care Coordinator | 1825 E Broadway St, Forrest City, AR 72335-3409 | 2019-04-26 |
| Find all providers in FORREST CITY | ||||
| City | FORREST CITY |
| Zip Code | 72335 |
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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.