TEKEISHA NICOLE BROCK (NPI# 1821423807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821423807 |
| Entity Type | Individual |
| Full Name | TEKEISHA NICOLE BROCK |
| Practice Address |
1487 W Keiser Ave Ste 1 Osceola AR 72370-2806 |
| Practice Telephone | 8705634500 |
| Practice Fax Number | 8705634501 |
| Mailing Telephone | 8705634500 |
| Mailing Fax Number | 8705634501 |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2014-04-01 |
| 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 |
| Street Address |
1487 W KEISER AVE STE 1 |
| City | OSCEOLA |
| State | AR |
| Zip Code | 72370-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497907257 | Life Strategies Counseling, Inc. | Clinic/Center | 1487 W Keiser Ave Ste 1, Osceola, AR 72370-2806 | 2008-10-10 |
| 1659738490 | Wendy Hendrix | Case Manager/Care Coordinator | 1487 W Keiser Ave Ste 1, Osceola, AR 72370-2806 | 2016-01-25 |
| 1326428111 | Shelby Weathers | Case Manager/Care Coordinator | 1487 W Keiser Ave Ste 1, Osceola, AR 72370-2806 | 2015-06-05 |
| 1356739908 | Cynthia Mauppins | Case Manager/Care Coordinator | 1487 W Keiser Ave Ste 1, Osceola, AR 72370-2806 | 2015-01-06 |
| 1730448804 | Douglas Lee Echols Jr. | Case Manager/Care Coordinator | 1487 W Keiser Ave Ste 1, Osceola, AR 72370-2806 | 2012-05-10 |
| 1437383312 | April Gray | Registered Nurse | 1487 W Keiser Ave Ste 1, Osceola, AR 72370-2806 | 2009-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417411570 | Southern Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 922 West Kizer St., Osceola, AR 72370 | 2019-01-23 |
| 1831431733 | Shaquata Davis | Social Worker | 1487 West Keiser Ave. Suite 1, Osceola, AR 72370 | 2013-03-19 |
| 1821348855 | Mary Kathryn Campbell | Speech-Language Pathologist | 315 E Union, Osceola, AR 72370 | 2012-09-18 |
| 1518230697 | Nikki D Moore | Case Manager/Care Coordinator | 1487 West Keiser Ave Ste I, Osceola, AR 72370 | 2012-02-20 |
| 1134497845 | Tim Allen | Case Manager/Care Coordinator | 3201 W. Keiser Ave., Osceola, AR 72370 | 2011-12-08 |
| 1184929663 | Gail Renee Barger | Counselor | 3201 West Keiser, Osceola, AR 72370 | 2011-01-14 |
| 1134423833 | Donna Susan Richmond | Speech-Language Pathologist | 1866 S Hwy 77, Osceola, AR 72370 | 2011-01-10 |
| 1972807592 | Meredith Annette Harris | Case Manager/Care Coordinator | 3201 West Keiser Ave, Osceola, AR 72370 | 2010-12-23 |
| 1093018871 | Tabatha G Bingham | Case Manager/Care Coordinator | 3201 W. Keiser, Osceola, AR 72370 | 2010-12-16 |
| 1588974109 | Sheila Lynette Rumph | Case Manager/Care Coordinator | 1487 W. Keiser Ave. Suite 1, Osceola, AR 72370 | 2010-10-15 |
| Find all providers in zip 72370 | ||||
| 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 |
|---|---|---|---|---|
| 1669714572 | Tabitha Lambert | Case Manager/Care Coordinator | 4487 West Keiser, Osceola, AR 72370-3336 | 2013-03-19 |
| 1518230697 | Nikki D Moore | Case Manager/Care Coordinator | 1487 West Keiser Ave Ste I, Osceola, AR 72370 | 2012-02-20 |
| 1134497845 | Tim Allen | Case Manager/Care Coordinator | 3201 W. Keiser Ave., Osceola, AR 72370 | 2011-12-08 |
| 1972807592 | Meredith Annette Harris | Case Manager/Care Coordinator | 3201 West Keiser Ave, Osceola, AR 72370 | 2010-12-23 |
| 1093018871 | Tabatha G Bingham | Case Manager/Care Coordinator | 3201 W. Keiser, Osceola, AR 72370 | 2010-12-16 |
| 1588974109 | Sheila Lynette Rumph | Case Manager/Care Coordinator | 1487 W. Keiser Ave. Suite 1, Osceola, AR 72370 | 2010-10-15 |
| 1326370610 | Angie Gipson | Case Manager/Care Coordinator | 1425 W Keiser, Osceola, AR 72370 | 2010-02-11 |
| 1043457732 | Lisa Austin | Case Manager/Care Coordinator | 1487 W Keiser, Osceola, AR 72370 | 2009-01-16 |
| 1255588513 | Samuel G Harlan | Case Manager/Care Coordinator | 3201 West Keiser Avenue, Osceola, AR 72370 | 2008-08-19 |
| 1851568265 | Richard J. Bryce | Case Manager/Care Coordinator | 3201 W Keiser, Osceola, AR 72370-3467 | 2008-05-14 |
| Find all providers in OSCEOLA | ||||
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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.