KEITH DARELL GREGORY (NPI# 1821423906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821423906 |
Entity Type | Individual |
Full Name | KEITH DARELL GREGORY |
Credential | MHPP-CASE MANAGER |
Practice Address |
3201 W. Keiser Ave Osceola AR 72370 |
Mailing Address |
1815 Pleasant Grove Road Jonesboro AR 72404 |
Practice Telephone | 8706220592 |
Practice Fax Number | 8706220872 |
Mailing Telephone | 8709336886 |
Mailing Fax Number | 8709339395 |
Enumeration Date | 2013-09-09 |
Last Update Date | 2015-09-10 |
Gender Code | M |
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 |
3201 W. KEISER AVE |
City | OSCEOLA |
State | AR |
Zip Code | 72370 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669564852 | William H Boschert | Counselor | 3201 W. Keiser Ave, Osceola, AR 72370-3409 | 2006-09-28 |
1144719337 | Chasity Michele Rece | Case Manager/Care Coordinator | 3201 W. Keiser Ave, Osceola, AR 72370 | 2018-05-03 |
1285147736 | Stephanie D Jones | Case Manager/Care Coordinator | 3201 W. Keiser Ave, Osceola, AR 72370-3467 | 2017-11-07 |
1124531678 | Fallisseona O Brock | Case Manager/Care Coordinator | 3201 W. Keiser Ave, Osceola, AR 72370-3467 | 2017-11-07 |
1619499738 | Hailey Elizabeth Levin | Social Worker | 3201 W. Keiser Ave, Osceola, AR 72370-3467 | 2017-07-11 |
1245779271 | Matthew Grant Barnett | Case Manager/Care Coordinator | 3201 W. Keiser Ave, Osceola, AR 72370 | 2017-02-23 |
1801253265 | Regina Michelle Baugus | Case Manager/Care Coordinator | 3201 W. Keiser Ave, Osceola, AR 72370-3467 | 2016-01-15 |
1982072898 | Shauna Breanne Tucker | Social Worker | 3201 W. Keiser Ave, Osceola, AR 72370 | 2015-09-09 |
1821488693 | Maci Elaine Jones | Case Manager/Care Coordinator | 3201 W. Keiser Ave, Osceola, AR 72370 | 2015-01-30 |
1659779981 | Byron Royce Collins | Case Manager/Care Coordinator | 3201 W. Keiser Ave, Osceola, AR 72370 | 2014-12-19 |
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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 |
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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 |
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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.