FAYDRA MEREDITH (NPI# 1841630167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841630167 |
| Entity Type | Individual |
| Full Name | FAYDRA MEREDITH |
| Credential | MHPP |
| Practice Address |
6210 Dollarway Rd Ste 4 Pine Bluff AR 71602-3785 |
| Practice Telephone | 8702473588 |
| Practice Fax Number | 8702472072 |
| Mailing Telephone | 8702473588 |
| Mailing Fax Number | 8702472072 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2015-03-11 |
| 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 |
| Street Address |
6210 DOLLARWAY RD STE 4 |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71602-3785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649445651 | Nannette Turner | Counselor | 6210 Dollarway Rd Ste 4, Pine Bluff, AR 71602-3785 | 2008-04-30 |
| 1073982203 | Deeann English | Counselor | 6210 Dollarway Rd Ste 4, Pine Bluff, AR 71602-3785 | 2015-09-17 |
| 1346616737 | Christopher Mack | Case Manager/Care Coordinator | 6210 Dollarway Rd Ste 4, Pine Bluff, AR 71602-3785 | 2015-08-19 |
| 1609242007 | Sidney Miller | Case Manager/Care Coordinator | 6210 Dollarway Rd Ste 4, Pine Bluff, AR 71602-3785 | 2015-08-19 |
| 1992101752 | Tiffany Fuller-jackson | Counselor | 6210 Dollarway Rd Ste 4, Pine Bluff, AR 71602-3785 | 2014-11-06 |
| 1912324526 | Reginald Howard | Case Manager/Care Coordinator | 6210 Dollarway Rd Ste 4, Pine Bluff, AR 71602-3785 | 2014-03-20 |
| 1114353869 | Marcus Swygart | Case Manager/Care Coordinator | 6210 Dollarway Rd Ste 4, Pine Bluff, AR 71602-3785 | 2013-09-25 |
| 1730323064 | Joshua Daniel Wood | Counselor | 6210 Dollarway Rd Ste 4, Pine Bluff, AR 71602-3785 | 2009-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050447 | Bridget Furlong | Occupational Therapist | 2226 Barncy Lane, White Hall, AR 71602 | 2020-07-14 |
| 1609399963 | Interventional Surgery Institute of White Hall LLC | Clinic/Center | 7211 Dollarway Road, White Hall, AR 71602 | 2017-07-19 |
| 1679935761 | Pain Treatment Centers of America, Pllc | Durable Medical Equipment & Medical Supplies | 7211 Dollarway Rd, White Hall, AR 71602 | 2016-03-28 |
| 1326450446 | Rafeek Hegazy | Anesthesiology | 202 Frankie Ln, White Hall, AR 71602 | 2014-05-22 |
| 1275873515 | Craig Paul Anderson | Preventive Medicine | 13-020 Kabrich Circle, Pine Bluff, AR 71602 | 2013-02-24 |
| 1124258553 | Shellia Anne Kornegay | Nurse Practitioner | 1515 West 42nd Street, Pine Bluff, AR 71602 | 2009-07-20 |
| 1275789109 | Sarah Allison Rushing | Speech-Language Pathologist | 1020 West Holland Avenue, White Hall, AR 71602 | 2008-08-12 |
| 1245438852 | White Hall School District | Local Education Agency (LEA) | 1020 West Holland, White Hall, AR 71602 | 2007-07-05 |
| 1972622652 | Dewey Charles Scarbrough | Physician Assistant | 109 Frankie Lane, White Hall, AR 71602 | 2007-03-27 |
| 1427126135 | Donna D Massey | Dentist | 7215 Sheridan Road, White Hall, AR 71602 | 2006-12-01 |
| Find all providers in zip 71602 | ||||
| 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 |
|---|---|---|---|---|
| 1407159866 | Joyce Boykins | Case Manager/Care Coordinator | 204 Frankie Ln, Pine Bluff, AR 71602-2699 | 2010-12-07 |
| 1982218830 | Myracle Murrell | Case Manager/Care Coordinator | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2020-09-08 |
| 1710542444 | Jerricka Kelly | Case Manager/Care Coordinator | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2019-05-08 |
| 1578127296 | Rae-shem Hawkins | Case Manager/Care Coordinator | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2019-04-29 |
| 1437610524 | Tonya Boston | Case Manager/Care Coordinator | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2019-03-29 |
| 1518428697 | Curtis Rolfe Iv | Case Manager/Care Coordinator | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2019-03-29 |
| 1265990972 | Martin Montgomery | Case Manager/Care Coordinator | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2019-03-12 |
| 1609331800 | Melissa Battles | Case Manager/Care Coordinator | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2019-02-01 |
| 1881158681 | Shandra Freeman | Case Manager/Care Coordinator | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2019-01-25 |
| 1073077830 | Joseph Nat Treadwell | Case Manager/Care Coordinator | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2019-01-25 |
| Find all providers in PINE BLUFF | ||||
| City | PINE BLUFF |
| Zip Code | 71602 |
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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.