JIMMY HAMILTON HUBBARD (NPI# 1851568521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851568521 |
Entity Type | Individual |
Full Name | JIMMY HAMILTON HUBBARD |
Practice Address |
2305 Old County Road Pocahontas AR 72455 |
Mailing Address |
1815 Pleasant Grove Road Jonesboro AR 72401 |
Practice Telephone | 8708921005 |
Practice Fax Number | 8708920078 |
Mailing Telephone | 8709336886 |
Mailing Fax Number | 8709339395 |
Enumeration Date | 2008-05-13 |
Last Update Date | 2011-10-21 |
Gender Code | M |
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 |
2305 OLD COUNTY ROAD |
City | POCAHONTAS |
State | AR |
Zip Code | 72455 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275623035 | Families, Inc. of Arkansas | Counselor | 2305 Old County Road, Pocahontas, AR 72455 | 2006-10-13 |
1518517010 | Benjamin Carr | Occupational Therapy Assistant | 2305 Old County Road, Pocahontas, AR 72455-4148 | 2019-09-17 |
1104371202 | Juliana M Bennett | Social Worker | 2305 Old County Road, Pocahontas, AR 72455-4148 | 2016-08-18 |
1003218959 | Kevin Raposo | Case Manager/Care Coordinator | 2305 Old County Road, Pocahontas, AR 72455-4148 | 2014-09-23 |
1972939304 | Heather Nicole Phillips | Social Worker | 2305 Old County Road, Pocahontas, AR 72455-4148 | 2013-09-17 |
1548437916 | Angela Quest-allen | Case Manager/Care Coordinator | 2305 Old County Road, Pocahontas, AR 72455-4148 | 2008-05-14 |
1760659718 | P. Leah Evers | Social Worker | 2305 Old County Road, Pocahontas, AR 72455-4148 | 2008-05-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043694920 | Puckett Dental LLC | Clinic/Center | 1041 Highway 67 North, Pocahontas, AR 72455 | 2015-07-10 |
1659676443 | Higginbotham Therapy Providers LLC | Speech-Language Pathologist | 42 Helter Rd, Pocahontas, AR 72455 | 2011-01-25 |
1083846059 | Amber Dawn Hudson | Speech-Language Pathologist | 84 Woodland Hill Circle, Pocahontas, AR 72455 | 2009-08-10 |
1174752125 | Sara Jocelyn Hubbell | Developmental Therapist | 410 Camp Road, Pocahontas, AR 72455 | 2009-07-13 |
1730332511 | Holly T Brigance | Nurse Practitioner | 2901 Medical Center Drive, Pocahontas, AR 72455 | 2008-10-24 |
1255598983 | Ashley Erin Taylor | Registered Nurse | 2018 Highway 67 S, Pocahontas, AR 72455 | 2008-05-20 |
1740405661 | Leslie Marie Malone | Speech-Language Pathologist | 2300 North Park St., Pocahontas, AR 72455 | 2007-04-16 |
1942354808 | D Mike Mcdaniel | Audiologist | 153 Country Club Road, Pocahontas, AR 72455 | 2007-01-22 |
1366518615 | University of Arkansas for Medical Sciences | Pediatrics | 300 Camp Rd, Pocahontas, AR 72455 | 2006-11-28 |
1841309879 | Family Dental Care of Pocahontas Inc | Dentist | 412 W Broadway, Pocahontas, AR 72455 | 2006-08-30 |
Find all providers in zip 72455 |
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 |
---|---|---|---|---|
1679997977 | Jacob Adam Rapert | Case Manager/Care Coordinator | 5935 Highway 90 W, Pocahontas, AR 72455-4973 | 2014-02-07 |
1750654570 | Robyn Thompson | Case Manager/Care Coordinator | 1885 Highway 62 W, Pocahontas, AR 72455-3639 | 2012-02-10 |
1114220167 | Bria Michelle Veitel | Case Manager/Care Coordinator | 311 Baden Ave, Pocahontas, IL 62275-3635 | 2010-12-14 |
1346417011 | Gina Anglin | Case Manager/Care Coordinator | 2109 Old County Rd, Pocahontas, AR 72455-4137 | 2008-05-13 |
1790382646 | Rebecca Lea Teel | Case Manager/Care Coordinator | 2305 Old County Rd, Pocahontas, AR 72455-4148 | 2020-10-05 |
1013535376 | Heather Nicole Thielemier | Case Manager/Care Coordinator | 2305 Old County Rd, Pocahontas, AR 72455-4148 | 2020-07-13 |
1346875374 | Sarah M Rogers | Case Manager/Care Coordinator | 2305 Old County Rd, Pocahontas, AR 72455-4148 | 2020-03-10 |
1750921169 | Andrea Jansen | Case Manager/Care Coordinator | 2305 Old County Rd, Pocahontas, AR 72455-4148 | 2020-01-14 |
1154964385 | Britany Danyel Jones | Case Manager/Care Coordinator | 2560 Old County Rd, Pocahontas, AR 72455-4118 | 2019-10-21 |
1356982706 | Shonna Loerna Gamso | Case Manager/Care Coordinator | 2560 Old County Rd, Pocahontas, AR 72455-4118 | 2019-10-07 |
Find all providers in POCAHONTAS |
City | POCAHONTAS |
Zip Code | 72455 |
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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.