MRS. JULIE MICHELLE FORT (NPI# 1881844918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881844918 |
| Entity Type | Individual |
| Full Name | MRS. JULIE MICHELLE FORT |
| Credential | MHPP |
| Practice Address |
609 W 3rd St Imboden AR 72434-9099 |
| Practice Telephone | 8708691500 |
| Practice Fax Number | 8708691505 |
| Mailing Telephone | 8708691500 |
| Mailing Fax Number | 8708691505 |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2013-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
609 W 3RD ST |
| City | IMBODEN |
| State | AR |
| Zip Code | 72434-9099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356458269 | Barbara K Ackeret-smith | Social Worker | 609 W 3rd St, Imboden, AR 72434-9099 | 2006-08-24 |
| 1083192058 | Latricia Meyer | Case Manager/Care Coordinator | 609 W 3rd St, Imboden, AR 72434-9099 | 2018-08-01 |
| 1801382957 | Bridget Lucinda Ingram | Social Worker | 609 W 3rd St, Imboden, AR 72434-9099 | 2018-07-02 |
| 1548770365 | Demi Stephens | Case Manager/Care Coordinator | 609 W 3rd St, Imboden, AR 72434-9099 | 2017-10-06 |
| 1962931147 | Austin Smith | Case Manager/Care Coordinator | 609 W 3rd St, Imboden, AR 72434-9099 | 2017-06-09 |
| 1225415201 | Elizabeth Hardin | Case Manager/Care Coordinator | 609 W 3rd St, Imboden, AR 72434-9099 | 2015-04-29 |
| 1245535855 | Lena Huffman | Registered Nurse | 609 W 3rd St, Imboden, AR 72434-9099 | 2011-01-13 |
| 1588969158 | Shawn Page | Case Manager/Care Coordinator | 609 W 3rd St, Imboden, AR 72434-9099 | 2011-01-12 |
| 1215232889 | Lloyd Adams | Registered Nurse | 609 W 3rd St, Imboden, AR 72434-9099 | 2011-01-12 |
| 1851605497 | Brenda Elaine West | Registered Nurse | 609 W 3rd St, Imboden, AR 72434-9099 | 2010-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962960344 | Jmrx LLC | Pharmacy | 110 N. Walnut Street, Imboden, AR 72434 | 2019-03-05 |
| 1134639222 | Holli Dawn Lillard | Physical Therapist | 5552 Us Hwy 63, Suite B, Imboden, AR 72434 | 2017-10-03 |
| 1801280557 | Ashley Michelle Saylors | Massage Therapist | 1049 A W 3rd St., Imboden, AR 72434 | 2015-03-20 |
| 1548514029 | Lawrence Memorial Hospital | Clinic/Center | 201 N Walnut Street, Imboden, AR 72434 | 2012-11-05 |
| 1093997959 | Sloan-hendrix School District | Local Education Agency (LEA) | 1 Greyhound Drive, Imboden, AR 72434 | 2007-12-03 |
| 1164620381 | Brenda Marie Ray | Counselor | 106 East Third St, Imboden, AR 72434 | 2007-07-10 |
| 1487878104 | Murphy Dental Care Pa | Dentist | 1031 West Third St, Imboden, AR 72434 | 2007-04-12 |
| 1619062601 | Aaron B Murphy | Dentist | 1031 W. Third St., Imboden, AR 72434 | 2006-10-04 |
| 1417964107 | Jackie R White | Family Medicine | 201 N Walnut, Imboden, AR 72434 | 2006-08-02 |
| 1528058112 | Imboden Medical Pharmacy Inc | Pharmacist | 203 Walnut St, Imboden, AR 72434 | 2005-10-25 |
| Find all providers in zip 72434 | ||||
| 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 |
|---|---|---|---|---|
| 1770905077 | Jason Pate | Case Manager/Care Coordinator | 234 Georgia St, Imboden, AR 72434-9304 | 2014-01-06 |
| 1083192058 | Latricia Meyer | Case Manager/Care Coordinator | 609 W 3rd St, Imboden, AR 72434-9099 | 2018-08-01 |
| 1548770365 | Demi Stephens | Case Manager/Care Coordinator | 609 W 3rd St, Imboden, AR 72434-9099 | 2017-10-06 |
| 1962931147 | Austin Smith | Case Manager/Care Coordinator | 609 W 3rd St, Imboden, AR 72434-9099 | 2017-06-09 |
| 1225415201 | Elizabeth Hardin | Case Manager/Care Coordinator | 609 W 3rd St, Imboden, AR 72434-9099 | 2015-04-29 |
| 1588969158 | Shawn Page | Case Manager/Care Coordinator | 609 W 3rd St, Imboden, AR 72434-9099 | 2011-01-12 |
| 1336477306 | Susan Prater | Case Manager/Care Coordinator | 609 W 3rd St, Imboden, AR 72434-9099 | 2009-12-02 |
| 1962730937 | Blake Prater | Case Manager/Care Coordinator | 609 W 3rd St, Imboden, AR 72434-9099 | 2009-12-02 |
| 1467682575 | Shara Jane Dail | Case Manager/Care Coordinator | 609 W 3rd St, Imboden, AR 72434-9099 | 2009-07-23 |
| 1437389152 | Leslee Deanna Martin | Case Manager/Care Coordinator | 609 W 3rd St, Imboden, AR 72434-9099 | 2009-07-15 |
| Find all providers in IMBODEN | ||||
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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.