KELSEY TOM (NPI# 1902424336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902424336 |
| Entity Type | Individual |
| Full Name | KELSEY TOM |
| Practice Address |
715 N College Ave El Dorado AR 71730-4403 |
| Practice Telephone | 8708627921 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700396116 | Kelsey Tom | Counselor | 1401 N Tustin Ave Ste 225, Santa Ana, CA 92705-8688 | 2017-10-11 |
| Street Address |
715 N COLLEGE AVE |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-4403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750373395 | Richard Worth Peckham | Internal Medicine | 715 N College Ave, El Dorado, AR 71730-4403 | 2005-08-19 |
| 1922615442 | Lara Katheryn Dollar | Case Manager/Care Coordinator | 715 N College Ave, El Dorado, AR 71730-4403 | 2020-09-29 |
| 1851937528 | Janet Taylor | Counselor | 715 N College Ave, El Dorado, AR 71730-4403 | 2019-11-18 |
| 1124592316 | Frankee Elizabeth Robertson | Licensed Practical Nurse | 715 N College Ave, El Dorado, AR 71730-4403 | 2019-01-22 |
| 1831663020 | Wanda Sturges | Case Manager/Care Coordinator | 715 N College Ave, El Dorado, AR 71730-4403 | 2019-01-22 |
| 1801365937 | Connie Taute | Counselor | 715 N College Ave, El Dorado, AR 71730-4403 | 2018-11-19 |
| 1588132997 | Bianca Stephens | Case Manager/Care Coordinator | 715 N College Ave, El Dorado, AR 71730 | 2018-11-05 |
| 1881170181 | Nikisha Monique Woods | Case Manager/Care Coordinator | 715 N College Ave, El Dorado, AR 71730-4403 | 2018-07-19 |
| 1922598671 | Kandy Michelle Yarborough | Counselor | 715 N College Ave, El Dorado, AR 71730-4403 | 2018-05-17 |
| 1205348273 | Amy Walthall | Licensed Practical Nurse | 715 N College Ave, El Dorado, AR 71730-4403 | 2017-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856172 | Mental Health Counseling for Individuals and Couples | Clinic/Center | 3256 West Hillsboro Suite C, El Dorado, AR 71730 | 2019-11-25 |
| 1114578168 | Candance Marie Guinn | Nurse Practitioner | 1906 W Hillsboro St Ste B, El Dorado, AR 71730 | 2019-09-20 |
| 1811460462 | Kelsie Rogers | Pharmacist | 2202 N West Ave, El Dorado, El Dorado, AR 71730 | 2019-01-07 |
| 1861925331 | Kasey Leigh Mcclain | Nurse Practitioner | 2280 E Main St, El Dorado, AR 71730 | 2017-04-11 |
| 1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
| 1376986539 | Ivory A. Kinslow, Mdpa | Optometrist | 443 W Oak St, El Dorado, AR 71730 | 2013-04-08 |
| 1134485170 | Drs Weddle and Baumsardner | Dentist | 106 West Main St. 212, El Dorado, AR 71730 | 2012-04-04 |
| 1972888923 | Lenora S Newsome | Pharmacist | 2135 North West Ave, El Dorado, AR 71730 | 2011-10-20 |
| 1730460338 | South Arkansas Pharmacy, Inc | Pharmacy | 600 South Timberlane #101, El Dorado, AR 71730 | 2011-09-09 |
| 1710273891 | Ezinne Charity Nwude | Emergency Medicine | 701 N. West Avenue, El Dorado, AR 71730 | 2011-06-27 |
| Find all providers in zip 71730 | ||||
| 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 |
|---|---|---|---|---|
| 1245632801 | Samantha Crelly | Case Manager/Care Coordinator | 2365 W Central, El Dorado, KS 67042-3208 | 2014-09-25 |
| 1073915161 | Jordan Tullis | Case Manager/Care Coordinator | 340 N Oil Hill Rd, El Dorado, KS 67042-3352 | 2014-09-19 |
| 1649672049 | Allison Leigh Schulte | Case Manager/Care Coordinator | 340 Oil Hill Rd, El Dorado, KS 67042-3352 | 2014-09-17 |
| 1396974838 | Jeremy C Funderburg | Case Manager/Care Coordinator | 217 S Jefferson Ave Ste 100, El Dorado, AR 71730-5900 | 2009-07-06 |
| 1558507301 | Georgia Barnette Hay | Case Manager/Care Coordinator | 217 S Jefferson Ave, Suite 230, El Dorado, AR 71730-5948 | 2008-12-29 |
| 1922615442 | Lara Katheryn Dollar | Case Manager/Care Coordinator | 715 N College Ave, El Dorado, AR 71730-4403 | 2020-09-29 |
| 1831663020 | Wanda Sturges | Case Manager/Care Coordinator | 715 N College Ave, El Dorado, AR 71730-4403 | 2019-01-22 |
| 1588132997 | Bianca Stephens | Case Manager/Care Coordinator | 715 N College Ave, El Dorado, AR 71730 | 2018-11-05 |
| 1881170181 | Nikisha Monique Woods | Case Manager/Care Coordinator | 715 N College Ave, El Dorado, AR 71730-4403 | 2018-07-19 |
| 1851846463 | Miesha Boone | Case Manager/Care Coordinator | 715 N College Ave, El Dorado, AR 71730-4403 | 2016-08-24 |
| Find all providers in EL DORADO | ||||
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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.