MARTHA COOPER (NPI# 1962890012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962890012 |
| Entity Type | Individual |
| Full Name | MARTHA COOPER |
| Practice Address |
250 E Centerton Blvd Centerton AR 72719-9240 |
| Mailing Address |
9804 Gramling Rd Rogers AR 72756-9490 |
| Practice Telephone | 4797951802 |
| Practice Fax Number | 4797951805 |
| Mailing Telephone | 4797951802 |
| Mailing Fax Number | 4797951805 |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |
| 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 |
|---|---|---|---|---|
| 1538376942 | Martha Louise Cooper | Family Medicine | 807 S Isabella St, Sylvester, GA 31791-7554 | 2007-05-16 |
| Street Address |
250 E CENTERTON BLVD |
| City | CENTERTON |
| State | AR |
| Zip Code | 72719-9240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487850301 | Angela B Tucker | Counselor | 250 E Centerton Blvd, Youth Bridge, Inc., Centerton, AR 72719-9240 | 2007-06-26 |
| 1508231010 | Katharine Danielle Arburn | Case Manager/Care Coordinator | 250 E Centerton Blvd, Centerton, AR 72719-9240 | 2015-12-09 |
| 1679961882 | Youth Bridge | Case Management | 250 E Centerton Blvd, Centerton, AR 72719-9240 | 2014-12-23 |
| 1306255716 | Jackie B Tesch | Counselor | 250 E Centerton Blvd, Centerton, AR 72719-9240 | 2014-08-11 |
| 1053758755 | Mindy Kay Walker | Case Manager/Care Coordinator | 250 E Centerton Blvd, Centerton, AR 72719-9240 | 2013-06-04 |
| 1225308901 | Cassie K Crossno | Counselor | 250 E Centerton Blvd, Centerton, AR 72719-9240 | 2012-01-11 |
| 1578830394 | Angela D Traylor | Counselor | 250 E Centerton Blvd, Centerton, AR 72719-9240 | 2011-11-22 |
| 1851678635 | Wendy Clanton | Social Worker | 250 E Centerton Blvd, Centerton, AR 72719-9240 | 2011-11-08 |
| 1720373467 | Nathaniel Lee Crider | Counselor | 250 E Centerton Blvd, Centerton, AR 72719-9240 | 2011-06-10 |
| 1366736142 | Amanda Renae Deppner | Counselor | 250 E Centerton Blvd, Centerton, AR 72719-9240 | 2011-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669086724 | Epic Smiles Pllc | Dentist | 310 E Centerton Blvd, Centerton, AR 72719 | 2020-09-04 |
| 1134733876 | Bradley R Crossfield Dds Pllc | Clinic/Center | 880 East Centerton Blvd, Suite A, Centerton, AR 72719 | 2020-09-01 |
| 1861967291 | Apexnetwork Arkansas, LLC | Physical Therapist | 1128 E. Centerton Blvd, Centerton, AR 72719 | 2018-10-12 |
| 1568975761 | Reeves Medical Associates, Pllc | Internal Medicine | 1415 E Centerton Blvd, Centerton, AR 72719 | 2017-11-09 |
| 1164948246 | Jodie A Bone | Behavioral Analyst | 450 Walker Street, Centerton, AR 72719 | 2017-08-21 |
| 1225581606 | Andrew Jason Phipps | Dentist | 807 West Centerton Blvd, Centerton, AR 72719 | 2016-08-02 |
| 1922429158 | Chelsea Kinney | Speech-Language Pathologist | 427 Centerton Blvd, Centerton, AR 72719 | 2013-12-13 |
| 1467707166 | Stacey Kirk | Case Manager/Care Coordinator | 250 East Centerton Blvd., Centerton, AR 72719 | 2012-07-18 |
| 1295994457 | Tracie Leanne Downey | Occupational Therapist | 675 Brimwood Street, Centerton, AR 72719 | 2008-06-03 |
| 1124228382 | Carolyn R Reeves | Internal Medicine | 1415 E Centeron Blvd, Centeron, AR 72719 | 2007-07-24 |
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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 |
|---|---|---|---|---|
| 1962890061 | Nicole Fortin | Case Manager/Care Coordinator | 460 Dupre Cir, Centerton, AR 72719-9424 | 2014-12-26 |
| 1467707166 | Stacey Kirk | Case Manager/Care Coordinator | 250 East Centerton Blvd., Centerton, AR 72719 | 2012-07-18 |
| 1508231010 | Katharine Danielle Arburn | Case Manager/Care Coordinator | 250 E Centerton Blvd, Centerton, AR 72719-9240 | 2015-12-09 |
| 1053758755 | Mindy Kay Walker | Case Manager/Care Coordinator | 250 E Centerton Blvd, Centerton, AR 72719-9240 | 2013-06-04 |
| 1053641597 | Anna Janelle Mccraw | Case Manager/Care Coordinator | 250 E Centerton Blvd, Centerton, AR 72719-9240 | 2010-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256014 | Jessica Marie Hazelip | Case Manager/Care Coordinator | 2126 N 1st St, Jacksonville, AR 72076-2870 | 2020-08-24 |
| 1619587383 | First Choice Care Management Consulting LLC | Case Manager/Care Coordinator | 155 Leatherwood Loop, Hot Springs, AR 71901-9580 | 2020-08-06 |
| 1649889775 | Haley Kathryn Mehan | Case Manager/Care Coordinator | 109 2nd Ave Sw Apt A, Gravette, AR 72736-6009 | 2020-07-24 |
| 1114535838 | Amber Michelle Cansler | Case Manager/Care Coordinator | 637 Ar-8, Amity, AR 71921 | 2020-07-20 |
| 1649807595 | Vickie Carter | Case Manager/Care Coordinator | 1704 Highway 49 West, Trumann, AR 72472-2029 | 2020-03-23 |
| 1619501087 | 1 Source Senior Care | Case Manager/Care Coordinator | 1820 Shelby Ln, Fayetteville, AR 72704-5255 | 2020-02-25 |
| 1194356964 | Yanira Harper | Case Manager/Care Coordinator | 204 Martha Ln Apt B, Gurdon, AR 71743-2210 | 2020-01-30 |
| 1326679473 | Megan Thomas | Case Manager/Care Coordinator | 3715 N Business Dr Ste 201, Fayetteville, AR 72703-5288 | 2020-01-28 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1619516051 | Kyjione King | Case Manager/Care Coordinator | 721 S Gee St Ste A, Jonesboro, AR 72401-3308 | 2020-01-02 |
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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.