KELLY A CARR (NPI# 1982632493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982632493 |
| Entity Type | Individual |
| Full Name | KELLY A CARR |
| Practice Address |
827 W Harvard St Siloam Springs AR 72761-4013 |
| Mailing Address |
2400 S 48th St Springdale AR 72762-6683 |
| Practice Telephone | 4795493121 |
| Practice Fax Number | 4797504843 |
| Mailing Telephone | 4797502020 |
| Mailing Fax Number | 4797504843 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 170300000X | Genetic Counselor, MS | Other Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750793857 | Kelly Carr | Counselor | 12812 101st Avenue Ct E Ste 202, Puyallup, WA 98373-9103 | 2014-05-22 |
| 1154344257 | Kelly Carr | Nurse Practitioner | 32 E Lawrence Rd, Lawrenceville Laurel Health Center, Lawrenceville, PA 16929-8801 | 2006-07-26 |
| 1669037719 | Kelly B Carr | Occupational Therapist | 4455 Duncan Ave, Saint Louis, MO 63110-1111 | 2019-05-03 |
| 1336400621 | Kelly Marie Carr | Dentist | 10401 Sawmill Pkwy, Suite 50, Powell, OH 43065-7451 | 2012-06-03 |
| Street Address |
827 W HARVARD ST |
| City | SILOAM SPRINGS |
| State | AR |
| Zip Code | 72761-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144266719 | Christi Dawn Wales Hazlett | Case Manager/Care Coordinator | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2006-06-21 |
| 1043826126 | Jaquelin Vargas | Case Manager/Care Coordinator | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2020-09-23 |
| 1265045090 | Jordan Ingram | Social Worker | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2020-08-31 |
| 1285247072 | Hannah Olson | Social Worker | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2020-08-31 |
| 1568095917 | Angela K Stuart | Counselor | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2020-02-13 |
| 1710519574 | Kelley Laine Adcock | Case Manager/Care Coordinator | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2020-02-10 |
| 1164052007 | Madelyn Hamilton | Case Manager/Care Coordinator | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2020-01-20 |
| 1205475381 | Ashley Michelle Mcelroy | Case Manager/Care Coordinator | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2020-01-06 |
| 1750922761 | Tracy L Baranauskas | Case Manager/Care Coordinator | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2019-10-01 |
| 1407404338 | Gail L Holman | Case Manager/Care Coordinator | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2019-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285908 | Tripharma Inc. | Pharmacy | 310 N Progress Ave, Siloam Springs, AR 72761 | 2019-09-24 |
| 1861058547 | Oyenike Adigun-awonaike | Nurse Practitioner | 3271, Hwy 412, Siloam Springs, AR 72761 | 2019-05-17 |
| 1811551989 | Natasha Victoria Clayton | Registered Nurse | 3721 U.S. 412 Hwy, Siloam Springs, AR 72761 | 2019-04-24 |
| 1649750662 | David Raymond Jordan | Physical Therapy Assistant | 301 Glenwood Pl, Siloam Springs, AR 72761 | 2018-08-20 |
| 1689120222 | Wesley Phillip Horton | Speech-Language Pathologist | 501 W Elgin St, Siloam Springs, AR 72761 | 2016-09-01 |
| 1407216138 | Amy Bassarear | Social Worker | 1500 N Mount Olive St Ste 1, Siloam Springs, AR 72761 | 2016-02-23 |
| 1033584073 | Siloam Springs Clinic Company, LLC | Clinic/Center | 3721 East 412 Hwy, Suite B, Siloam Springs, AR 72761 | 2015-12-02 |
| 1801279575 | Rachel Fritsche Gordon | Physician Assistant | Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 | 2015-06-30 |
| 1508258021 | Lifebridge Ar Counseling | Counselor | 301 East Ashley St., Siloam Springs, AR 72761 | 2015-02-20 |
| 1902176472 | Meghan Daley | Occupational Therapist | 918 South Mt Olive, Siloam Springs, AR 72761 | 2011-12-30 |
| Find all providers in zip 72761 | ||||
| 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 |
|---|---|---|---|---|
| 1558718411 | Abby Bolen | Case Manager/Care Coordinator | 1104 Hunter Rdg, Siloam Springs, AR 72761-2205 | 2016-05-20 |
| 1164641445 | Christina Gail Granderson | Case Manager/Care Coordinator | 710 Holly St, Siloam Springs, AR 72761 | 2007-04-24 |
| 1144266719 | Christi Dawn Wales Hazlett | Case Manager/Care Coordinator | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2006-06-21 |
| 1043826126 | Jaquelin Vargas | Case Manager/Care Coordinator | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2020-09-23 |
| 1710519574 | Kelley Laine Adcock | Case Manager/Care Coordinator | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2020-02-10 |
| 1164052007 | Madelyn Hamilton | Case Manager/Care Coordinator | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2020-01-20 |
| 1205475381 | Ashley Michelle Mcelroy | Case Manager/Care Coordinator | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2020-01-06 |
| 1750922761 | Tracy L Baranauskas | Case Manager/Care Coordinator | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2019-10-01 |
| 1407404338 | Gail L Holman | Case Manager/Care Coordinator | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2019-09-04 |
| 1831742444 | David E Gates | Case Manager/Care Coordinator | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2019-07-23 |
| Find all providers in SILOAM SPRINGS | ||||
| City | SILOAM SPRINGS |
| Zip Code | 72761 |
Please comment or provide details below to improve the information on KELLY A CARR.
| 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.