KIMBERKLIN ROSE WOMMACK
NPI 1639738560
Case Manager/Care Coordinator in Texarkana, AR

NPI Status: Active since June 13, 2019

Contact Information

2904 ARKANSAS BLVD
TEXARKANA, AR
ZIP 71854
Phone: (870) 773-4655

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  • Individual
  • Female
  • Case Manager/Care Coordinator

About KIMBERKLIN WOMMACK

This page provides the complete NPI Profile along with additional information for Kimberklin Wommack, a provider established in Texarkana, Arkansas with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1639738560 assigned on June 2019. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1639738560
Provider Name
KIMBERKLIN ROSE WOMMACK
Gender
Female
Entity Type
Individual
Location Address
2904 ARKANSAS BLVD TEXARKANA, AR 71854
Location Phone
(870) 773-4655
Mailing Address
2904 ARKANSAS BLVD TEXARKANA, AR 71854
Is Sole Proprietor?
No
Enumeration Date
06-13-2019
Last Update Date
06-13-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639738560
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266914316512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 4 + 3 + 1 + 6 + 5 + 1 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1639738560 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669478434MRS. SHARON C HOWARD PHD
Individual
Psychologist2904 ARKANSAS BLVD
TEXARKANA, AR 71854
(870) 773-4655
1124024187DR. MICHAEL J MCALLISTER PHD
Individual
Psychologist (Clinical)2904 ARKANSAS BLVD
TEXARKANA, AR 71854
(870) 773-4655
1528032307 MARY J CEARLEY LPN
Individual
Licensed Practical Nurse2904 ARKANSAS BLVD
TEXARKANA, AR 71854
(870) 773-4655
1396714721MR. DWIGHT L SPERRY MA
Individual
Counselor (Mental Health)2904 ARKANSAS BLVD
TEXARKANA, AR 71854
(870) 773-4655
1689633778MR. RANDY KEITH WHITE LPC
Individual
Counselor (Professional)2904 ARKANSAS BLVD
TEXARKANA, AR 71854
(870) 773-4655
1407815442MRS. MARY GAYLE GORDON MS
Individual
Counselor (Mental Health)2904 ARKANSAS BLVD
TEXARKANA, AR 71854
(870) 773-4655
1780636415 AMANDA C BROCATO RN
Individual
Registered Nurse2904 ARKANSAS BLVD
TEXARKANA, AR 71854
(870) 773-4655
1902859713 ADLA ELAINE CROSS LCSW
Individual
Social Worker (Clinical)2904 ARKANSAS BLVD
TEXARKANA, AR 71854
(870) 773-4655
1972557866 LAKESHA L JONES LPN
Individual
Licensed Practical Nurse2904 ARKANSAS BLVD
TEXARKANA, AR 71854
(870) 773-4655
1205880184 VERONICA KAY ROBERTS LPN II
Individual
Licensed Practical Nurse2904 ARKANSAS BLVD
TEXARKANA, AR 71854
(870) 773-4655
1982659579 WARREN A SMITH MSLSW
Individual
Social Worker2904 ARKANSAS BLVD
TEXARKANA, AR 71854
(870) 773-4655
1053366302 DARLA KAY TURNER LPN
Individual
Licensed Practical Nurse2904 ARKANSAS BLVD
TEXARKANA, AR 71854
(870) 773-4655
1851311328 BYRON K BANKS LPE
Individual
Counselor (Mental Health)2904 ARKANSAS BLVD
TEXARKANA, AR 71854
(870) 773-4655
1851487532 CATHY ALISON WORD PHD
Individual
Psychologist2904 ARKANSAS BLVD
TEXARKANA, AR 71854
(870) 773-4655
1356490205DR. MARIANNE SEIDEL M.D.
Individual
Psychiatry & Neurology (Psychiatry)2904 ARKANSAS BLVD
TEXARKANA, AR 71854
(870) 773-4655
1598899676 TRACIE LYNN ROBINSON
Individual
Case Manager/Care Coordinator2904 ARKANSAS BLVD
TEXARKANA, AR 71854
(870) 773-4655
1669594941 WILLIAM ALEX TURNER
Individual
Case Manager/Care Coordinator2904 ARKANSAS BLVD
TEXARKANA, AR 71854
(870) 773-4655
1932221215 PHILLIP ASHLEY TURNER
Individual
Case Manager/Care Coordinator2904 ARKANSAS BLVD
TEXARKANA, AR 71854
(870) 773-4655
1093913238 SHARON ANN DAVIS BAAS, MS
Individual
Case Manager/Care Coordinator2904 ARKANSAS BLVD
TEXARKANA, AR 71854
(870) 773-4655
1033307582 LARRY LEE KRETZ RN
Individual
Registered Nurse2904 ARKANSAS BLVD
TEXARKANA, AR 71854
(870) 773-4655

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639738560, enumerated in the NPI registry as an "individual" on June 13, 2019

The provider is located at 2904 Arkansas Blvd Texarkana, Ar 71854 and the phone number is (870) 773-4655

The provider's speciality is Case Manager/Care Coordinator with taxonomy code 171M00000X

This NPI record was last updated on June 13, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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