MRS. MIRANDA SULLIVAN
NPI 1770980005
Case Manager/Care Coordinator in Blytheville, AR

NPI Status: Active since December 02, 2014

Contact Information

1510 BYRUM RD
BLYTHEVILLE, AR
ZIP 72315
Phone: (870) 532-2600

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  • Individual
  • Female
  • Case Manager/Care Coordinator

About MIRANDA SULLIVAN

This page provides the complete NPI Profile along with additional information for Miranda Sullivan, a provider established in Blytheville, Arkansas with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1770980005 assigned on December 2014. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1770980005
Provider Name
MRS. MIRANDA SULLIVAN
Gender
Female
Entity Type
Individual
Location Address
1510 BYRUM RD BLYTHEVILLE, AR 72315
Location Phone
(870) 532-2600
Mailing Address
1510 BYRUM RD BLYTHEVILLE, AR 72315
Mailing Phone
(870) 532-2600
Is Sole Proprietor?
Yes
Enumeration Date
12-02-2014
Last Update Date
12-02-2014
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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.
1770980005
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27140188000
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 8 + 8 + 0 + 0 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1770980005 is valid because the calculated check digit 5 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
1598891434 SANDRA GENERALAO GONZALES P.T.
Individual
Physical Therapist1510 BYRUM RD
BLYTHEVILLE, AR 72315
(870) 532-2600
1124156104MRS. TAMRA RUTH MC MILLAN CROWELL LPN
Individual
Licensed Practical Nurse1510 BYRUM RD
BLYTHEVILLE, AR 72315
(870) 532-2600
1912036591 JAMIE LYNN BURGESS LPN
Individual
Licensed Practical Nurse1510 BYRUM RD
BLYTHEVILLE, AR 72315
(870) 532-2600
1124151220ASCENT ACQUISITIONS CORP-PSC
Organization
Day Training, Developmentally Disabled Services1510 BYRUM RD
BLYTHEVILLE, AR 72315
(870) 532-2600
1669590170 LINDSEY CRAFTON SLP
Individual
Speech-Language Pathologist1510 BYRUM RD
BLYTHEVILLE, AR 72315
(870) 532-2600
1700906450 SUSAN ELKINS RN
Individual
Registered Nurse1510 BYRUM RD
BLYTHEVILLE, AR 72315
(870) 532-2600
1962619494MRS. MANDREA JEANETTE GODSEY BSCD MHPP
Individual
Case Manager/Care Coordinator1510 BYRUM RD
BLYTHEVILLE, AR 72315
(870) 532-2600
1912114448 CHARLOTTE MIDDLEBROOK BA MHPP
Individual
Case Manager/Care Coordinator1510 BYRUM RD
BLYTHEVILLE, AR 72315
(870) 532-2600
1912114430 ROBERTA E BEVILL SBS
Individual
Case Manager/Care Coordinator1510 BYRUM RD
BLYTHEVILLE, AR 72315
(870) 532-2600
1164639480 KENYGHATTA DAVIS MHPP
Individual
Case Manager/Care Coordinator1510 BYRUM RD
BLYTHEVILLE, AR 72315
(870) 532-2600
1841407699 LINDA F. SHEMPERT CIS, MHPP
Individual
Case Manager/Care Coordinator1510 BYRUM RD
BLYTHEVILLE, AR 72315
(870) 532-2600
1770790099 CASHEENA N FORD AA MHPP
Individual
Case Manager/Care Coordinator1510 BYRUM RD
BLYTHEVILLE, AR 72315
(870) 532-2600
1780892372 BRIDGET HOLLEMAN AA MHPP
Individual
Case Manager/Care Coordinator1510 BYRUM RD
BLYTHEVILLE, AR 72315
(870) 532-2600
1356546725MISS JESSICA ANN GRIFFIN PTA
Individual
Physical Therapy Assistant1510 BYRUM RD
BLYTHEVILLE, AR 72315
(870) 532-2600
1609071075 TRACY DAWN CASKEY BS, MHPP
Individual
Case Manager/Care Coordinator1510 BYRUM RD
BLYTHEVILLE, AR 72315
(870) 532-2600
1124226105 PAMELA B HARRIS MSE
Individual
Case Manager/Care Coordinator1510 BYRUM RD
BLYTHEVILLE, AR 72315
(870) 532-2600
1033304290 TIFFANY MARIE NETTLES
Individual
Case Manager/Care Coordinator1510 BYRUM RD
BLYTHEVILLE, AR 72315
(870) 532-2600
1639364805 SHAMIKA SHONTEL DAVIS
Individual
Case Manager/Care Coordinator1510 BYRUM RD
BLYTHEVILLE, AR 72315
(870) 532-2600
1437346947 LEIGH-ANN MARIE USREY AA
Individual
Case Manager/Care Coordinator1510 BYRUM RD
BLYTHEVILLE, AR 72315
(870) 532-2600
1013105923 TARA STEWART
Individual
Case Manager/Care Coordinator1510 BYRUM RD
BLYTHEVILLE, AR 72315
(870) 532-2600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770980005, enumerated in the NPI registry as an "individual" on December 02, 2014

The provider is located at 1510 Byrum Rd Blytheville, Ar 72315 and the phone number is (870) 532-2600

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

This NPI record was last updated on December 02, 2014. 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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