Tashiera McKissick
Individual provider Active NPI Case Manager/Care Coordinator · Little Rock, AR
NPI 1346970696 · NPPES record last updated Jun 10, 2022
Key facts
- NPI
- 1346970696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 6601 W 12TH St
Little Rock, AR 72204-1513 - Phone
- (501) 666-8686
- NPI assigned
- Jun 10, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
6601 W 12TH St
Little Rock, AR 72204-1513
Mailing address
PO Box 251970
Little Rock, AR 72225-1970
Phone (501) 666-8686
Other providers in Little Rock, AR
- Wesley McKinney
- Alyson McKinnon
- Skyler McKinnon
- Cherry McKinstry
- Heather Denise McKinzie
- Shayla Ruth McKissock
- Beth McKitrick-Bandy
- Ashley Deann McKnight
- Keshira McKnight
- Robert Wendell McKnight
All providers in Little Rock, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.