Tarissa Correll, MHPP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

7500 Dollarway Rd Ste 105
White Hall, AR 71602-3082

Phone

(870) 247-2305

Fax

(870) 247-2330

NPI assigned

Feb 15, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Tarissa Dabner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1811260201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 DOLLARWAY RD STE 105",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023082",
            "telephone_number": "870-247-2305",
            "fax_number": "870-247-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 DOLLARWAY RD STE 105",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023082",
            "telephone_number": "870-247-2305",
            "fax_number": "870-247-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRELL",
        "first_name": "TARISSA",
        "credential": "MHPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARISSA",
            "last_name": "DABNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharon Carroll, MHPP
• Charis Health & Wellness
• Nathan Lee Chennault, LCSW
• Sheila Clifton, MHPP
• Rhonda Coleman, DNP, APRN
• Olivia Crater, QBHP
• Toby Crow, RN, BSN, CCM
• Trudy Smith Crow, LCSW
• Teshara Crumpton, PLMSW
• Tonia Crumpton, MHPP

• All providers in White Hall, AR
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.