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LISA JANE WAGONER MHPP
NPI 1386903771
Case Manager/Care Coordinator in Lake Village, AR

Active since May 07, 2012
316 MAIN ST, LAKE VILLAGE, AR 71653(870) 265-2186(870) 265-2305 Get Directions Write a Review

NPPES record last updated: May 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Jane Wagoner Mhpp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA JANE WAGONER MHPP (NPI 1386903771) is an individual case manager/care coordinator provider in Lake Village, Arkansas and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1386903771
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameLISA JANE WAGONERCredential: MHPP
Location Address316 MAIN STLake Village, AR 71653-1942
Mailing Address316 Main StLake Village, AR 71653-1942 · (870) 265-2186 · Fax (870) 265-2305
Phone(870) 265-2186
Fax(870) 265-2305
Sole ProprietorNo
Enumeration DateMay 7, 2012
✔ NPI 1386903771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
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.
316 MAIN ST, Lake Village, AR 71653
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Other Names 1

Former Name (1)Lisa Jane Snow Mhpp

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHRISTOPHER LANDON PIERONI PT
Physical Therapist
316 MAIN ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-3950
JAMEENAH WILLIAMS MHPP
Case Manager/Care Coordinator
316 MAIN ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-2186
TIFFANY DENISE FOX OT-A
Occupational Therapy Assistant
316 MAIN ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-3950
MELISSA JACKSON MHPP
Case Manager/Care Coordinator
316 MAIN ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-2186
CAROLINE SLOAN MISCHKE OT
Occupational Therapist
316 MAIN ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-3950
MARTHA WEATHEROY MHPP
Case Manager/Care Coordinator
316 MAIN ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-2186
MR. DANIEL SHELTON JR.
Case Manager/Care Coordinator
316 MAIN ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-2186
JONNA DUNN HARPER OT-A
Occupational Therapy Assistant
316 MAIN ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-3950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Wagoner's NPI number?

The NPI number for Lisa Wagoner is 1386903771. It was assigned to this individual provider in the NPPES registry on May 7, 2012. The provider is also known as Lisa Jane Snow Mhpp.

Where is Lisa Wagoner located?

Lisa Wagoner practices at 316 Main St, Lake Village, AR 71653. The listed phone number is (870) 265-2186.

What is Lisa Wagoner's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Lisa Wagoner was last updated on May 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.