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WADE KOLLER
NPI 1477360113
Case Manager/Care Coordinator in Little Rock, AR

Active since December 16, 2024
6601 W 12TH ST, LITTLE ROCK, AR 72204(501) 666-8686(501) 660-6829 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wade Koller NPPES

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

WADE KOLLER (NPI 1477360113) is an individual case manager/care coordinator provider in Little Rock, Arkansas and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1477360113
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameWADE KOLLER
Location Address6601 W 12TH STLittle Rock, AR 72204-1513
Mailing AddressPo Box 251970Little Rock, AR 72225-1970 · (501) 666-8686 · Fax (501) 660-6830
Phone(501) 666-8686
Fax(501) 660-6829
Sole ProprietorNo
Enumeration DateDecember 16, 2024
NPPES CertifiedDecember 16, 2024
✔ NPI 1477360113 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.

6601 W 12TH ST, Little Rock, AR 72204
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Other Providers at the Same Location NPPES 20

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

MS. JOYCE GARNER ALFORD PH.D
Psychologist (Clinical Child & Adolescent)
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
MS. JANICE DENISE AVANT IV
Case Manager/Care Coordinator
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
MR. ORLANDO BRUCE BLANTON LPN
Licensed Practical Nurse
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
MR. DERWIN JEROME BAKER VI
Case Manager/Care Coordinator
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
MR. MARK LANDON BRYANT LPE
Counselor (Mental Health)
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
MRS. FELICIA FAYE BROWN
Case Manager/Care Coordinator
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
MR. JEFFERY S GWATNEY
Case Manager/Care Coordinator
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
MS. SHANTELLA DEMETRICA DAVIS
Case Manager/Care Coordinator
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686

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 Wade Koller's NPI number?

The NPI number for Wade Koller is 1477360113. It was assigned to this individual provider in the NPPES registry on December 16, 2024.

Where is Wade Koller located?

Wade Koller practices at 6601 W 12th St, Little Rock, AR 72204. The listed phone number is (501) 666-8686.

What is Wade Koller'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 Wade Koller was last updated on December 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.