KENDRA DESHAWN STACKHOUSE
NPI 1679030837
Case Manager/Care Coordinator in West Memphis, AR

Q: What is Kendra Stackhouse's NPI number?

The NPI number for Kendra Stackhouse is 1679030837. It was assigned to this individual provider in the NPPES registry on February 25, 2019.

Q: What is Kendra Stackhouse's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kendra Stackhouse was last updated on February 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 25, 2019

905 N 7TH ST, WEST MEMPHIS, AR 72301(870) 735-5118(870) 735-5260 Get Directions Write a Review

NPPES record last updated: February 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kendra Deshawn Stackhouse NPPES

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

KENDRA DESHAWN STACKHOUSE (NPI 1679030837) is an individual case manager/care coordinator provider in West Memphis, Arkansas and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1679030837

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameKENDRA DESHAWN STACKHOUSE

Location Address905 N 7TH STWest Memphis, AR 72301-2001

Mailing Address2707 Browns LnJonesboro, AR 72401-7213 · (870) 972-4939 · Fax (870) 972-4911

Phone(870) 735-5118

Fax(870) 735-5260

Sole ProprietorYes

Enumeration DateFebruary 25, 2019

✔ NPI 1679030837 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.

905 N 7TH ST, West Memphis, AR 72301

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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.

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