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Deactivated NPI 1649427097 Deactivated / Inactive NPI Female Practitioner

Suzanne Icenhower , BSIS EDUCATION

Case Manager/Care Coordinator • Texarkana, AR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Suzanne Icenhower has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 27, 2008
NPI Deactivation Date May 29, 2025
Total Practice Duration ~17 Years of Practice (2008 – 2025)

Professional Overview & Biography Verified Profile Summary

Suzanne Icenhower, BSIS EDUCATION was a registered Case Manager/Care Coordinator practicing in Texarkana, AR. Throughout an active medical career spanning 17 years, Suzanne Icenhower provided care at the practice location at 701 ARKANSAS BLVD until profile deactivation on 2025-05-29.

Practice Location & Contact Primary Location

Practice Address

701 Arkansas Blvd

Texarkana, AR 718542105

Telephone 8707722170
Fax 8707722138
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Texarkana, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
189 Specialists

Practicing in Texarkana, AR (11561 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Kevin Greer , MHPP

Case Manager/Care Coordinator

NPI 1134375264

Mental Health Professional Practitioner

William Stark , RN

Registered Nurse

NPI 1184871535

Registered Nurse

Tanya Gibson , BSIS EDUCATION

Case Manager/Care Coordinator

NPI 1265689616

BSISEDUCATION

Gretchen Cobb , BSE

Case Manager/Care Coordinator

NPI 1295983666
Natalie Stanley

Case Manager/Care Coordinator

NPI 1346631769
Walter Archie

Case Manager/Care Coordinator

NPI 1508309121

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 29, 2025

Record deactivated on May 29, 2025

NPI Profile Active December 05, 2008

NPI status registered as active in NPPES database

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Updated Practice Location December 05, 2008

Registered at 701 ARKANSAS BLVD, TEXARKANA, AR 718542105 (Tel: 8707722170)

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Updated Business Mailing Address December 05, 2008

Registered at 3352 N FUTRALL DR, FAYETTEVILLE, AR 727034057 (Tel: 4795215868)

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Provider Name / Credentials Updated December 05, 2008

Recorded as SUZANNE ICENHOWER, BSIS EDUCATION

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2008

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration August 27, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649427097
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 27, 2008
Last Update: December 05, 2008
Deactivation Date: May 29, 2025

Mailing Address

3352 N Futrall Dr

Fayetteville, AR 727034057

Phone: 4795215868

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.