MS. AMANDA RUTH GUISE-MCDONOUGH (NPI# 1043787070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043787070 |
| Entity Type | Individual |
| Full Name | MS. AMANDA RUTH GUISE-MCDONOUGH |
| Credential | CNP |
| Practice Address |
5022 Country Club Blvd Little Rock AR 72207-4724 |
| Practice Telephone | 5012471154 |
| Mailing Telephone | 5012471154 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
A005720 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
A005720 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5022 COUNTRY CLUB BLVD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72207-4724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245754555 | Yolanda Johnson | Case Manager/Care Coordinator | 1100 N University Suite 200, Little Rock, AR 72207 | 2017-07-28 |
| 1275065146 | Mccallum Medical Pa | Emergency Medicine | 1923 N Tyler St, Little Rock, AR 72207 | 2017-03-30 |
| 1700326790 | Denira Zardoost | Case Manager/Care Coordinator | 1100 N.uiversity, Evergreen Place Suite 200, Little Rock, AR 72207 | 2017-02-24 |
| 1952794828 | Robert Young Md | Clinic/Center | 4617 Crestwood Dr, Little Rock, AR 72207 | 2015-03-16 |
| 1366711004 | Amanda Diane Berg | Massage Therapist | 1405 N. Pierce St., Suite 210, Little Rock, AR 72207 | 2011-12-27 |
| 1801184080 | Larra Jean Bender | Massage Therapist | 1405 N. Pierce St. Suite 210, Little Rock, AR 72207 | 2011-07-21 |
| 1326371550 | Elizabeth G White | Social Worker | 1501 N University Ave Ste 416, Little Rock, AR 72207 | 2009-09-04 |
| 1437334364 | Lori Lamitina Nicholson | Chiropractor | 1405 North Pierce Street, Suite 210, Little Rock, AR 72207 | 2008-01-09 |
| 1568656858 | Megan Elizabeth Hughes | Social Worker | 5905 Forest Place, Little Rock, AR 72207 | 2007-08-30 |
| 1336361955 | Jennifer Baldwin | Occupational Therapist | 7204 M St, Little Rock, AR 72207 | 2007-05-03 |
| Find all providers in zip 72207 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457955 | Debbie Diane Laws | Nurse Practitioner | 2415 N Tyler St, Little Rock, AR 72207-3740 | 2019-09-21 |
| 1780141531 | Lauren Kincannon | Nurse Practitioner | Baptist Health Cardiothoracic Surgery Clinic, Little Rock, AR 72205-7220 | 2019-02-28 |
| 1144493263 | Elizabeth Denise Hebel | Nurse Practitioner | 4300 W Markham St # 111e, Little Rock, AR 72205-4024 | 2008-04-09 |
| 1093722522 | Melissa Elline House | Nurse Practitioner | 4300 West 7th St, Little Rock, AR 72205 | 2006-08-01 |
| 1306830575 | Joanne K Mazander | Nurse Practitioner | 9500 Kanis Rd, Suite 101, Little Rock, AR 72205-6324 | 2005-09-02 |
| 1669079380 | Stephanie Rogers | Nurse Practitioner | 200 River Market Ave Ste 300, Little Rock, AR 72201-1770 | 2020-10-06 |
| 1134685217 | Felicia Mae Johnson | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2019-02-14 |
| 1104301514 | Mary E Hatfield | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2018-10-02 |
| 1457832842 | Marissa Boggs | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2018-08-24 |
| 1700304813 | Lauren Annette Rucker | Nurse Practitioner | 4301 W Markham St, Little Rock, AR 72205 | 2017-09-08 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72207 |
Please comment or provide details below to improve the information on MS. AMANDA RUTH GUISE-MCDONOUGH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.