KRISTEN SHAYANNE CROOK (NPI# 1053781088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053781088 |
| Entity Type | Individual |
| Full Name | KRISTEN SHAYANNE CROOK |
| Credential | APRN |
| Practice Address |
800 S Church St Suite 400 Jonesboro AR 72401-4176 |
| Practice Telephone | 8709356012 |
| Practice Fax Number | 8709343156 |
| Mailing Telephone | 8709356012 |
| Mailing Fax Number | 8709343156 |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2015-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
A004544 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | APRN LICENSE | A004544 | 01 |
| Street Address |
800 S CHURCH ST SUITE 400 |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-4176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265430581 | Carl Brady Edwards | Obstetrics & Gynecology | 800 S Church St, Suite 302, Jonesboro, AR 72401-4176 | 2005-07-11 |
| 1073981056 | Kristen Nicole Luce | Nurse Practitioner | 800 S Church St, Jonesboro, AR 72401-4176 | 2015-09-09 |
| 1922354877 | Crystal Gayle Sutton | Case Manager/Care Coordinator | 800 S Church St, Jonesboro, AR 72401-4176 | 2012-07-30 |
| 1922366004 | Andrew K. Dunham | Obstetrics & Gynecology | 800 S Church St, Ste. 302, Jonesboro, AR 72401-4176 | 2012-04-26 |
| 1417238981 | Kellie Lynn Cox | Nurse Practitioner | 800 S Church St, Ste 400, Jonesboro, AR 72401-4176 | 2011-08-29 |
| 1588942833 | Ascent Chs | Case Management | 800 S Church St, Jonesboro, AR 72401-4176 | 2011-08-03 |
| 1609154954 | Taysia Callie Covington | Case Manager/Care Coordinator | 800 S Church St, Jonesboro, AR 72401-4176 | 2011-08-03 |
| 1811200959 | Melissa A Carter | Nurse Practitioner | 800 S Church St, Suite 400, Jonesboro, AR 72401-4176 | 2010-07-19 |
| 1699086314 | Serena Nicole Vance | Obstetrics & Gynecology | 800 S Church St, Suite 302, Jonesboro, AR 72401-4176 | 2010-06-28 |
| 1114258266 | Northeast Arkansas Clinic Charitable Foundation, Inc | Durable Medical Equipment & Medical Supplies | 800 S Church St, Suite 104, Jonesboro, AR 72401-4176 | 2010-01-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164686697 | Jenny Martin Edu | Nurse Practitioner | 121 Watts St Ste B, Jonesboro, LA 71251-2063 | 2008-07-14 |
| 1548820822 | Rebecca Ann Ward | Nurse Practitioner | 3410 E Johnson Ave Ste T, Jonesboro, AR 72401-2032 | 2019-06-18 |
| 1740767375 | Jill Renee Davis | Nurse Practitioner | 800 S Church St Ste 400, Jonesboro, AR 72401-4112 | 2018-07-26 |
| 1033570353 | April D Joseph | Nurse Practitioner | 236 Arrowhead Blvd, Jonesboro, GA 30236-1106 | 2016-03-14 |
| 1003274275 | Sandra Troxel | Nurse Practitioner | 2816 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2016-02-03 |
| 1073981056 | Kristen Nicole Luce | Nurse Practitioner | 800 S Church St, Jonesboro, AR 72401-4176 | 2015-09-09 |
| 1659757425 | Heather K Negrotto | Nurse Practitioner | 165 Beech Springs Rd, Jonesboro, LA 71251-2013 | 2015-08-04 |
| 1518356013 | Tomorrow Atkins Potter | Nurse Practitioner | 1150 E Matthews Ave, Ste 101, Jonesboro, AR 72401-4346 | 2015-01-21 |
| 1659416691 | Sharon M Bryan-grant | Nurse Practitioner | 236 Arrowhead Blvd, Jonesboro, GA 30236-1106 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324216 | Taira Nicole Bernard | Nurse Practitioner | 6424 The Divide Pkwy Apt 106, Little Rock, AR 72223-5861 | 2020-04-07 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1386152163 | Sara Jane Brown | Nurse Practitioner | 4000 Linwood Dr Ste H, Paragould, AR 72450-7224 | 2018-01-16 |
| 1194178376 | Amy Hodges | Nurse Practitioner | 172 Highway 62 W, Salem, AR 72576-8059 | 2016-07-22 |
| 1265824841 | Ashley Gayle Vaughan | Nurse Practitioner | 7303 Rogers, Ave 201, Pediatric Partners, Fort Smith, AR 72903-4112 | 2015-02-19 |
| 1215333075 | Lisa Lavon Fields | Nurse Practitioner | 5434 W Walsh Ln, Rogers, AR 72758-8946 | 2014-11-06 |
| 1689923831 | Joanna Lowery | Nurse Practitioner | 3 Childrens Way, Little Rock, AR 72202-3500 | 2012-09-04 |
| 1881941417 | Denice Marie Bozeman | Nurse Practitioner | 1 Childrens Way # 707, Little Rock, AR 72202-3500 | 2012-08-14 |
| 1699038711 | Jennifer Ellen Murphree | Nurse Practitioner | 1 Children's Way, St # 653, Little Rock, AR 72202 | 2012-06-22 |
| 1255579124 | Kimberly Ann Grundy | Nurse Practitioner | 800 Marshall St # 512-3, Little Rock, AR 72202-3510 | 2009-01-29 |
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| 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.