MITTIE CHAROLETT COLLINS (NPI# 1073174348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073174348 |
| Entity Type | Individual |
| Full Name | MITTIE CHAROLETT COLLINS |
| Practice Address |
2792 S 2nd St Ste B Cabot AR 72023-7064 |
| Mailing Address |
1900 Stillwater Dr Jonesboro AR 72404-9119 |
| Practice Telephone | 8709323600 |
| Mailing Telephone | 8709323600 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | Other Service Providers |
| Street Address |
2792 S 2ND ST STE B |
| City | CABOT |
| State | AR |
| Zip Code | 72023-7064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376774141 | Lauren Nicole Smith | Licensed Practical Nurse | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2009-07-28 |
| 1841899135 | Ashley Stafford | Driver | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2020-10-19 |
| 1871131144 | Laura Hemer | Day Training/Habilitation Specialist | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2019-12-17 |
| 1003467549 | Amanda Ryan Timmer | Day Training/Habilitation Specialist | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2019-09-26 |
| 1689220717 | Leslie Anne Bryant | Speech-Language Pathologist | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2019-08-14 |
| 1811541071 | Melanie Lynne Watson | Day Training/Habilitation Specialist | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2019-07-26 |
| 1891268249 | Leaann Mason | Speech-Language Pathologist | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2019-01-08 |
| 1205304490 | Kimberly Jimerson | Registered Nurse | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2018-11-06 |
| 1720588163 | Grace Valentine | Day Training/Habilitation Specialist | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2018-02-12 |
| 1710402276 | Amy Mendenhall | Registered Nurse | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2017-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458407 | Arthur Latrell Mays Jr. | Transportation Broker | 18 High Plains Drive, Cabot, AR 72023 | 2019-10-17 |
| 1275182677 | Central Arkansas Screening and Medical Services | Clinical Nurse Specialist | 801 W. Locust St, Cabot, AR 72023 | 2019-09-09 |
| 1154975431 | Cabot Ep, Pllc | Emergency Medicine | 212 Willie Ray Dr., Cabot, AR 72023 | 2019-07-25 |
| 1972070993 | Little Rock Hospital 1, LLC | General Acute Care Hospital | 212 Willie Ray Dr, Cabot, AR 72023 | 2018-10-29 |
| 1437654670 | Eldercare of Arkansas V, Inc. | Assisted Living Facility | 601 E. Mountain Springs Road, Cabot, AR 72023 | 2018-03-29 |
| 1558889220 | Justin Kent | Physical Therapist | 2800 South 2nd Street Ste. B, Cabot, AR 72023 | 2017-09-01 |
| 1518310390 | Viki Vinson | Registered Nurse | 51 Financial Drive, Cabot, AR 72023 | 2016-07-18 |
| 1477934552 | Next Generation Physical Therapy | Physical Therapist | 100 Gateway Drive, Cabot, AR 72023 | 2015-06-15 |
| 1366829020 | Amber Barnes | Speech-Language Pathologist | 16150 Arkansas 5, Cabot, AR 72023 | 2015-05-01 |
| 1184020984 | Jodi Hood | Speech-Language Pathologist | 601 N Lincoln St, Cabot, AR 72023 | 2014-11-06 |
| Find all providers in zip 72023 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899135 | Ashley Stafford | Driver | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2020-10-19 |
| 1194324509 | Travis Cantrell | Driver | 3148 Highway 367 S, Cabot, AR 72023-7473 | 2020-10-19 |
| 1851858450 | Erica D Bookout | Driver | 2792 S 2nd St, Cabot, AR 72023-7020 | 2019-03-01 |
| 1962969568 | Jack Jay Collins | Driver | 2792 S 2nd St, Cabot, AR 72023-7020 | 2019-03-01 |
| 1689131286 | Mary K Davis | Driver | 2792 S 2nd St, Cabot, AR 72023-7020 | 2019-03-01 |
| 1003373788 | Cortney M Alexander | Driver | 2792 S 2nd St, Cabot, AR 72023-7020 | 2019-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666849 | Anne Marie Kinchen | Driver | 1548 W 10th St, North Little Rock, AR 72114-3948 | 2020-10-09 |
| 1427682699 | Hassen Hassen | Driver | 3700 S Caraway Rd, Jonesboro, AR 72404-7444 | 2020-02-26 |
| 1154955797 | Aniefiok Jacob | Driver | 3306 Shelby Dr, Jonesboro, AR 72404-0637 | 2020-02-22 |
| 1235762121 | Constance Hall | Driver | 3605 S Holly St, Pine Bluff, AR 71603-6253 | 2020-02-19 |
| 1083259519 | Judy Lynn Nichols | Driver | 2311 W Maddox Rd, Jacksonville, AR 72076-8771 | 2019-11-07 |
| 1386205359 | Lasonjia Denise Blackmon | Driver | 5202 Mulberry Pl, Little Rock, AR 72206-4913 | 2019-06-21 |
| 1487215489 | Calvin E Day | Driver | 10201 Republic Ln, Little Rock, AR 72209-8438 | 2019-06-21 |
| 1245736420 | Denise Hudson | Driver | 1506 S State St, Little Rock, AR 72202-3768 | 2018-04-05 |
| 1740793231 | Lonzell Blackmon | Driver | 10 Roxbury Dr, Little Rock, AR 72209-2133 | 2017-11-07 |
| 1548770811 | John L Musgraves | Driver | 3404 Philco, Blytheville, AR 72315-5176 | 2017-10-02 |
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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.