JUSTIN PARTIN (NPI# 1093281917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093281917 |
| Entity Type | Individual |
| Full Name | JUSTIN PARTIN |
| Practice Address |
3211 N Northhills Blvd Fayetteville AR 72703-4007 |
| Practice Telephone | 4795714338 |
| Mailing Telephone | 4795714338 |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
A005641 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3211 N NORTHHILLS BLVD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023072808 | David A Churchill | Internal Medicine | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2006-04-17 |
| 1649885252 | Kaitlynn Nichole Britton | Nurse Practitioner | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2020-09-10 |
| 1861025173 | Laura Droke | Nurse Practitioner | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2020-02-14 |
| 1104361864 | Dawn Michelle Smedley | Clinical Nurse Specialist | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2017-01-04 |
| 1891043071 | Ellen Jean Teal | Nurse Practitioner | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2012-08-20 |
| 1447512579 | Courtney Mae Burns | Clinical Nurse Specialist | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703 | 2012-06-14 |
| 1174890065 | Taylor Dee Marshall | Nurse Practitioner | 3211 N Northhills Blvd, #110, Fayetteville, AR 72703-4007 | 2011-11-21 |
| 1578862785 | Nicole Van Comstock | Nurse Practitioner | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2011-03-28 |
| 1417254780 | Brandi Marie Barnes | Nurse Practitioner | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2011-02-22 |
| 1679890966 | Washington Regional Medical System | Internal Medicine | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2010-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1932749561 | Jennifer Breathitt | Nurse Practitioner | 4542 W Wedge Dr, Fayetteville, AR 72704-7532 | 2020-01-11 |
| 1124666482 | Martha Lynn Brawner | Nurse Practitioner | 2882 N Bermuda Ave, Fayetteville, AR 72704-6034 | 2019-12-18 |
| 1437614013 | Michelle N Holder | Nurse Practitioner | 249 Otter Cir, Fayetteville, GA 30215-5264 | 2019-02-07 |
| 1730684960 | Kasondra Mcdonald | Nurse Practitioner | 117 Chadwick Farms Dr, Fayetteville, TN 37334-6081 | 2018-03-29 |
| 1265985931 | Stephanie R Rives | Nurse Practitioner | 18 Ivy Dr, Fayetteville, TN 37334-7287 | 2016-07-29 |
| 1538413646 | Joseph Patrick Madelone | Nurse Practitioner | 202 Cleveland Blvd, Fayetteville, NY 13066-1104 | 2012-10-29 |
| 1063048817 | Kenita Davis | Nurse Practitioner | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2020-03-12 |
| 1780218206 | Tara Howerton | Nurse Practitioner | 3276 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2020-02-24 |
| 1861025173 | Laura Droke | Nurse Practitioner | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2020-02-14 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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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.