REBEKAH AYECOCK (NPI# 1104251180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104251180 |
| Entity Type | Individual |
| Full Name | REBEKAH AYECOCK |
| Credential | PMHNP |
| Practice Address |
300 South School St Dermott AR 71638 |
| Mailing Address |
Po Box 509 Dermott AR 71638 |
| Practice Telephone | 8705383355 |
| Practice Fax Number | 8558114203 |
| Mailing Telephone | 8705385414 |
| Mailing Fax Number | 8705385412 |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2019-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
A005810 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 SOUTH SCHOOL ST |
| City | DERMOTT |
| State | AR |
| Zip Code | 71638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508198201 | Roger Alan Mason | Surgery | 300 South School St., Dermott, AR 71638 | 2010-02-04 |
| 1730219353 | Dermott Day Service Center, Inc. | Day Training, Developmentally Disabled Services | 817 North School Street, Dermott, AR 71638 | 2007-03-06 |
| 1134286750 | Dermott City Nursing Home | Skilled Nursing Facility | 702 West Gaines St., Dermott, AR 71638 | 2007-01-02 |
| 1861555005 | Dermott High School | Local Education Agency (LEA) | 525 East Speedway, Dermott, AR 71638 | 2006-12-19 |
| 1811095656 | Phillip W Pennington | Dentist | 300 S School, Dermott, AR 71638 | 2006-09-20 |
| 1669401501 | Mainline Health Systems, Inc | Clinic/Center | 134 South Strickland St, Dermott, AR 71638 | 2006-07-02 |
| 1982643409 | Jeffery Fenton Dunn Sr. | Pharmacist | 111 E Peddicord Street, Dermott, AR 71638 | 2006-06-06 |
| 1609298306 | Cb King Jm | Day Training, Developmentally Disabled Services | 1109 North School, Dermott, AR 71638-0000 | 2014-01-15 |
| 1780119610 | Medical Transport Management, Inc | Ambulance | 109 W Peddicord St, Dermott, AR 71638-2115 | 2017-04-28 |
| 1902191596 | Medical Transport Management, LLC | Ambulance | 111 W Peddicord St, Dermott, AR 71638-2115 | 2011-06-13 |
| Find all providers in zip 71638 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647918 | Coco Psychiatric Services Pllc | Nurse Practitioner | 115 Bella Rosa Pl, Little Rock, AR 72223-4771 | 2020-10-23 |
| 1538767462 | Safe Harbor Behavioral Health Pllc | Nurse Practitioner | 11401 N Rodney Parham Rd Ste 4, Little Rock, AR 72212-4168 | 2020-10-13 |
| 1457968737 | Natural State Behavioral Health | Nurse Practitioner | 1401 Malvern Ave Ste 180, Hot Springs, AR 71901-6370 | 2020-09-30 |
| 1255944559 | The Clinic At The Forging Place | Nurse Practitioner | 1302 Cherry St, Van Buren, AR 72956-4543 | 2020-08-26 |
| 1508478066 | Jaleesa Shears | Nurse Practitioner | 880 Bayou Vista Dr, Marion, AR 72364-5006 | 2020-08-17 |
| 1306455860 | Wendy Michelle Ray | Nurse Practitioner | 1012 E Church St Ste A, Warren, AR 71671-3530 | 2020-07-29 |
| 1295352771 | Mindful Rx LLC | Nurse Practitioner | 501 Commerce Dr Unit 13341, Maumelle, AR 72113-7729 | 2020-06-30 |
| 1235755638 | Jason David Wallace | Nurse Practitioner | 2616 Gallaway Cv, Jonesboro, AR 72404-7827 | 2020-06-22 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1588299291 | Chastity Qg Stephens | Nurse Practitioner | 2607 Alford Cv, Bryant, AR 72022-7527 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
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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.