ALEXANDRA TIFFANY ESSID (NPI# 1124630223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124630223 |
Entity Type | Individual |
Full Name | ALEXANDRA TIFFANY ESSID |
Credential | NP |
Practice Address |
10301 Mayo Dr Barling AR 72923-1660 |
Mailing Address |
185 Abbott Ave Mastic NY 11950-1213 |
Practice Telephone | 4797552321 |
Mailing Telephone | 6313106369 |
Enumeration Date | 2020-08-19 |
Last Update Date | 2020-11-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
213237 | AR | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F309854-01 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
10301 MAYO DR |
City | BARLING |
State | AR |
Zip Code | 72923-1660 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326034547 | Terrell P Bishop | Psychiatry & Neurology | 10301 Mayo Dr, Barling, AR 72923-1660 | 2005-09-22 |
1750942215 | Kelley Danielle Hale | Nurse Practitioner | 10301 Mayo Dr, Barling, AR 72923-1660 | 2019-06-25 |
1740762905 | Kally Marie Elizabeth Sivage | Nurse Practitioner | 10301 Mayo Dr, Barling, AR 72923-1660 | 2018-09-04 |
1154707461 | Valley Behavioral Health System, LLC | Psychiatric Residential Treatment Facility | 10301 Mayo Dr, Barling, AR 72923-1660 | 2015-08-10 |
1629478946 | Lisa G Brock | Counselor | 10301 Mayo Dr, Barling, AR 72923-1660 | 2014-08-25 |
1124466701 | Phomakay Primary Care Pa | Family Medicine | 10301 Mayo Dr, Barling, AR 72923-1660 | 2013-06-05 |
1154674661 | Saige E Small | Case Manager/Care Coordinator | 10301 Mayo Dr, Barling, AR 72923-1660 | 2012-10-22 |
1811242233 | Savannah Keeter | Case Manager/Care Coordinator | 10301 Mayo Dr, Barling, AR 72923-1660 | 2012-07-23 |
1922369495 | James Vitale | Case Manager/Care Coordinator | 10301 Mayo Dr, Barling, AR 72923-1660 | 2012-05-31 |
1013278563 | Lauren Patton | Case Manager/Care Coordinator | 10301 Mayo Dr, Barling, AR 72923-1660 | 2012-05-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831702182 | Marshall Sebastian Parker | Chiropractor | 7209 Chad Colley Blvd, Suite A, Barling, AR 72923 | 2020-08-26 |
1912568304 | Community Family Medical Clinic, LLC. | Family Medicine | 1202 Fort Street, Barling, AR 72923 | 2019-06-26 |
1548718125 | Chandra Mathis | Nurse Practitioner | 1200 Fort St, Barling, AR 72923 | 2016-09-13 |
1982961439 | Valley Behavioral Health System LLC | Psychiatric Hospital | 10301 Mayo Drive, Barling, AR 72923 | 2012-04-20 |
1013162031 | Dana Smith | Case Manager/Care Coordinator | 1311 Fort Street, Ste J, Barling, AR 72923 | 2008-11-18 |
1861643116 | Peter Nguyen | Case Manager/Care Coordinator | 1311 Fort Smith, Barling, AR 72923 | 2008-10-06 |
1346464120 | Alert Response, LLC | Durable Medical Equipment & Medical Supplies | 618 Fort Street, Bartling, AR 72923 | 2007-04-12 |
1043346752 | Jenny Burton | Case Manager/Care Coordinator | 1311 Fort St., Suite J, Barling, AR 72923 | 2007-02-26 |
1922142454 | Edward R Obana Jr. | Social Worker | 1311 Fort Street, Suite J, Barling, AR 72923 | 2007-02-17 |
1730198110 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 1610 Fort Street, Barling, AR 72923 | 2006-08-05 |
Find all providers in zip 72923 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174122121 | John Mychal Thompson | Nurse Practitioner | 1411 Terrace, Magnolia, AR 71753-2040 | 2020-10-21 |
1619581873 | Tammy M Palermo | Nurse Practitioner | 210 County Road 1071, Eureka Springs, AR 72632-9480 | 2020-09-04 |
1134733611 | Heather Suzanne Brown | Nurse Practitioner | 856 Silverpeak Rd, Sherwood, AR 72120-2366 | 2020-09-02 |
1891307054 | Jyrissa Robinson | Nurse Practitioner | 1209 Hideaway Cv, Bryant, AR 72022-5007 | 2020-08-19 |
1598308140 | Elizabeth Ann Charles | Nurse Practitioner | 7001 Rogers Ave Fl 6, Fort Smith, AR 72903-4073 | 2019-10-25 |
1548802309 | Jazzmon Nicole Trice | Nurse Practitioner | 8400 Highway 386 East, Wrightsville, AR 72183 | 2019-10-14 |
1902457955 | Debbie Diane Laws | Nurse Practitioner | 2415 N Tyler St, Little Rock, AR 72207-3740 | 2019-09-21 |
1104473214 | Rebecca Lopez | Nurse Practitioner | 3305 S 2nd Pl, Rogers, AR 72758-1427 | 2019-08-22 |
1457814501 | Charis Health and Wellness Clinic | Nurse Practitioner | 7500 Dollarway Rd Ste 403, White Hall, AR 71602-3083 | 2019-04-06 |
1780141531 | Lauren Kincannon | Nurse Practitioner | Baptist Health Cardiothoracic Surgery Clinic, Little Rock, AR 72205-7220 | 2019-02-28 |
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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.