BONNIE WITCHER (NPI# 1134419039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134419039 |
| Entity Type | Individual |
| Full Name | BONNIE WITCHER |
| Practice Address |
3214 Winchester Benton AR 72015-2929 |
| Practice Telephone | 5013266160 |
| Mailing Telephone | 5013266160 |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2011-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
3214 WINCHESTER |
| City | BENTON |
| State | AR |
| Zip Code | 72015-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790815041 | Julie M Christian | Speech-Language Pathologist | 3214 Winchester, Benton, AR 72015-2929 | 2007-03-06 |
| 1184222093 | Alix T Dyer | Occupational Therapist | 3214 Winchester, Benton, AR 72015-2929 | 2020-10-13 |
| 1770137275 | Jlm Ventures, Inc. | Clinic/Center | 3214 Winchester, Benton, AR 72015-2929 | 2019-08-01 |
| 1457905580 | Jlm Ventures, Inc. | Clinic/Center | 3214 Winchester, Benton, AR 72015-2929 | 2019-07-26 |
| 1245884378 | Jlm Ventures, Inc. | Occupational Therapist | 3214 Winchester, Benton, AR 72015-2929 | 2019-07-26 |
| 1831606235 | Dominique D Humphrey | Case Manager/Care Coordinator | 3214 Winchester, Benton, AR 72015-2929 | 2018-01-08 |
| 1386154334 | Sara N Knauf | Case Manager/Care Coordinator | 3214 Winchester, Benton, AR 72015-2929 | 2017-10-04 |
| 1114443280 | Victoria M Jones | Case Manager/Care Coordinator | 3214 Winchester, Benton, AR 72015-2929 | 2017-08-20 |
| 1396268702 | Crystal Kidd | Case Manager/Care Coordinator | 3214 Winchester, Benton, AR 72015-2929 | 2017-07-18 |
| 1962932293 | Sharon M Cooley | Case Manager/Care Coordinator | 3214 Winchester, Benton, AR 72015-2929 | 2017-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538444583 | Stacy Ann Harris | Specialist | 403 Demuth Lane, Benton, AR 72019 | 2011-10-20 |
| 1588798235 | Angie Russell | Specialist | 11167 Hwy 67, Benton, AR 72015 | 2007-03-15 |
| 1104959410 | Allan B. Hatch, M.d., P.a. | Specialist | 1000 Hwy 35 North, Suite 8, Benton, AR 72019 | 2007-03-14 |
| 1124124391 | Central Arkansas Womens Clinic P.a. | Specialist | 910 North East Street, Ste 206, Benton, AR 72015 | 2006-09-15 |
| 1023033859 | John V. Baka M.d.p.a | Specialist | 1220 Military Rd, Benton, AR 72015-2908 | 2006-07-13 |
| 1477510220 | Saline Heart Group, P.a. | Specialist | 1000 Hwy 35 N, Suite 8, Benton, AR 72019-2351 | 2006-04-26 |
| 1699774794 | Ophthalmology Associates of Benton, Pllc | Specialist | 3 Medical Park Dr, Suite 300, Benton, AR 72015-3728 | 2005-07-20 |
| 1720081607 | Michael J. Schmidt Md | Specialist | 5 Medical Park Place, Ste 308, Benton, AR 72015-3745 | 2005-05-24 |
| 1578867412 | Saline Heart Rehab and Dietary Services LLC | Specialist | 1000 Highway 35 N, Suite 9, Benton, AR 72019-2351 | 2011-01-07 |
| 1134454952 | Kim N Smith M.d.p.a. | Specialist | 5 Medical Park Dr, Suite Gl2, Benton, AR 72015-3729 | 2009-10-13 |
| Find all providers in BENTON | ||||
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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.