MRS. BARBARA CRYSTAL SHACKELFORD (NPI# 1164907283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164907283 |
| Entity Type | Individual |
| Full Name | MRS. BARBARA CRYSTAL SHACKELFORD |
| Credential | APRN |
| Practice Address |
1995 Highway 62 412 Highland AR 72542-9262 |
| Mailing Address |
58 Isleta Dr Cherokee Village AR 72529-5013 |
| Practice Telephone | 8702074100 |
| Mailing Telephone | 8709551234 |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | A005877 | AR | Allopathic & Osteopathic Physicians |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
A005877 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A005877 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 252346758 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 58 Isleta Dr, Cherokee Village, AR 725295013 | 8709551234 |
| Street Address |
1995 HIGHWAY 62 412 |
| City | HIGHLAND |
| State | AR |
| Zip Code | 72542-9262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013928001 | Brien Nix Hall | Social Worker | 1995 Highway 62 412, Highland, AR 72542-9262 | 2006-08-11 |
| 1710505995 | Michelle Dianne Tupper | Social Worker | 1995 Highway 62 412, Highland, AR 72542-9262 | 2020-07-14 |
| 1154812402 | Doctors Health Group, Inc | Family Medicine | 1995 Highway 62 412, Highland, AR 72542-9262 | 2018-05-22 |
| 1023485588 | Mitchell Frey | Physical Therapy Assistant | 1995 Highway 62 412, Highland, AR 72542-9262 | 2015-08-31 |
| 1649659343 | Therapy Works Inc. | Clinic/Center | 1995 Highway 62 412, Highland, AR 72542-9262 | 2015-05-27 |
| 1659789790 | Charlotte Pearson | Physical Therapist | 1995 Highway 62 412, Highland, AR 72542-9262 | 2014-07-31 |
| 1821402439 | Leslie James | Physical Therapist | 1995 Highway 62 412, Highland, AR 72542-9262 | 2014-06-12 |
| 1487665790 | Garner Family Medical Clinic, Inc | Clinic/Center | 1995 Highway 62 412, Highland, AR 72542-9262 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154978351 | Together: Individual and Family Focused Counseling, Pllc | Counselor | 3342 Highway 42 412, Hardy, AR 72542 | 2019-08-22 |
| 1952797979 | April Stacey | Day Training/Habilitation Specialist | 2012 Highway 62/412, Highland, AR 72542 | 2015-04-07 |
| 1760891519 | Chasity Johnson | Specialist/Technologist | 300 Boothe Rd, Hardy, AR 72542 | 2014-08-06 |
| 1346427093 | Benjamin Lee Cravens | Counselor | 2423 W Hwy 62/412, Hardy, AR 72542 | 2008-01-24 |
| 1689853665 | Glden Care Adult Day Health Care Inc. | Respite Care | 1508 B Hwy 62/412, Hardy, AR 72542 | 2007-10-26 |
| 1942404975 | Goldencare Adhc, Inc | Clinic/Center | 1508 B Hwy 62 412, Highland, AR 72542 | 2007-06-13 |
| 1710003769 | Karen Ann Schadler | Durable Medical Equipment & Medical Supplies | 3115 Hwy 62-412, Hardy, AR 72542 | 2007-03-21 |
| 1902956246 | Andrea Davis | Pharmacist | Hwy 62 412, Midway Plaza, Hardy, AR 72542 | 2007-01-11 |
| 1720138068 | Clifford Marsh Davis | Pharmacist | Hwy 62-412, Midway Plaza, Hardy, AR 72542 | 2007-01-11 |
| 1316026891 | Dan T Speir Od Pa | Optometrist | 1238 Hwy 62 412, Ste B, Hardy, AR 72542 | 2006-11-03 |
| Find all providers in zip 72542 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
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|---|---|---|---|---|
| 1851902159 | Solution LLC | Nurse Practitioner | 9445 Indianapolis Blvd # 1130, Highland, IN 46322-2648 | 2020-08-11 |
| 1932721719 | Denise Rocio Popovich | Nurse Practitioner | 2481 Bay Vista Dr, Highland, MI 48357-4971 | 2020-05-14 |
| 1942708383 | Sarah Kristine Alcaide Young | Nurse Practitioner | 7223 Church St Ste C, Highland, CA 92346 | 2018-01-31 |
| 1124540687 | Marylynn Katherine Barnes | Nurse Practitioner | 3100 45th St Ste 3, Highland, IN 46322-3277 | 2017-07-16 |
| 1508307471 | Anne Lutostanski | Nurse Practitioner | 2 Keeven Ct, Highland, IL 62249-2403 | 2017-03-13 |
| 1518402064 | Blair Elizabeth Bone | Nurse Practitioner | 2720 Lemon Street Rd, Highland, IL 62249-2722 | 2016-12-19 |
| 1962857979 | Iras Miller | Nurse Practitioner | 11255 N 5710 W, Highland, UT 84003-9042 | 2016-04-27 |
| 1598158180 | Melissa Ann Cox | Nurse Practitioner | 7035 Palm Ave, Highland, CA 92346-3291 | 2015-03-06 |
| 1750700423 | Persa Darnell | Nurse Practitioner | 3747 45th Ave., Highland, IN 46322 | 2014-04-10 |
| 1447688007 | Raquel Tolentino Magno | Nurse Practitioner | 28308 Summertrail Pl, Highland, CA 92346-6065 | 2013-10-17 |
| Find all providers in HIGHLAND | ||||
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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.