FALWELL MEDICAL CLINIC INC (NPI# 1184194409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184194409 |
| Entity Type | Organization |
| Organization Name | FALWELL MEDICAL CLINIC INC |
| Practice Address |
1301 Mclain St Newport AR 72112-3633 |
| Practice Telephone | 8702174071 |
| Practice Fax Number | 8702174072 |
| Mailing Telephone | 8702174071 |
| Mailing Fax Number | 8702174072 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | VANESSA FALWELL (OWNER) |
| Authorized Official Telephone | 8702174071 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1301 MCLAIN ST |
| City | NEWPORT |
| State | AR |
| Zip Code | 72112-3633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083633952 | Newport Home Care Services LLC | Home Health | 1301 Mclain St, Newport, AR 72112-3633 | 2006-07-19 |
| 1629577697 | Vanessa Falwell | Nurse Practitioner | 1301 Mclain St, Newport, AR 72112-3633 | 2018-02-06 |
| 1144611013 | White County Medical Center | Home Health | 1301 Mclain St, Newport, AR 72112-3633 | 2015-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447749437 | Amie Burrow | Nurse Practitioner | 300 Corrections Drive, Newport, AR 72112 | 2018-05-04 |
| 1780120691 | Rx Hound Inc | Pharmacy | 1117 Mclain St Ste 400, Newport, AR 72112 | 2017-01-17 |
| 1285188789 | Jasmine Mansko | Speech-Language Pathologist | 1128 S Main St, Newport, AR 72112 | 2016-08-12 |
| 1366831877 | Madison Eddington | Physical Therapy Assistant | 1807 Jetta Drive, Newport, AR 72112 | 2015-01-21 |
| 1750514840 | Ralph Irwin Wray | Counselor | 107 Laurel St, Newport, AR 72112 | 2009-08-24 |
| 1952558264 | Maxus Inc | Counselor | 2000 Mclain, Suite B, Newport, AR 72112 | 2008-08-19 |
| 1275748725 | Troy Larry Vincent Sr. | Counselor | 1507 N. Pecan St., Newport, AR 72112 | 2007-05-10 |
| 1114065083 | Deanna Dawn Browning | Case Manager/Care Coordinator | 1509 N Pecan St, Newport, AR 72112 | 2007-02-02 |
| 1295895670 | Allene Cummings | Social Worker | 1507 North Pecan Street, Newport, AR 72112 | 2006-12-08 |
| 1295801207 | Brandy Diane Young | Speech-Language Pathologist | 221 Lindley Lane, Newport, AR 72112 | 2006-11-28 |
| Find all providers in zip 72112 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356898084 | Crystal Rose Younglove | Nurse Practitioner | 8759 Lillian Dr, Newport, MI 48166-9351 | 2016-09-11 |
| 1033665278 | Elisabeth Mackey | Nurse Practitioner | 704 West Pine Street, Newport, WA 99156 | 2016-08-28 |
| 1366826828 | Keady Family Practice | Nurse Practitioner | 71 Belknap Ave, Newport, NH 03773-1536 | 2015-07-15 |
| 1821059965 | Jean Elizabeth Griswold | Nurse Practitioner | 36 Sw Nye St, Newport, OR 97365-3821 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611361 | Jamie L Cagle | Nurse Practitioner | 1500 Dodson Ave # 60, Fort Smith, AR 72901-5182 | 2020-02-21 |
| 1306489281 | Lawana Bradley | Nurse Practitioner | 296 Lake Rd, Atkins, AR 72823-7165 | 2019-10-23 |
| 1679116024 | Michelle Grant | Nurse Practitioner | 130 Mark Cir, Monticello, AR 71655-5617 | 2019-10-17 |
| 1780238782 | Chelsea D. Marquis | Nurse Practitioner | 4401 Sw Flagstone Blvd, Bentonville, AR 72713-4005 | 2019-07-29 |
| 1265094478 | Kristyn Clark | Nurse Practitioner | 210 S Thompson St, Springdale, AR 72764-4239 | 2019-07-08 |
| 1184194029 | Stephanie Lucille Converse | Nurse Practitioner | 326 Lee Rd # 601, Brickeys, AR 72320-8000 | 2018-12-04 |
| 1174026165 | Phoebe Grace Chandler | Nurse Practitioner | 3782 Solitude St, Springdale, AR 72764-6368 | 2018-03-15 |
| 1386143717 | Andrew Freeman Oliver | Nurse Practitioner | 650 United Dr Ste 200, Conway, AR 72032-7001 | 2018-02-12 |
| 1760908982 | Jamie Leigh Ferguson | Nurse Practitioner | 4301 W Markham St # 721-3, Little Rock, AR 72205-7101 | 2017-08-18 |
| 1336677731 | Robert Lee Mcgruder Jr. | Nurse Practitioner | 2308 Royal Ct Unit B, Bryant, AR 72022-4216 | 2017-05-30 |
| 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.