MS. TERITA WILLARD (NPI# 1194935304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194935304 |
| Entity Type | Individual |
| Full Name | MS. TERITA WILLARD |
| Credential | BBA, MHPP |
| Practice Address |
413 W Tyler Ave West Memphis AR 72301-4149 |
| Mailing Address |
2959 Charlestowne Pl Memphis TN 38115-3449 |
| Practice Telephone | 8707331200 |
| Mailing Telephone | 9018640130 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | AR | Nursing Service Related Providers |
| Street Address |
413 W TYLER AVE |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301-4149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629082979 | Sandra Gathright | Social Worker | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2006-07-29 |
| 1376177485 | Lynda Townsend | Day Training/Habilitation Specialist | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2020-02-27 |
| 1710479340 | Tiffany T Sims | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-05-30 |
| 1205326949 | Beatrice M Woods | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-05-17 |
| 1942790688 | Inman Phillips | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-05-17 |
| 1487144127 | Jasmine C Winda | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-05-17 |
| 1942718564 | Brianna D Crayton | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-01-17 |
| 1487161881 | Kirsten Holiman | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-01-08 |
| 1669989067 | Shalondra R Smith | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-01-08 |
| 1104333509 | Kaybriana I Jackson | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1336787035 | Yolanda Monique Fulton | Assisted Living Facility | 711 Purduve Ave, West Memphis, AR 72301 | 2019-12-13 |
| 1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
| 1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
| 1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
| 1043715329 | Crossroads Treatment Center of West Memphis, PC | Clinic/Center | 103 S Avalon St, West Memphis, AR 72301 | 2018-03-28 |
| 1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
| 1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
| Find all providers in zip 72301 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568671790 | Cherye Heather Whittemore | Day Training/Habilitation Specialist | 205 Ingram Blvd, West Memphis, AR 72301-3423 | 2007-05-22 |
| 1376177485 | Lynda Townsend | Day Training/Habilitation Specialist | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2020-02-27 |
| 1487040408 | Jasmine Jackson | Day Training/Habilitation Specialist | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2015-04-07 |
| 1093133803 | Tawanna Williams | Day Training/Habilitation Specialist | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2014-03-31 |
| 1922436526 | Tierica Walton | Day Training/Habilitation Specialist | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2013-10-17 |
| 1891058715 | Toya Graves | Day Training/Habilitation Specialist | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2012-06-18 |
| 1386903797 | Brittney Little | Day Training/Habilitation Specialist | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2012-05-07 |
| 1275892580 | Lenarika Robinson | Day Training/Habilitation Specialist | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2012-05-07 |
| 1841577574 | Elisabeth L Johnson | Day Training/Habilitation Specialist | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2011-11-09 |
| 1437441748 | Mistye Quinn | Day Training/Habilitation Specialist | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2011-05-04 |
| Find all providers in WEST MEMPHIS | ||||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
Please comment or provide details below to improve the information on MS. TERITA WILLARD.
| 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.