LACEY POE (NPI# 1205069630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205069630 |
Entity Type | Individual |
Full Name | LACEY POE |
Credential | APRN |
Practice Address |
3644 W St Hwy 18 Suite B Manila AR 72442 |
Mailing Address |
Po Box 910 Manila AR 72442-0910 |
Practice Telephone | 8705613300 |
Practice Fax Number | 8705613307 |
Mailing Telephone | 8705613300 |
Mailing Fax Number | 8705613307 |
Enumeration Date | 2009-09-02 |
Last Update Date | 2014-02-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A03280 | AR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 179499758 | 05 |
Street Address |
3644 W ST HWY 18 SUITE B |
City | MANILA |
State | AR |
Zip Code | 72442 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952385064 | Tommy W Wagner | Family Medicine | 3644 W St Hwy 18, Manila, AR 72442 | 2005-12-01 |
1578667010 | Danna Scott Deaton | Nurse Practitioner | 3644 W St Hwy 18, Suite B, Manila, AR 72442 | 2006-09-12 |
1982671699 | Heather Leigh Smith | Nurse Practitioner | 3644 W St Hwy 18, Suite B, Manila, AR 72442 | 2006-03-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437765831 | Allison Nicole Hitt | Nurse Practitioner | 3644 W Hwy 18, Manila, AR 72442 | 2020-09-21 |
1093167470 | Julia Bailey | Counselor | 603 W. Fleeman St. Suite 4, Manila, AR 72442 | 2016-07-08 |
1578834693 | Whitney E Jackson | Speech-Language Pathologist | 4902 W Hwy 158, Manila, AR 72442 | 2012-01-20 |
1841435583 | Karen Nelda Burks | Speech-Language Pathologist | 419 East Olympia, Manila, AR 72442 | 2008-12-10 |
1043349236 | Richard Brett Wortham | Physical Therapist | 600 West Hwy 18, Manila, AR 72442 | 2007-03-05 |
1770638355 | Valerie D Brannen | Counselor | 603 W. Fleeman St, Suite 4, Manila, AR 72442 | 2007-01-24 |
1083768436 | Manila School District | Local Education Agency (LEA) | 419 East Olympia Street, Manila, AR 72442 | 2007-01-23 |
1962561290 | Bruce T Wilson | Dentist | 322 Hwy 18, Manila, AR 72442 | 2006-12-06 |
1164502290 | Brenda A Kennedy | Physician Assistant | 434 Hwy 18 Bypass, Manila, AR 72442 | 2006-10-16 |
1699869032 | Jackson's Pharmacy | Pharmacist | 434 Hwy. 18, Ste. C, Manila, AR 72442 | 2006-10-02 |
Find all providers in zip 72442 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437765831 | Allison Nicole Hitt | Nurse Practitioner | 3644 W Hwy 18, Manila, AR 72442 | 2020-09-21 |
1285244178 | Morgan Bliss Noble | Nurse Practitioner | 3644 Hwy 18 Bypass Ste. B, Manila, AR 72442-7244 | 2020-08-05 |
1720183031 | T W Wagner Inc | Nurse Practitioner | 3644 W State Highway 18, Manila, AR 72442-8049 | 2006-09-13 |
1578667010 | Danna Scott Deaton | Nurse Practitioner | 3644 W St Hwy 18, Suite B, Manila, AR 72442 | 2006-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023617594 | Mckenzie Lauren Cotton | Nurse Practitioner | 1065 Skyline Dr, Conway, AR 72032-3530 | 2020-10-25 |
1437758026 | Ashley Michelle Rima | Nurse Practitioner | 205 Spencer St, Hot Springs, AR 71901-7742 | 2020-10-23 |
1063010874 | Phillip Wayne Stokes Jr. | Nurse Practitioner | 31 Ashcraft Ct, Paragould, AR 72450-7592 | 2020-10-14 |
1720685308 | Dannie Evenda Loy | Nurse Practitioner | 101 Hammond Drive #2131, Hot Springs, AR 71914 | 2020-10-06 |
1457958233 | Kaitlyn Soffray Simmons | Nurse Practitioner | 500 Kitchen St, Jonesboro, AR 72401-3135 | 2020-10-05 |
1013524487 | Danielle Lynn Frueh | Nurse Practitioner | 103 W University St, Siloam Springs, AR 72761-2663 | 2020-09-29 |
1407463938 | Aleshia Williams | Nurse Practitioner | 5401 Clear Creek Ln, Jonesboro, AR 72404-7006 | 2020-09-29 |
1801403217 | Jessica Evelyn Mcnamee | Nurse Practitioner | 180 Medical Park Pl Ste 202, Hot Springs, AR 71901-8067 | 2020-09-29 |
1528674181 | Maggie Mullican | Nurse Practitioner | 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 | 2020-09-18 |
1184238149 | Lauren Thomas | Nurse Practitioner | 1747 Highway 24, Horatio, AR 71842-8860 | 2020-09-06 |
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.