WILBY M SIEGLER (NPI# 1205385630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205385630 |
| Entity Type | Individual |
| Full Name | WILBY M SIEGLER |
| Credential | APRN |
| Practice Address |
3380 N Futrall Dr Ste 1 Fayetteville AR 72703-4815 |
| Mailing Address |
Po Box 1523 Fayetteville AR 72702-1523 |
| Practice Telephone | 4795716363 |
| Practice Fax Number | 4796843941 |
| Mailing Telephone | 4795716038 |
| Mailing Fax Number | 4795820222 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2017-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
A004590 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3380 N FUTRALL DR STE 1 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811977416 | Josephine H. Park | Pediatrics | 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 | 2006-01-19 |
| 1154784320 | Grant M Gaines | Pediatrics | 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 | 2016-04-04 |
| 1700205614 | Elizabeth Blayne Battisto | Pediatrics | 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703-4815 | 2014-04-08 |
| 1407000300 | Daniel E Rasmussen | Pediatrics | 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 | 2008-11-05 |
| 1285808121 | Andrew M. Koehler | Pediatrics | 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 | 2008-04-22 |
| 1033326434 | Virginia Lee Mccord | Pediatrics | 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 | 2007-05-16 |
| 1063534949 | Meredith Anne Denton | Pediatrics | 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 | 2007-04-04 |
| 1750318796 | Allison Lynn Scott | Nurse Practitioner | 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 | 2006-06-26 |
| 1972539914 | Terry S Payton | Pediatrics | 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 | 2006-06-23 |
| 1881620821 | Joe T Robinson | Pediatrics | 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 | 2006-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477189157 | Fatimat Olumayowa Olufunmilayo Agbojeyin | Nurse Practitioner | 105 Emerald Lake Ct, Fayetteville, GA 30215-7748 | 2020-03-13 |
| 1548821069 | Asic Behavioral Health, Pllc | Nurse Practitioner | 6977 Nexus Ct Ste 103, Fayetteville, NC 28304-2651 | 2019-06-25 |
| 1245794387 | Stacey Lasandra Mitchell | Nurse Practitioner | 1415 Highway 85 N Ste 310-390, Fayetteville, GA 30214-7738 | 2019-01-23 |
| 1417206491 | Casey J Scott | Nurse Practitioner | 4001 Cumberland Rd, Fayetteville, NC 28306-6703 | 2012-09-05 |
| 1972510519 | Melodie W. Stembridge | Nurse Practitioner | 1100 No. College Avenue, Vhsa, Fayetteville, AR 72703 | 2006-08-02 |
| 1053313536 | Margaret Jean Davis | Nurse Practitioner | 4276 Legend Avenue, Fayetteville, NC 28303-3497 | 2005-08-15 |
| 1811517469 | Ifeoma Nnani | Nurse Practitioner | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-04-23 |
| 1497380414 | Andrew Eisele | Nurse Practitioner | 1955 W Truckers Dr, Fayetteville, AR 72704-5637 | 2020-03-10 |
| 1417582545 | Latoya Harley-dowden | Nurse Practitioner | 806 Hay St, Fayetteville, NC 28305-5312 | 2020-03-09 |
| 1104459114 | Stephanie Bohannon | Nurse Practitioner | 112 W Center St Ste 201, Fayetteville, AR 72701-6073 | 2020-02-18 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on WILBY M SIEGLER.
| 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.