ELISSA KALINCHUK GUADARRAMA (NPI# 1245355056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245355056 |
| Entity Type | Individual |
| Full Name | ELISSA KALINCHUK GUADARRAMA |
| Other Name | ELISSA KALINCHUK |
| Credential | LVN |
| Practice Address |
125 E Township St Suite 1 Fayetteville AR 72703-2817 |
| Mailing Address |
2739 Channel Pl Apt. 101 Springdale AR 72764-6143 |
| Practice Telephone | 4794437791 |
| Practice Fax Number | 4794435761 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 168502 | TX | Nursing Service Providers |
| Street Address |
125 E TOWNSHIP ST SUITE 1 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-2817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457376337 | Joanna Kay Hudec | Chiropractor | 125 E Township St, Suite 10, Fayetteville, AR 72703-2817 | 2006-07-13 |
| 1417246182 | Planned Parenthood of Arkansas and Eastern Oklahoma, Inc. | Clinical Medical Laboratory | 125 E Township St, Suite 1, Fayetteville, AR 72703-2817 | 2011-04-04 |
| 1972615417 | Olivia Michelle King | Licensed Practical Nurse | 125 E Township St, Suite 1, Fayetteville, AR 72703-2817 | 2006-08-31 |
| 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 | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441763 | William Venable | Licensed Vocational Nurse | 356 Little River 251, Ashdown, AR 71822-8407 | 2020-09-11 |
| 1558910505 | Megan Waddell | Licensed Vocational Nurse | 1465 Mc 22, Fouke, AR 71837-9109 | 2019-09-11 |
| 1730680299 | Laketa Shavonne Woods | Licensed Vocational Nurse | 1109 Fairview St, Texarkana, AR 71854-7515 | 2018-02-21 |
| 1578033304 | Dawnita Rose-allen | Licensed Vocational Nurse | 5 Remington Cv, Little Rock, AR 72204-8274 | 2018-12-05 |
| 1609179779 | Gwenith Nynell Culclager | Licensed Vocational Nurse | 4354 Stockton Dr, North Little Rock, AR 72117-2917 | 2010-12-13 |
| 1699078014 | Olivia Jackson | Licensed Vocational Nurse | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2010-12-07 |
| 1972712933 | Phyllis Mcpherson | Licensed Vocational Nurse | 6701 Highway 67, Benton, AR 72015-8909 | 2007-05-22 |
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on ELISSA KALINCHUK GUADARRAMA.
| 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.