PEGGY ANN KELLY (NPI# 1265727960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265727960 |
| Entity Type | Individual |
| Full Name | PEGGY ANN KELLY |
| Other Name | PEGGY ANN JOHNSON |
| Credential | APN |
| Practice Address |
7800 Dallas St Fort Smith AR 72903-4278 |
| Mailing Address |
Po Box 3528 Fort Smith AR 72913-3528 |
| Practice Telephone | 4792599286 |
| Mailing Telephone | 4792742000 |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A03551 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629243100 | Peggy L Kelly | Occupational Therapist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2008-04-25 |
| 1356476923 | Peggy Ann Kelly | Registered Nurse | 555 Hospital Ln, Susanville, CA 96130-4808 | 2007-02-22 |
| Street Address |
7800 DALLAS ST |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-4278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508060641 | Sean Blair Baker | Family Medicine | 7800 Dallas St, Fort Smith, AR 72903-4278 | 2007-06-13 |
| 1558992149 | Tawni Sue Glander | Family Medicine | 7800 Dallas St, Fort Smith, AR 72903-4278 | 2020-01-31 |
| 1538633995 | Brianna Nicole Johnson | Nurse Practitioner | 7800 Dallas St, Fort Smith, AR 72903-4278 | 2019-01-17 |
| 1720503360 | Corey Anne Arnold | Pediatrics | 7800 Dallas St, Fort Smith, AR 72903-4278 | 2017-08-04 |
| 1740704774 | Carla A Walker | Nurse Practitioner | 7800 Dallas St, Fort Smith, AR 72903-4278 | 2017-08-01 |
| 1811442247 | Karrie Huber | Nurse Practitioner | 7800 Dallas St, Fort Smith, AR 72903-4278 | 2016-08-15 |
| 1124418769 | Sarah Rose Anderson | Nurse Practitioner | 7800 Dallas St, Fort Smith, AR 72903-4278 | 2015-02-04 |
| 1386077725 | Maria Dolores Molineros Gonzales | Internal Medicine | 7800 Dallas St, Fort Smith, AR 72903-4278 | 2013-08-20 |
| 1275840480 | Beena Syed | Internal Medicine | 7800 Dallas St, Fort Smith, AR 72903-4278 | 2010-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477183176 | Jennifer Leann Jay | Nurse Practitioner | 1501 S Waldron Rd Ste 200, Fort Smith, AR 72903-2565 | 2020-01-22 |
| 1184181216 | Jennifer Anne Julian | Nurse Practitioner | 6801 Rogers Ave Fl 2, Fort Smith, AR 72903-4067 | 2019-02-25 |
| 1750827036 | Angelisa Lambert | Nurse Practitioner | 12300 Old Highway 71 S, Ste A, Fort Smith, AR 72916 | 2017-01-11 |
| 1316129711 | Denise Valentin | Nurse Practitioner | 4020 Newlon Rd, Fort Smith, AR 72904-2111 | 2007-11-28 |
| 1932252699 | Clinical Neuroscience Associates, Inc. | Nurse Practitioner | 1501 S Waldron Rd Ste 202, Fort Smith, AR 72903-2598 | 2007-01-18 |
| 1306957006 | Tonya Deann Beineman | Nurse Practitioner | 3811 Rogers Ave, Suite A, Fort Smith, AR 72903-3045 | 2006-08-31 |
| 1083259766 | Mireya Adame | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-11-17 |
| 1487295572 | Jacquelyn Renee Isaacs | Nurse Practitioner | 1000 S Waldron Rd, Fort Smith, AR 72903-2550 | 2019-10-01 |
| 1033776497 | Dabney Herrold | Nurse Practitioner | 3420 S 74th St, Fort Smith, AR 72903-5026 | 2019-05-21 |
| 1760949887 | Rachel Elise Jones | Nurse Practitioner | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2019-02-25 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
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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.