ADMMD LLC (NPI# 1275069346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275069346 |
| Entity Type | Organization |
| Organization Name | ADMMD LLC |
| Practice Address |
4523 Woodlawn Dr Little Rock AR 72205 |
| Practice Telephone | 5016632363 |
| Practice Fax Number | 5016632362 |
| Mailing Telephone | 5016632363 |
| Mailing Fax Number | 5016632362 |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-12 |
| Authorized Official Name | CHRISTINA CARR (CLINIC MANAGER) |
| Authorized Official Telephone | 5016632363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | 207Q00000X | AR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | UNITED HEALTHCARE | 2674768 | 01 |
| AR | QUALCHOICE | 06080012300 | 01 |
| AR | AETNA | 7203815 | 01 |
| AR | HEALTHLINK | 764178 | 01 |
| Street Address |
4523 WOODLAWN DR |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003831462 | Allan Dee Mckenzie | Family Medicine | 4523 Woodlawn Dr, Little Rock, AR 72205 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851879449 | Alina Capiro Barnes | Prevention Professional | 6501 W 32nd St, Little Rock, AR 72204-5952 | 2018-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770682262 | Dean Butler | Prevention Professional | 1405 S Main St, Hope, AR 71801-7244 | 2006-09-21 |
| 1619417870 | Logan Hausman | Prevention Professional | 199 Frontier Trl, Pocahontas, AR 72455-1379 | 2017-03-06 |
| 1154501823 | Shelia Cripps | Prevention Professional | 1004 Se 5th St, Bentonville, AR 72712-6032 | 2007-11-09 |
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.