COURTNEY BICKERSTAFF APN,PLLC (NPI# 1295071322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295071322 |
Entity Type | Organization |
Organization Name | COURTNEY BICKERSTAFF APN,PLLC |
Practice Address |
1309 Ashlea Place Dr Bryant AR 72022-9159 |
Practice Telephone | 5019091153 |
Mailing Telephone | 5019091153 |
Enumeration Date | 2012-12-18 |
Last Update Date | 2012-12-18 |
Authorized Official Name | COURTNEY CAMILLE BICKERSTAFF (APN) |
Authorized Official Telephone | 5019091153 |
Authorized Official Credential | APN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | A03082 | AR | Nursing & Custodial Care Facilities |
Street Address |
1309 ASHLEA PLACE DR |
City | BRYANT |
State | AR |
Zip Code | 72022-9159 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922608868 | Lindsay Paige Macphee | Behavior Technician | 22461-i-30 Frontage Road, Bryant, AR 72022 | 2020-10-29 |
1952913469 | Kaleigh Angleton | Pharmacist | 5500 Ar-5, Bryant, AR 72022 | 2020-08-18 |
1851937254 | Lonnell O Seamster Sr. | Nurse Practitioner | 501 Woody Drive, Alexander, AR 72022 | 2019-11-20 |
1366098998 | Hannah Marie London | Occupational Therapist | 350 School Drive, Bryant, AR 72022 | 2019-08-09 |
1356996987 | Micah Self | Occupational Therapy Assistant | 200 Nw 4th Street, Bryant, AR 72022 | 2019-08-09 |
1114437548 | Samantha Lee Davis | Behavioral Analyst | 22461 I-30 Frontage Rd, 1100b, Bryant, AR 72022 | 2017-10-12 |
1164962171 | Healthcare Express, LLP | Clinic/Center | 23150 I-30 N, Bryant, AR 72022 | 2017-02-24 |
1205283223 | V & S Xpress LLC | Non-emergency Medical Transport (VAN) | 719 Sedgefield, Bryant, AR 72022 | 2016-05-19 |
1467877969 | Arkansas Maxillofacial Surgery Center | Dentist | 411 Office Park Dr, Bryant, AR 72022 | 2014-02-20 |
1558614511 | Melissa Robertson | Audiologist | 501 Jack Stephens Dr #547-05, Little Rock, AR 72022 | 2012-10-16 |
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Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447659669 | Parkway Health Center, Inc. | Nursing Facility/Intermediate Care Facility | 14324 Chenal Pkwy, Little Rock, AR 72211-5805 | 2014-08-14 |
1093138059 | Little River Nursing and Rehab | Nursing Facility/Intermediate Care Facility | 162 Hwy 32-2a, Ashdown, AR 71822-8689 | 2014-01-28 |
1992014930 | Jane Ellen Phillips Apn Pllc | Nursing Facility/Intermediate Care Facility | 511 Farr Shores Dr, Hot Springs, AR 71913-9622 | 2010-09-24 |
1639480049 | Smith Drug Company | Nursing Facility/Intermediate Care Facility | 1104 Jones Rd, Paragould, AR 72450-7579 | 2010-06-30 |
1760627640 | Cavhs | Nursing Facility/Intermediate Care Facility | 2220 Ft Roots Drive, North Little Rock, AR 72114-1706 | 2008-12-08 |
1023283884 | A & C Fairways and Greenns Inc. | Nursing Facility/Intermediate Care Facility | 106 No. Third St., Marmaduke, AR 72443 | 2008-04-23 |
1568680742 | David E. Puryear Center | Nursing Facility/Intermediate Care Facility | 2806 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2007-04-23 |
1275673642 | Countryside Manor LLC | Nursing Facility/Intermediate Care Facility | 300 S Thompson Rd, Lamar, AR 72846-9423 | 2007-02-07 |
1760520936 | Greenhurst, Inc. | Nursing Facility/Intermediate Care Facility | 226 Skyler Dr, Pob 458, Charleston, AR 72933-9337 | 2007-02-01 |
1851440309 | Stoneridge Health and Rehab Center | Nursing Facility/Intermediate Care Facility | 4017 Franklin, College Station, AR 72053 | 2007-01-10 |
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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.