EXCEL HEALTH OF HASKELL, PLLC (NPI# 1295104578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295104578 |
| Entity Type | Organization |
| Organization Name | EXCEL HEALTH OF HASKELL, PLLC |
| Practice Address |
6029 Us Hwy 67 Haskell AR 72015 |
| Mailing Address |
6029 Highway 67 Haskell AR 72015-8400 |
| Practice Telephone | 5018473292 |
| Practice Fax Number | 5012130573 |
| Mailing Telephone | 5017946808 |
| Mailing Fax Number | 8842721481 |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2016-08-15 |
| Authorized Official Name | MRS. SHIRLEY ANNE WALKER (BILLING MANAGER) |
| Authorized Official Telephone | 5012232776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6029 US HWY 67 |
| City | HASKELL |
| State | AR |
| Zip Code | 72015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| 1265708945 | Tracey Leigh Zeiner | Occupational Therapist | 5701 Springhill Road, Bryant, AR 72015 | 2012-03-28 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336699941 | Michelle Kathleen Auld | Clinical Nurse Specialist | 120 Adcock Rd, Suite D, Hot Springs, AR 71913-8184 | 2016-10-06 |
| 1407209075 | Mirenda Martin | Clinical Nurse Specialist | 507 N Main Street, Salem Family Clinic 507 N Main Street, Salem, AR 72576 | 2016-07-19 |
| 1023461076 | Linda Dukes | Clinical Nurse Specialist | 3564 Albert Pike Rd, Hot Springs, AR 71913-9542 | 2016-07-14 |
| 1720482482 | Ozark Wellness Clinic Pllc | Clinical Nurse Specialist | 102 W College St, Ozark, AR 72949-2850 | 2014-10-09 |
| 1376538090 | Marie Pham-russell | Clinical Nurse Specialist | 3202 N 6th St, Fort Smith, AR 72904-4164 | 2005-09-19 |
| 1114534369 | Madison Birdno | Clinical Nurse Specialist | 303 E Matthews Ave Ste 202, Jonesboro, AR 72401-3120 | 2020-09-30 |
| 1083148522 | Blakely Edmund | Clinical Nurse Specialist | 4301 W Markham St, Breast Cancer Clinic, Little Rock, AR 72205-7101 | 2017-04-11 |
| 1356884647 | Stephanie Hulett | Clinical Nurse Specialist | 700 S 52nd St, Rogers, AR 72758-8605 | 2016-11-18 |
| 1346693710 | Jennifer Sue Conry Jones | Clinical Nurse Specialist | 180 Medical Park Pl, Ste. 101, Hot Springs, AR 71901-8065 | 2016-07-20 |
| 1104293018 | Jillian Harris | Clinical Nurse Specialist | 1605 2nd St, Earle, AR 72331-1634 | 2015-08-26 |
| Find all providers with the same taxonomy | ||||
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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.