ANDREW LANDRUM (NPI# 1346603552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346603552 |
| Entity Type | Individual |
| Full Name | ANDREW LANDRUM |
| Credential | APRN |
| Practice Address |
2816 Fox Meadow Ln Jonesboro AR 72404-9346 |
| Mailing Address |
Po Box 497 Augusta AR 72006-0497 |
| Practice Telephone | 8703363590 |
| Practice Fax Number | 8703361679 |
| Mailing Telephone | 8703472534 |
| Mailing Fax Number | 8703473492 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2019-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A004713 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 212824758 | 05 |
| Street Address |
2816 FOX MEADOW LN |
| City | JONESBORO |
| State | AR |
| Zip Code | 72404-9346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669006 | Suresh Patel | Internal Medicine | 2816 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2005-06-21 |
| 1922632033 | William Z Goza | Nurse Practitioner | 2816 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2020-02-27 |
| 1801373824 | Charles Gothard | Nurse Practitioner | 2816 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2018-07-23 |
| 1003274275 | Sandra Troxel | Nurse Practitioner | 2816 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2016-02-03 |
| 1063478493 | Henry William West Allen Iv | Internal Medicine | 2816 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2006-04-25 |
| 1760447171 | Terry D Hunt | Family Medicine | 2816 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2006-04-19 |
| 1407858905 | Robert G Hornbeck | Pediatrics | 2816 Fox Meadow Ln, Jonesboro, AR 72404 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740745967 | Imove, LLC | Physical Therapist | 8700 S. Caraway Rd., Apt. L2, Jonesboro, AR 72404 | 2019-02-01 |
| 1245728914 | Karina Coats | Nurse Anesthetist, Certified Registered | 2409 Skyline Pt, Jonesboro, AR 72404 | 2018-04-27 |
| 1619325263 | Kathryn Meyers | Specialist/Technologist | 1614 Latourette Ln Apt 2, Jonesboro, AR 72404 | 2016-05-24 |
| 1922476571 | Tmj and Facial Pain Center,llc | Dentist | 2600 Browns Lane, Ste B, Jonesboro, AR 72404 | 2015-09-11 |
| 1265828156 | Hd Dental, Pa Dba Smile Dental | Dentist | 6009 Highway 1 South, Jonesboro, AR 72404 | 2015-04-08 |
| 1124445358 | Tanner Wilson Jarrett | Occupational Therapy Assistant | 3114 Fox Road Suite A, Jonesboro, AR 72404 | 2014-03-26 |
| 1154759793 | Kasey Boyd | Specialist/Technologist | 1717 Hwy 163, Jonesboro, AR 72404 | 2013-10-17 |
| 1578848610 | Maria Ivonne Norman | Physical Therapist | 8700 S. Caraway Rd. Apt. L2, (the Meadows), Jonesboro, AR 72404 | 2011-10-20 |
| 1003198839 | Rachel Hollimon Golden | Speech-Language Pathologist | 4410 Harrisburg Rd., Jonesboro, AR 72404 | 2011-09-19 |
| 1225358021 | Darrell R Gann | Physical Therapy Assistant | 6040 Beaver Creek, Jonesboro, AR 72404 | 2010-06-03 |
| Find all providers in zip 72404 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457958233 | Kaitlyn Soffray Simmons | Nurse Practitioner | 500 Kitchen St, Jonesboro, AR 72401-3135 | 2020-10-05 |
| 1407463938 | Aleshia Williams | Nurse Practitioner | 5401 Clear Creek Ln, Jonesboro, AR 72404-7006 | 2020-09-29 |
| 1790397495 | Kbsolutions and Behavioral Support Services, LLC | Nurse Practitioner | 7265 Mount Zion Blvd Ste 1, Jonesboro, GA 30236-2519 | 2020-08-24 |
| 1568080646 | Maryam A Muhammad | Nurse Practitioner | 2388 Reeves Creek Rd, Jonesboro, GA 30236-7229 | 2020-07-06 |
| 1346864121 | Joy Brew | Nurse Practitioner | 8399 Members Dr, Jonesboro, GA 30236-4271 | 2020-06-08 |
| 1053932806 | Sabrina Nannettee Bowen | Nurse Practitioner | 5800 C W Post Rd, Jonesboro, AR 72401-9602 | 2020-05-04 |
| 1265993182 | Sara Ruth Johnson | Nurse Practitioner | 701 Windover Rd Ste 400, Jonesboro, AR 72401-6065 | 2019-03-26 |
| 1366927956 | Yolanda Louise Davis | Nurse Practitioner | 1706 Heather Ridge Dr, Jonesboro, AR 72401-3748 | 2018-09-28 |
| 1457867475 | Eucharia Udoka Obi | Nurse Practitioner | 9051 Jenni Cir, Jonesboro, GA 30238-6800 | 2017-12-28 |
| 1346752151 | Chanel Dominque Bullock | Nurse Practitioner | 1150 E Matthews Ave Ste 203, Jonesboro, AR 72401 | 2017-11-02 |
| Find all providers in JONESBORO | ||||
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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.