CAROL D CAMPBELL INC (NPI# 1366882417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366882417 |
| Entity Type | Organization |
| Organization Name | CAROL D CAMPBELL INC |
| Other Organization Name | THERAPY FOR YOUR MIND AND BODY |
| Practice Address |
211 W High St Sheridan AR 72150-2118 |
| Practice Telephone | 8709425610 |
| Practice Fax Number | 8709422672 |
| Mailing Telephone | 8709425610 |
| Mailing Fax Number | 8709422672 |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |
| Authorized Official Name | CAROL D CAMPBELL (OWNER) |
| Authorized Official Telephone | 8709425610 |
| Authorized Official Credential | APN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
S001114 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
A003778 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Therapy for Your Mind and Body | Doing Business As Name - Organization |
| Street Address |
211 W HIGH ST |
| City | SHERIDAN |
| State | AR |
| Zip Code | 72150-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568759876 | Carol D Campbell | Nurse Practitioner | 211 W High St, Sheridan, AR 72150-2118 | 2011-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922656180 | Ryan Harris | Pharmacist | 821 N Rock Street, Sheridan, AR 72150 | 2019-08-30 |
| 1538561188 | Assisted Care for Seniors | In Home Supportive Care | 102 Center Street, Suite A, Sheridan, AR 72150 | 2014-09-25 |
| 1679653885 | Rodman & Armstrong Partnership | Optometrist | 201 W Holly, Sheridan, AR 72150 | 2006-10-16 |
| 1881790236 | Paul D Fitzgerald | Dentist | 209 W Holly, Sheridan, AR 72150 | 2006-09-15 |
| 1811912207 | Nancy Watson | Nurse Practitioner | 109 West Pine St., Suite A, Sheridan, AR 72150 | 2006-07-13 |
| 1356320832 | John B Simpson | Family Medicine | 651 Heritage Dr, Sheridan, AR 72150 | 2006-01-12 |
| 1548607161 | Deanna Hardiman | Counselor | 201 S Rose St, Sheridan, AR 72150 | 2013-05-23 |
| 1508130626 | Dorris Faye West | Technician/Technologist | 103 South Oak Street, Sheridan, AR 72150 | 2012-03-07 |
| 1689987620 | Melissa Gail Drake | Nurse Practitioner | 651 Heritage Dr, Sheridan, AR 72150 | 2010-07-20 |
| 1154594380 | Bhc Pinnacle Pointe Hospital | Clinic/Center | 201 S Rose St, Sheridan, AR 72150 | 2008-04-09 |
| Find all providers in zip 72150 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528558004 | Open Range Telepsychiatry LLC | Nurse Practitioner | 30 N Gould St Ste 7141, Sheridan, WY 82801-6362 | 2018-05-10 |
| 1750658944 | Jenny M Heuck | Nurse Practitioner | 1400 Pioneer Rd, Sheridan, WY 82801-3334 | 2011-11-16 |
| 1568759876 | Carol D Campbell | Nurse Practitioner | 211 W High St, Sheridan, AR 72150-2118 | 2011-07-07 |
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|---|---|---|---|---|
| 1326647918 | Coco Psychiatric Services Pllc | Nurse Practitioner | 115 Bella Rosa Pl, Little Rock, AR 72223-4771 | 2020-10-23 |
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| 1457968737 | Natural State Behavioral Health | Nurse Practitioner | 1401 Malvern Ave Ste 180, Hot Springs, AR 71901-6370 | 2020-09-30 |
| 1255944559 | The Clinic At The Forging Place | Nurse Practitioner | 1302 Cherry St, Van Buren, AR 72956-4543 | 2020-08-26 |
| 1508478066 | Jaleesa Shears | Nurse Practitioner | 880 Bayou Vista Dr, Marion, AR 72364-5006 | 2020-08-17 |
| 1306455860 | Wendy Michelle Ray | Nurse Practitioner | 1012 E Church St Ste A, Warren, AR 71671-3530 | 2020-07-29 |
| 1295352771 | Mindful Rx LLC | Nurse Practitioner | 501 Commerce Dr Unit 13341, Maumelle, AR 72113-7729 | 2020-06-30 |
| 1235755638 | Jason David Wallace | Nurse Practitioner | 2616 Gallaway Cv, Jonesboro, AR 72404-7827 | 2020-06-22 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1588299291 | Chastity Qg Stephens | Nurse Practitioner | 2607 Alford Cv, Bryant, AR 72022-7527 | 2020-03-03 |
| 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.