JOSEPH KENT TETIRICK (NPI# 1386983468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386983468 |
| Entity Type | Individual |
| Full Name | JOSEPH KENT TETIRICK |
| Credential | APN |
| Practice Address |
5808 Callaway Ln Fort Smith AR 72916-8437 |
| Mailing Address |
132 Oak Grove Rd Van Buren AR 72956-8410 |
| Practice Telephone | 4234263918 |
| Mailing Telephone | 5017720177 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
A003816 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5808 CALLAWAY LN |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72916-8437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033454723 | Prime Physicians LLC | Hospitalist | 5808 Callaway Ln, Fort Smith, AR 72916-8437 | 2012-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442506 | Emerald Asher | Massage Therapist | 14522 Us 71, Fort Smith, AR 72916 | 2020-09-22 |
| 1598324220 | Riley Farm Dental & Braces, Pllc | Clinic/Center | 5901 Riley Park Dr., Suite Q, Fort Smith, AR 72916 | 2019-06-06 |
| 1629565072 | Womens Center for Health and Wellness, Pllc | Obstetrics & Gynecology | 8101 Mcclure Dr., Suite 100, Fort Smith, AR 72916 | 2018-04-20 |
| 1750827036 | Angelisa Lambert | Nurse Practitioner | 12300 Old Highway 71 S, Ste A, Fort Smith, AR 72916 | 2017-01-11 |
| 1285946004 | William Justin Hayes Md Pa | Clinic/Center | 920 S. Hwy 45, Bonanza, AR 72916 | 2010-07-09 |
| 1255517066 | Joshua R Wilkinson | Pediatrics | 5901 Riley Park Drive, Suite B, Fort Smith, AR 72916 | 2008-01-11 |
| 1689615445 | Twin Rivers Respiratory Care, Inc. | Durable Medical Equipment & Medical Supplies | 6119 Highway 45, 4, Fort Smith, AR 72916 | 2006-06-10 |
| 1891735098 | William Justin Hayes | Family Medicine | 11300 Roberts Blvd, Chaffee Crossing Clinic, Fort Smith, AR 72916 | 2006-06-07 |
| 1174184923 | James Brogan Lopez | Dentist | 5901 Riley Park Drive, Fort Smtih, AR 72916 | 2019-06-24 |
| 1588121065 | Premier Pediatrics Pllc | Pediatrics | 5901 Riley Park Drive, Suite B, Fort Smith, AR 72916 | 2019-02-21 |
| Find all providers in zip 72916 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922566785 | Amanda Mcclure | Nurse Practitioner | 6801 Rogers Ave Fl 3, Fort Smith, AR 72903-4067 | 2019-03-11 |
| 1558856807 | Elizabeth Eleanor Holmes | Nurse Practitioner | 4200 Jenny Lind Rd Ste A, Fort Smith, AR 72901-7632 | 2018-06-28 |
| 1790926475 | Tracy R Harwood | Nurse Practitioner | 3505 S 79th St, Fort Smith, AR 72903-6250 | 2009-03-10 |
| 1811538424 | Ashley Renee Calvillo | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-10-04 |
| 1588212575 | Lino Lamb | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-09-03 |
| 1063069326 | Tara Rae Sandusky | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-08-21 |
| 1659838092 | Andrew Marcus Dugan | Nurse Practitioner | 7001 Rogers Ave Ste 401a, Fort Smith, AR 72903-4034 | 2019-02-21 |
| 1386137826 | Amanda L Cole | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2018-06-10 |
| 1174021067 | Jonathan David Schilling | Nurse Practitioner | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2018-01-25 |
| 1144753302 | Shawna Donaghue | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2017-04-05 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72916 |
Please comment or provide details below to improve the information on JOSEPH KENT TETIRICK.
| 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.