KELLY NICOLE DUZAN (NPI# 1396219689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396219689 |
Entity Type | Individual |
Full Name | KELLY NICOLE DUZAN |
Other Name | KELLY NICOLE VIRBEL |
Credential | MLS |
Practice Address |
9601 Baptist Health Dr Little Rock AR 72205-6321 |
Mailing Address |
29 Ophelia Dr Maumelle AR 72113-6214 |
Practice Telephone | 5012022687 |
Mailing Telephone | 5017656572 |
Enumeration Date | 2019-01-19 |
Last Update Date | 2019-01-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers |
Street Address |
9601 BAPTIST HEALTH DR |
City | LITTLE ROCK |
State | AR |
Zip Code | 72205-6321 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760476378 | Renie E Bressinck | Dermatology | 9601 Baptist Health Dr, Suite 690, Little Rock, AR 72205-6328 | 2005-09-09 |
1770198848 | Deborah Christine Smith | Nurse Practitioner | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-09-14 |
1700491040 | Zachary Woerner | Nurse Practitioner | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-09-14 |
1518570993 | Amanda Greer Shelton | Nurse Practitioner | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-08-26 |
1528685807 | Courtney C Wilkinson | Nurse Practitioner | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-07-02 |
1932724655 | Tracy Elaine Baker | Physical Therapist | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-06-09 |
1205450681 | Lauren Ince | Dietitian, Registered | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-06-02 |
1104446426 | Sharat Sasi | Nurse Anesthetist, Certified Registered | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-04-17 |
1679192942 | Jordan Scott Schnebly | Nurse Anesthetist, Certified Registered | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-04-15 |
1366061814 | Jenna Hutchins | Nurse Anesthetist, Certified Registered | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-04-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
Find all providers in zip 72205 |
Taxonomy Code | 156F00000X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
A broad category grouping different kinds of technologists and technicians. See individual definitions. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972086809 | Keisha Nash | Technician/Technologist | 3719 Stadium Blvd Apt E11, Jonesboro, AR 72404-7929 | 2018-09-06 |
1801398748 | Felicia J Barlow | Technician/Technologist | 2824 Boxcar St Apt 105, Springdale, AR 72764-6522 | 2018-03-07 |
1689969347 | Sherri Rae Plumlee | Technician/Technologist | 147 Greenwood Hollow, Eureka Springs, AR 72632 | 2011-06-10 |
1295256352 | Jarrin Eugene Paryzek | Technician/Technologist | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2017-06-29 |
1881834075 | Corrinne Renee Sells | Technician/Technologist | 601 Lakeshore Dr, Clinton Primary School, Hope, AR 71801-6002 | 2009-02-27 |
City | LITTLE ROCK |
Zip Code | 72205 |
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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.