HOLLY E DIAL (NPI# 1417461989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417461989 |
Entity Type | Individual |
Full Name | HOLLY E DIAL |
Credential | LPN |
Practice Address |
2500 Rike Dr Pine Bluff AR 71603-3937 |
Practice Telephone | 8705341834 |
Practice Fax Number | 8705345798 |
Mailing Telephone | 8705341834 |
Mailing Fax Number | 8705345798 |
Enumeration Date | 2017-11-20 |
Last Update Date | 2017-11-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
L057904 | AR | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 116378726 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134311194 | Holly Dial | Registered Nurse | 401 S 23rd St, Worland, WY 82401 | 2007-08-14 |
Street Address |
2500 RIKE DR |
City | PINE BLUFF |
State | AR |
Zip Code | 71603-3937 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235170382 | Joyce Walker | Social Worker | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2006-06-09 |
1174122451 | Barbara Ellison | Registered Nurse | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2020-10-19 |
1619509916 | Reginald Pace | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2020-02-05 |
1336786946 | Robyne Watley | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2019-12-02 |
1891332508 | Brionna Davis | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2019-12-02 |
1083256820 | Marious Tolbert | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2019-10-14 |
1629552278 | Lanivia Morris | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2018-09-19 |
1184131880 | Cassandra K Edwards | Registered Nurse | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2018-01-03 |
1104356328 | Aerielle Lawrence | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2017-06-20 |
1124569207 | Kendria Barnes | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2017-03-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
Find all providers in zip 71603 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164805636 | Teressa Lynn Barnes | Registered Nurse | 810 N. Hutchinson St., Pine Bluff, AR 71602-4644 | 2015-07-02 |
1497922868 | Jacqueline Regina Love-ryan | Registered Nurse | 620 S Laurel, Pine Bluff, AR 71601-4859 | 2008-05-14 |
1174122451 | Barbara Ellison | Registered Nurse | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2020-10-19 |
1184131880 | Cassandra K Edwards | Registered Nurse | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2018-01-03 |
1114304862 | Stacy Gray | Registered Nurse | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2015-05-01 |
1962896233 | Stephanie Hobbs | Registered Nurse | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2015-03-25 |
1134528581 | Michael Nellums | Registered Nurse | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2014-08-21 |
1780090639 | Renay Ford | Registered Nurse | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2014-07-10 |
1912317611 | Rosemary Wilkins | Registered Nurse | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2014-05-02 |
1154741403 | Caronda Hill-cole | Registered Nurse | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2014-04-24 |
Find all providers in PINE BLUFF |
City | PINE BLUFF |
Zip Code | 71603 |
Please comment or provide details below to improve the information on HOLLY E DIAL.
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.