JACKIE MOBLEY (NPI# 1437468766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437468766 |
Entity Type | Individual |
Full Name | JACKIE MOBLEY |
Practice Address |
3214 Winchester Benton AR 72015-2929 |
Practice Telephone | 5013266160 |
Mailing Telephone | 5013266160 |
Enumeration Date | 2010-10-05 |
Last Update Date | 2010-10-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3214 WINCHESTER |
City | BENTON |
State | AR |
Zip Code | 72015-2929 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790815041 | Julie M Christian | Speech-Language Pathologist | 3214 Winchester, Benton, AR 72015-2929 | 2007-03-06 |
1184222093 | Alix T Dyer | Occupational Therapist | 3214 Winchester, Benton, AR 72015-2929 | 2020-10-13 |
1770137275 | Jlm Ventures, Inc. | Clinic/Center | 3214 Winchester, Benton, AR 72015-2929 | 2019-08-01 |
1457905580 | Jlm Ventures, Inc. | Clinic/Center | 3214 Winchester, Benton, AR 72015-2929 | 2019-07-26 |
1245884378 | Jlm Ventures, Inc. | Occupational Therapist | 3214 Winchester, Benton, AR 72015-2929 | 2019-07-26 |
1831606235 | Dominique D Humphrey | Case Manager/Care Coordinator | 3214 Winchester, Benton, AR 72015-2929 | 2018-01-08 |
1386154334 | Sara N Knauf | Case Manager/Care Coordinator | 3214 Winchester, Benton, AR 72015-2929 | 2017-10-04 |
1114443280 | Victoria M Jones | Case Manager/Care Coordinator | 3214 Winchester, Benton, AR 72015-2929 | 2017-08-20 |
1396268702 | Crystal Kidd | Case Manager/Care Coordinator | 3214 Winchester, Benton, AR 72015-2929 | 2017-07-18 |
1962932293 | Sharon M Cooley | Case Manager/Care Coordinator | 3214 Winchester, Benton, AR 72015-2929 | 2017-06-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
Find all providers in zip 72015 |
Taxonomy Code | 225500000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306133061 | Nicole Staton | Specialist/Technologist | 3214 Winchester, Benton, AR 72015-2929 | 2011-07-01 |
1649579061 | Tanika Michele Harris | Specialist/Technologist | 3214 Winchester, Benton, AR 72015-2929 | 2011-03-24 |
1487958260 | Jason Kyle Turner | Specialist/Technologist | 3214 Winchester, Benton, AR 72015-2929 | 2011-01-07 |
1346555869 | Jenny Crossland | Specialist/Technologist | 3214 Winchester, Benton, AR 72015-2929 | 2010-08-09 |
1811202336 | Christy Roark | Specialist/Technologist | 3214 Winchester, Benton, AR 72015-2929 | 2010-08-09 |
1972822484 | Nina M. Diggins | Specialist/Technologist | 3214 Winchester, Benton, AR 72015-2929 | 2010-05-24 |
1164747689 | Anita K. Deal | Specialist/Technologist | 3214 Winchester, Benton, AR 72015-2929 | 2010-03-29 |
1831414259 | Tracy Mccool | Specialist/Technologist | 3214 Winchester, Benton, AR 72015-2929 | 2010-03-29 |
1861716813 | Ashley Elizabeth Jones | Specialist/Technologist | 3214 Winchester, Benton, AR 72015-2929 | 2010-03-19 |
1972825909 | Kendria Jones | Specialist/Technologist | 3214 Winchester, Benton, AR 72015 | 2010-02-18 |
Find all providers in BENTON |
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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.