JESSICA REAGAN (NPI# 1477918738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477918738 |
| Entity Type | Individual |
| Full Name | JESSICA REAGAN |
| Credential | APRN |
| Practice Address |
201 Colonial Dr Walnut Ridge AR 72476-1410 |
| Mailing Address |
Po Box 83 Corning AR 72422-0083 |
| Practice Telephone | 8708865507 |
| Practice Fax Number | 8078865632 |
| Mailing Telephone | 8708573334 |
| Mailing Fax Number | 8708579934 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2016-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A004551 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 212613758 | 05 |
| Street Address |
201 COLONIAL DR |
| City | WALNUT RIDGE |
| State | AR |
| Zip Code | 72476-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598711152 | 1st Choice Healthcare Inc | Clinic/Center | 201 Colonial Dr, Walnut Ridge, AR 72476-1410 | 2006-05-25 |
| 1457905465 | Kimberly Ann Slusser | Clinical Nurse Specialist | 201 Colonial Dr, Walnut Ridge, AR 72476-1410 | 2019-07-29 |
| 1124479597 | William Alexander Burns | Nurse Practitioner | 201 Colonial Dr, Walnut Ridge, AR 72476-1410 | 2016-06-28 |
| 1558636704 | Danna Lea Guntharp | Registered Nurse | 201 Colonial Dr, Walnut Ridge, AR 72476-1410 | 2012-03-20 |
| 1912930967 | Varghese Edattukaren | Family Medicine | 201 Colonial Dr, Walnut Ridge, AR 72476-1410 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871113126 | Lauren Felts | Pharmacist | 1405 W Main Suite B, Walnut Ridge, AR 72476 | 2020-04-16 |
| 1033609995 | Misty Dawn Colvey | Specialist/Technologist | 60 W Fulbright Avenue, Walnut Ridge, AR 72476 | 2018-05-16 |
| 1427570803 | Heartline Home Care LLC | Home Health | 329 West Poplar, Walnut Ridge, AR 72476 | 2017-07-07 |
| 1093246035 | Allyson Claire Smith | Case Manager/Care Coordinator | 1425 W Main, Walnut Ridge, AR 72476 | 2017-03-22 |
| 1780134098 | H4l Ranch, Inc. | Community Based Residential Treatment Facility, Mental Illness | 853 Us 63, Walnut Ridge, AR 72476 | 2016-10-11 |
| 1386023943 | Meghon Lanae Mink | Physical Therapist | 200 South Memorial Drive, Walnut Ridge, AR 72476 | 2015-05-28 |
| 1013308436 | Meaghan Danielle Kingston | Nurse Practitioner | 1045 W Main St Ste C, Walnut Ridge, AR 72476 | 2015-02-06 |
| 1962789826 | Amber Fawn Adams | Family Medicine | 402 Sw Larkspur Dr, Walnut Ridge, AR 72476 | 2011-11-07 |
| 1528348760 | Pamela Wilcoxson | Case Manager/Care Coordinator | 1425 West Main, Walnut Ridge, AR 72476 | 2011-08-19 |
| 1184928764 | Lauara Beth Rhein | Case Manager/Care Coordinator | 1425 West Main Street, Walnut Ridge, AR 72476 | 2010-12-22 |
| Find all providers in zip 72476 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013308436 | Meaghan Danielle Kingston | Nurse Practitioner | 1045 W Main St Ste C, Walnut Ridge, AR 72476 | 2015-02-06 |
| 1811503030 | Sara Mechelle Woodson | Nurse Practitioner | 1309 W Main St, Walnut Ridge, AR 72476-1430 | 2020-09-22 |
| 1124479597 | William Alexander Burns | Nurse Practitioner | 201 Colonial Dr, Walnut Ridge, AR 72476-1410 | 2016-06-28 |
| 1730312265 | Sherry Marie Wynn | Nurse Practitioner | 1309 W Main St, Walnut Ridge, AR 72476-1430 | 2009-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617594 | Mckenzie Lauren Cotton | Nurse Practitioner | 1065 Skyline Dr, Conway, AR 72032-3530 | 2020-10-25 |
| 1437758026 | Ashley Michelle Rima | Nurse Practitioner | 205 Spencer St, Hot Springs, AR 71901-7742 | 2020-10-23 |
| 1063010874 | Phillip Wayne Stokes Jr. | Nurse Practitioner | 31 Ashcraft Ct, Paragould, AR 72450-7592 | 2020-10-14 |
| 1720685308 | Dannie Evenda Loy | Nurse Practitioner | 101 Hammond Drive #2131, Hot Springs, AR 71914 | 2020-10-06 |
| 1457958233 | Kaitlyn Soffray Simmons | Nurse Practitioner | 500 Kitchen St, Jonesboro, AR 72401-3135 | 2020-10-05 |
| 1013524487 | Danielle Lynn Frueh | Nurse Practitioner | 103 W University St, Siloam Springs, AR 72761-2663 | 2020-09-29 |
| 1407463938 | Aleshia Williams | Nurse Practitioner | 5401 Clear Creek Ln, Jonesboro, AR 72404-7006 | 2020-09-29 |
| 1801403217 | Jessica Evelyn Mcnamee | Nurse Practitioner | 180 Medical Park Pl Ste 202, Hot Springs, AR 71901-8067 | 2020-09-29 |
| 1437765831 | Allison Nicole Hitt | Nurse Practitioner | 3644 W Hwy 18, Manila, AR 72442 | 2020-09-21 |
| 1528674181 | Maggie Mullican | Nurse Practitioner | 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT RIDGE |
| Zip Code | 72476 |
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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.