MRS. DERRICA CONKLIN (NPI# 1497139174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497139174 |
| Entity Type | Individual |
| Full Name | MRS. DERRICA CONKLIN |
| Practice Address |
3359 W Cornell Dr Fayetteville AR 72704-6775 |
| Practice Telephone | 4792008054 |
| Mailing Telephone | 4792008054 |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374J00000X | Doula | AR | Nursing Service Related Providers |
| Street Address |
3359 W CORNELL DR |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72704-6775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387037 | Anne-ashley Hull | Speech-Language Pathologist | 12905 Randolph Road, Fayetteville, AR 72704 | 2020-05-07 |
| 1427607019 | Destiny Bound, LLC | Midwife | 3825 N Salem Road, Fayetteville, AR 72704 | 2019-09-06 |
| 1043796881 | Travis Alexander | Physical Therapist | 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 | 2018-07-16 |
| 1104319433 | Rise Physical Therapy Pa | Clinic/Center | 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 | 2018-06-12 |
| 1346744232 | Wedington Dental, Pllc | Clinic/Center | 3500 Black Forest Drvie, Ste 1, Fayetteville, AR 72704 | 2018-03-23 |
| 1528410487 | Sharon Byrd | Licensed Practical Nurse | 17836 Harmon Rd, Fayetteville, AR 72704 | 2016-07-05 |
| 1861823502 | Andrea Warren | Pharmacist | 2875 W Martin Luther King Jr Blvd, Fayetteville, AR 72704 | 2013-12-05 |
| 1609157726 | Jessica Rose Collier | Speech-Language Pathologist | 2020 E Joyce Ave., Suite 2, Fayetteville, AR 72704 | 2011-09-02 |
| 1194044941 | Wcnc, Inc. | Skilled Nursing Facility | 4405 Persimmon Street, Fayetteville, AR 72704 | 2010-05-19 |
| 1841512944 | Jill K Johnston | Speech-Language Pathologist | 3472 N Sandpiper Dr, Fayetteville, AR 72704 | 2010-02-17 |
| Find all providers in zip 72704 | ||||
| Taxonomy Code | 374J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Doula |
| Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619449683 | Donna Page | Doula | 135 Pinevale Ct, Fayetteville, GA 30215-8104 | 2019-01-01 |
| 1932687811 | Allishia Thomas | Doula | 2102 Nickey Ave, Fayetteville, NC 28301-3658 | 2018-08-01 |
| 1851879837 | Angela Nicole Williams | Doula | 1036 Ancestry Dr Apt 4, Fayetteville, NC 28304-3453 | 2018-08-01 |
| 1114405198 | Quanisha Freeman | Doula | 909 Fishing Hole Trl Apt 201, Fayetteville, NC 28314-2173 | 2018-08-01 |
| 1912376732 | Terry Lynn Rambeaut | Doula | 329 Ostendorf Ln, Fayetteville, NC 28311-2989 | 2015-09-22 |
| 1780018325 | Bethany Lynn Rine | Doula | 1340 N Oakland Ave Apt 3, Fayetteville, AR 72703-1653 | 2013-08-31 |
| 1518226018 | Rochelle D Boyce | Doula | 1600 E 5th St, Fayetteville, AR 72701-4502 | 2012-05-04 |
| 1821576703 | Jinaki M Burroughs | Doula | 100 Hay St Fl 6, Fayetteville, NC 28301-5676 | 2018-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893944 | Abigail Mino | Doula | 2901 Carthage St, Fort Smith, AR 72901-6915 | 2020-02-13 |
| 1356972715 | Letara Davis | Doula | 45 Valley View Cir, Bentonville, AR 72712-7517 | 2020-02-03 |
| 1225669997 | Cassi D Mason | Doula | 408 Madison 1435, Huntsville, AR 72740-8105 | 2020-01-30 |
| 1316581770 | Johannah Logan Wickham | Doula | 406a Ash St, Lowell, AR 72745-9629 | 2019-10-29 |
| 1992349328 | Sara Elizabeth Bojie | Doula | 902 S Walton Blvd # 151, Bentonville, AR 72712-6237 | 2019-10-29 |
| 1730740911 | Haley Nicole Coors | Doula | 1604 Rushing Cir, Conway, AR 72032-2637 | 2019-06-27 |
| 1487133880 | Christi M Ward | Doula | 1402 Camino Real, Springdale, AR 72762-2118 | 2018-08-07 |
| 1730615196 | Cassie Disch | Doula | 900 Missouri Rd, Charleston, AR 72933-3023 | 2017-05-04 |
| 1619320959 | Mothers United | Doula | 305 E 16th St, Little Rock, AR 72202-5027 | 2016-07-21 |
| 1114384427 | Marlies Maria Biesinger | Doula | 988 Highway 261, Colt, AR 72326-8412 | 2016-01-19 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 72704 |
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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.