MS. SALLY L GRACE (NPI# 1568437135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568437135 |
| Entity Type | Individual |
| Full Name | MS. SALLY L GRACE |
| Credential | A.P.N. |
| Practice Address |
614 E Emma Ave Suite 300 Springdale AR 72764-4634 |
| Practice Telephone | 4797517417 |
| Practice Fax Number | 4797514898 |
| Mailing Telephone | 4797517417 |
| Mailing Fax Number | 4797514898 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2013-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
A01038 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 190222758 | 05 | |
| AR | STATE LICENSE | A01038 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366614745 | Sally Maloney Grace | Nurse Practitioner | 5149 N 9th Ave, Suite 254, Pensacola, FL 32504-8756 | 2008-03-26 |
| Street Address |
614 E EMMA AVE SUITE 300 |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72764-4634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679573 | Terry F Sutterfield | Family Medicine | 614 E Emma Ave, Suite 300, Springdale, AR 72764-4634 | 2005-06-16 |
| 1528572674 | Cris Antonia Arias | Social Worker | 614 E Emma Ave, Springdale, AR 72764-4634 | 2017-11-28 |
| 1407231251 | Sarah Maria Gardner | Dentist | 614 E Emma Ave, Springdale, AR 72764-4469 | 2015-07-22 |
| 1881086148 | Holly Rogers | Nurse Practitioner | 614 E Emma Ave, Ste 300, Springdale, AR 72764-4634 | 2015-02-24 |
| 1952716581 | Tonya Trucks | Nurse Practitioner | 614 E Emma Ave, Springdale, AR 72764-4634 | 2014-06-23 |
| 1952749517 | Trenton Merle Mccord | Dentist | 614 E Emma Ave, Suite 300, Springdale, AR 72764-4634 | 2013-06-05 |
| 1225376411 | Karen Faye Pinkerton | Nurse Practitioner | 614 E Emma Ave, Ste. 300, Springdale, AR 72764-4634 | 2013-01-22 |
| 1083969240 | Latina D Shelley | Nurse Practitioner | 614 E Emma Ave, Suite 300, Springdale, AR 72764-4469 | 2012-07-13 |
| 1629332416 | Ashley Altazin Holman | Dentist | 614 E Emma Ave, Suite 300, Springdale, AR 72764-4634 | 2012-06-27 |
| 1659639664 | Gary Browning Berner | Internal Medicine | 614 E Emma Ave, Suite 300, Springdale, AR 72764-4469 | 2012-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
| 1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
| 1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
| 1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
| 1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
| 1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| 1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
| Find all providers in zip 72764 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811487945 | Laura Gremillion Largent | Nurse Practitioner | 614 E Emma Ave Ste 300, Springdale, AR 72764-4469 | 2018-05-15 |
| 1730502477 | Justina Lynn Staroska | Nurse Practitioner | 11315 Springfield Pike, Springdale, OH 45246-4201 | 2014-01-31 |
| 1033382684 | Julia Laverne Furniss-roberts | Nurse Practitioner | 614 E Emma Ave, Springdale, AR 72764-4634 | 2008-04-03 |
| 1942384615 | Sara Patterson Russell | Nurse Practitioner | 614 E Emma Ave, Springdale, AR 72764-4634 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740820950 | Heather Erwin | Nurse Practitioner | 615 Creekside Dr, Greenwood, AR 72936-3810 | 2020-01-15 |
| 1437596970 | Charity Dawson | Nurse Practitioner | 20299 Highway 51, Malvern, AR 72104-8005 | 2013-05-23 |
| 1942591896 | Wendy Jo Kelton | Nurse Practitioner | 1113 Chestnut St, Lewisville, AR 71845-0367 | 2011-04-27 |
| 1508176744 | Susan Anne Denys | Nurse Practitioner | 811 N Creek Dr, Conway, AR 72032-4712 | 2010-10-20 |
| 1326200213 | Sarah J Rhoads | Nurse Practitioner | 4301 W Markham St # 529, Little Rock, AR 72205-7101 | 2008-07-01 |
| 1750577581 | Lisa Anne Toth | Nurse Practitioner | #4 Highway 71 Northeast, Mountainburg, AR 72946 | 2007-09-14 |
| 1083836886 | Linda Mckennon Smith | Nurse Practitioner | 3729 N Crossover Rd, Suite 107, Fayetteville, AR 72703-4582 | 2007-05-02 |
| 1295954808 | Deborah Kay Gossett | Nurse Practitioner | 3112 S 70th St, Fort Smith, AR 72903-5068 | 2007-04-24 |
| 1598816506 | Amparo Bartlett | Nurse Practitioner | 203 Weir Rd, Russellville, AR 72802-9405 | 2007-01-16 |
| 1003965120 | Susan A Harris | Nurse Practitioner | 801 Goldsmith Rd, Paragould, AR 72450-9509 | 2007-01-09 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGDALE |
| Zip Code | 72764 |
Please comment or provide details below to improve the information on MS. SALLY L GRACE.
| 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.