KATLYN REINE ANDERSON (NPI# 1568929487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568929487 |
| Entity Type | Individual |
| Full Name | KATLYN REINE ANDERSON |
| Credential | PA |
| Practice Address |
9601 Baptist Health Dr Ste 860 Little Rock AR 72205-6375 |
| Mailing Address |
4261 Stockton Drive Suite Ll100 North Little Rock AR 72117 |
| Practice Telephone | 5019757455 |
| Practice Fax Number | 5019753631 |
| Mailing Telephone | 5019757456 |
| Mailing Fax Number | 5019781822 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-826 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9601 BAPTIST HEALTH DR STE 860 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-6375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326038035 | Douglas A. Clark | Physician Assistant | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2005-10-25 |
| 1033750898 | Susan Brooke Contois | Physician Assistant | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2019-10-03 |
| 1083170807 | Caleb Brett Mason | Physician Assistant | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2019-02-17 |
| 1417306580 | Emilee Odom | Physician Assistant | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205 | 2016-06-08 |
| 1316395601 | John M Evans | Dermatology | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2016-05-27 |
| 1629442132 | Annaleigh Virginia Harper | Physician Assistant | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2015-11-20 |
| 1760855639 | Matthew Reynolds | Physician Assistant | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2015-11-02 |
| 1417340589 | Rebecca L Lard | Dermatology | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2015-03-12 |
| 1609268762 | Jordan Carmen Meeker | Physician Assistant | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2015-02-26 |
| 1184034522 | Marcus Webb | Physician Assistant | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2014-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417455817 | Kaitlyn Marie Rauwerdink | Physician Assistant | 2 Saint Vincent Cir Fl 6, Little Rock, AR 72205-5423 | 2018-01-31 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1811401318 | Rachel Neal | Physician Assistant | 4220 N Rodney Parham Rd Ste 230, Little Rock, AR 72212-2457 | 2017-11-21 |
| 1538610316 | Sharonda Smarjesse | Physician Assistant | 801 S Bowman Rd Ste 4, Little Rock, AR 72211-3427 | 2016-10-17 |
| 1326449182 | Caitlin Anne Andryka | Physician Assistant | 6 Shackleford Dr, Little Rock, AR 72211-2858 | 2014-09-11 |
| 1457690414 | Rachel Dyan Golden | Physician Assistant | 9200 Cloverhill Rd, Little Rock, AR 72205-4615 | 2013-02-11 |
| 1477738342 | Stephanie Gail Barnes | Physician Assistant | 2 St Vincent Circle, Little Rock, AR 72205 | 2008-01-09 |
| 1477517217 | Christian C Perry | Physician Assistant | #5 St Vincent Circle, Suite 100, Little Rock, AR 72205 | 2006-04-17 |
| 1386242899 | Payton Rae Ransom | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2020-10-16 |
| 1013540657 | Ashley Gershner | Physician Assistant | 5320 W Markham St, Little Rock, AR 72205-3528 | 2020-02-21 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.