MRS. REBEKKA LEE AMICK (NPI# 1598126427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598126427 |
| Entity Type | Individual |
| Full Name | MRS. REBEKKA LEE AMICK |
| Credential | APRN-CNS |
| Practice Address |
4301 W Markham St #783 Little Rock AR 72205-7101 |
| Practice Telephone | 5016868000 |
| Practice Fax Number | 5016868765 |
| Mailing Telephone | 5016868000 |
| Mailing Fax Number | 5016868765 |
| Enumeration Date | 2016-03-20 |
| Last Update Date | 2018-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
S002315 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 216597758 | 05 |
| Street Address |
4301 W MARKHAM ST #783 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164522082 | Indranil Chakraborty | Anesthesiology | 4301 W Markham St #783, Little Rock, AR 72205-7101 | 2006-09-22 |
| 1477844314 | Glenn Ryan Mesman | Psychologist | 4301 W Markham St #783, Little Rock, AR 72205-7101 | 2011-04-26 |
| 1508060435 | Adam Thomas Sandlin | Obstetrics & Gynecology | 4301 W Markham St #783, Little Rock, AR 72205-7101 | 2007-06-13 |
| 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 | 364SG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376987719 | Julia A Mullenax | Clinical Nurse Specialist | 4301 W Markham St # 748, Little Rock, AR 72205-7101 | 2013-04-27 |
| 1629236435 | Mary Price Jones | Clinical Nurse Specialist | 4300 W 7th St, Little Rock, AR 72205-5446 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083137798 | Jennifer M Lewis | Clinical Nurse Specialist | 201 E Oak Ave, Jonesboro, AR 72401 | 2017-07-25 |
| 1659822211 | Jennifer R Smith | Clinical Nurse Specialist | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2016-10-19 |
| 1821042300 | Dana Lynne Burchfield | Clinical Nurse Specialist | 3000 Nw A St, Washington Regional Diagnostic Clinic, Bentonville, AR 72712-3985 | 2006-05-20 |
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on MRS. REBEKKA LEE AMICK.
| 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.