DIXIE KAY SHRUM (NPI# 1598845430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598845430 |
Entity Type | Individual |
Full Name | DIXIE KAY SHRUM |
Credential | AMP |
Practice Address |
825 N Main St Ste. 1 Harrison AR 72601-2914 |
Practice Telephone | 8707434900 |
Practice Fax Number | 8707434949 |
Mailing Telephone | 8707434900 |
Mailing Fax Number | 8707434949 |
Enumeration Date | 2006-10-16 |
Last Update Date | 2020-02-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
A01489 ANP | AR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 180884758 | 05 |
Street Address |
825 N MAIN ST STE. 1 |
City | HARRISON |
State | AR |
Zip Code | 72601-2914 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720430309 | Baxter County Regional Hospital, Inc | Clinic/Center | 825 N Main St, Suite 6, Harrison, AR 72601-2914 | 2016-07-07 |
1043609522 | Braces of The Ozarks, LLC | Dentist | 825 N Main St, Suite 6, Harrison, AR 72601-2914 | 2015-01-21 |
1023433919 | Springfield Neurological and Spine Institute | Neurological Surgery | 825 N Main St, Harrison, AR 72601-2914 | 2014-02-28 |
1225325731 | Tatum Orthodontics LLC | Dentist | 825 N Main St, Harrison, AR 72601-2914 | 2011-07-05 |
1043522212 | Cornerstone Medical Clinic Pllc | Nurse Practitioner | 825 N Main St, Suite A, Harrison, AR 72601-2914 | 2010-07-05 |
1306048251 | Dawn Marie Phelps | Obstetrics & Gynecology | 825 N Main St, Harrison, AR 72601-2914 | 2007-06-04 |
1639229339 | Rana Diane Burnside | Nurse Practitioner | 825 N Main St, Harrison, AR 72601 | 2007-01-12 |
1669430286 | Steven M Shrum | Internal Medicine | 825 N Main St, Harrison, AR 72601-2914 | 2006-05-03 |
1164405395 | Joel Damarillo Sebag | Physical Therapist | 825 N Main St, Ste 7, Harrison, AR 72601-2914 | 2005-11-22 |
1740263987 | Louela Sebag | Physical Therapist | 825 N Main St, Ste 7, Harrison, AR 72601-2914 | 2005-11-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184280364 | Linda Marie Balcerak | Physical Therapy Assistant | 400 Hwy 43 East, Harrison, AR 72601 | 2019-05-14 |
1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
1154808236 | Carrie Lynn Miller | Midwife | 5977 Sulphur. Mt. Rd, Harrison, AR 72601 | 2018-07-23 |
1255833778 | Julie Foster, Speech Language Pathologist, Inc. | Speech-Language Pathologist | 1898 Foley Rd, Harrison, AR 72601 | 2018-02-28 |
1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
1306394465 | Rebecca Jane Mcanulty | Nurse Practitioner | 702 N. Springs Street, Harrison, AR 72601 | 2016-09-19 |
1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
Find all providers in zip 72601 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043522212 | Cornerstone Medical Clinic Pllc | Nurse Practitioner | 825 N Main St, Suite A, Harrison, AR 72601-2914 | 2010-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891324216 | Taira Nicole Bernard | Nurse Practitioner | 6424 The Divide Pkwy Apt 106, Little Rock, AR 72223-5861 | 2020-04-07 |
1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
1386152163 | Sara Jane Brown | Nurse Practitioner | 4000 Linwood Dr Ste H, Paragould, AR 72450-7224 | 2018-01-16 |
1194178376 | Amy Hodges | Nurse Practitioner | 172 Highway 62 W, Salem, AR 72576-8059 | 2016-07-22 |
1265824841 | Ashley Gayle Vaughan | Nurse Practitioner | 7303 Rogers, Ave 201, Pediatric Partners, Fort Smith, AR 72903-4112 | 2015-02-19 |
1215333075 | Lisa Lavon Fields | Nurse Practitioner | 5434 W Walsh Ln, Rogers, AR 72758-8946 | 2014-11-06 |
1689923831 | Joanna Lowery | Nurse Practitioner | 3 Childrens Way, Little Rock, AR 72202-3500 | 2012-09-04 |
1881941417 | Denice Marie Bozeman | Nurse Practitioner | 1 Childrens Way # 707, Little Rock, AR 72202-3500 | 2012-08-14 |
1699038711 | Jennifer Ellen Murphree | Nurse Practitioner | 1 Children's Way, St # 653, Little Rock, AR 72202 | 2012-06-22 |
1255579124 | Kimberly Ann Grundy | Nurse Practitioner | 800 Marshall St # 512-3, Little Rock, AR 72202-3510 | 2009-01-29 |
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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.