GWENITH NYNELL CULCLAGER (NPI# 1609179779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609179779 |
| Entity Type | Individual |
| Full Name | GWENITH NYNELL CULCLAGER |
| Credential | LPN |
| Practice Address |
4354 Stockton Dr North Little Rock AR 72117-2917 |
| Mailing Address |
Po Box 15968 Little Rock AR 72231-5968 |
| Practice Telephone | 5019557600 |
| Practice Fax Number | 5019557612 |
| Mailing Telephone | 5012211843 |
| Mailing Fax Number | 5012212376 |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 150610 | TX | Nursing Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
4354 STOCKTON DR |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72117-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437164977 | Professional Counseling Associates, Inc. | Clinic/Center | 4354 Stockton Dr, North Little Rock, AR 72117-2917 | 2006-07-31 |
| 1699304543 | Lawonda Sykes | Case Manager/Care Coordinator | 4354 Stockton Dr, North Little Rock, AR 72117-2917 | 2020-04-03 |
| 1891321105 | Brandi Michelle Grunska | Case Manager/Care Coordinator | 4354 Stockton Dr, North Little Rock, AR 72117-2917 | 2020-03-18 |
| 1760934624 | Christopher Campbell | Counselor | 4354 Stockton Dr, North Little Rock, AR 72117-2917 | 2016-10-26 |
| 1780134189 | Teressa Whitmore | Case Manager/Care Coordinator | 4354 Stockton Dr, North Little Rock, AR 72117-2917 | 2016-10-10 |
| 1255709333 | Samantha Carey | Case Manager/Care Coordinator | 4354 Stockton Dr, North Little Rock, AR 72117-2917 | 2015-09-08 |
| 1831571884 | Myessia Eunisse Simone Taylor | Case Manager/Care Coordinator | 4354 Stockton Dr, North Little Rock, AR 72117-2917 | 2015-06-26 |
| 1427441096 | Katharine Coker | Case Manager/Care Coordinator | 4354 Stockton Dr, North Little Rock, AR 72117-2917 | 2015-03-06 |
| 1831442045 | Daniel J Mclaurin | Case Manager/Care Coordinator | 4354 Stockton Dr, North Little Rock, AR 72117-2917 | 2012-10-25 |
| 1982957742 | Amanda Lois Self | Social Worker | 4354 Stockton Dr, North Little Rock, AR 72117-2917 | 2012-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1306475470 | Amir Amidi | Student in an Organized Health Care Education/Training Program | Baptist Health Family Medicine Residency Clinic, 3201 Springhill Dr., Suite 300, North Little Rock, AR 72117 | 2020-04-02 |
| 1699238147 | Achmed Munir Turay | Student in an Organized Health Care Education/Training Program | Baptist Health Medical Center- North Little Rock, 3333 Springhill Drive, Little Rock, AR 72117 | 2019-04-11 |
| 1548712227 | Arkansas Outpatient Surgery Center, LLC | Clinic/Center | 4331 W. 43rd, North Little Rock, AR 72117 | 2016-10-28 |
| 1982053286 | Amy Rainey | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117 | 2016-06-07 |
| 1558764159 | Premier Pharmacy Care LLC | Pharmacy | 760 Michaela Dr., North Little Rock, AR 72117 | 2014-09-27 |
| 1225458813 | Jennifer Lynn Duroy | Obstetrics & Gynecology | 3343 Springhill Dr Ste 3010, North Little Rock, AR 72117 | 2014-04-22 |
| 1285053686 | Jonathan Nicholas Chang | Obstetrics & Gynecology | 3343 Springhill Dr Ste 1005, North Little Rock, AR 72117 | 2014-04-14 |
| 1760820575 | Stefan Ceru Hemmings | Internal Medicine | 3401 Springhill Dr Ste 325, North Little Rock, AR 72117 | 2013-06-13 |
| 1104260629 | Pain & Ortho Products, LLC | Durable Medical Equipment & Medical Supplies | 4628 East 43rd, N Little Rock, AR 72117 | 2013-04-26 |
| Find all providers in zip 72117 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441763 | William Venable | Licensed Vocational Nurse | 356 Little River 251, Ashdown, AR 71822-8407 | 2020-09-11 |
| 1558910505 | Megan Waddell | Licensed Vocational Nurse | 1465 Mc 22, Fouke, AR 71837-9109 | 2019-09-11 |
| 1730680299 | Laketa Shavonne Woods | Licensed Vocational Nurse | 1109 Fairview St, Texarkana, AR 71854-7515 | 2018-02-21 |
| 1578033304 | Dawnita Rose-allen | Licensed Vocational Nurse | 5 Remington Cv, Little Rock, AR 72204-8274 | 2018-12-05 |
| 1699078014 | Olivia Jackson | Licensed Vocational Nurse | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2010-12-07 |
| 1972712933 | Phyllis Mcpherson | Licensed Vocational Nurse | 6701 Highway 67, Benton, AR 72015-8909 | 2007-05-22 |
| 1245355056 | Elissa Kalinchuk Guadarrama | Licensed Vocational Nurse | 125 E Township St, Suite 1, Fayetteville, AR 72703-2817 | 2007-03-20 |
| City | NORTH LITTLE ROCK |
| Zip Code | 72117 |
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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.