JUDD ANDREW DRAKE (NPI# 1609357128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609357128 |
| Entity Type | Individual |
| Full Name | JUDD ANDREW DRAKE |
| Practice Address |
100 E University Magnolia AR 71753 |
| Mailing Address |
602 Rosston Rd Hope AR 71801-5921 |
| Practice Telephone | 8702354000 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
100 E UNIVERSITY |
| City | MAGNOLIA |
| State | AR |
| Zip Code | 71753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437179512 | Kenneth Cole | Specialist/Technologist | 100 E University, Magnolia, AR 71753-2181 | 2006-07-20 |
| 1013549005 | Andrew Baggett | Specialist/Technologist | 100 E University, Magnolia, AR 71753-2181 | 2020-02-07 |
| 1275177073 | Tao Wang | Nurse Practitioner | 100 E University, Magnolia, AR 71753-2181 | 2019-11-05 |
| 1891339024 | Maeci May | Specialist/Technologist | 100 E University, Magnolia, AR 71753-2181 | 2019-10-31 |
| 1598247272 | Lane Ray Alexander | Specialist/Technologist | 100 E University, Magnolia, AR 71753-2181 | 2018-08-30 |
| 1427539444 | Erica Danielle Erwin | Specialist/Technologist | 100 E University, Magnolia, AR 71753-2181 | 2018-08-27 |
| 1386125599 | Sha'daveya La'shell Mcpherson | Specialist/Technologist | 100 E University, Magnolia, AR 71753-2181 | 2018-08-25 |
| 1295216497 | Aliyah Mixon | Specialist/Technologist | 100 E University, Magnolia, AR 71753-2181 | 2018-08-24 |
| 1063993541 | Audrey Noelle Young | Specialist/Technologist | 100 E University, Magnolia, AR 71753-2181 | 2018-08-23 |
| 1033690599 | Lindsey Marie Smith | Specialist/Technologist | 100 E University, Magnolia, AR 71753-2181 | 2018-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939862 | Kylie Nokes | Occupational Therapy Assistant | 1403 High School Drive, Magnolia, AR 71753 | 2019-12-20 |
| 1225510266 | Douglas Palmer | Specialist/Technologist | 100 E University St, Magnolia, AR 71753 | 2018-09-06 |
| 1568940781 | Alyssa Scholl | Specialist/Technologist | Msc 8800, Magnolia, AR 71753 | 2018-07-31 |
| 1881141950 | Yuichi Takizawa | Specialist/Technologist | 2212 Lacari Dr., Fox Creek Apt #a1, Magnolia, AR 71753 | 2016-09-07 |
| 1609322981 | Stephen Baldwin Jr. | Specialist/Technologist | 100 E University Msc 9202, Magnolia, AR 71753 | 2016-08-28 |
| 1760830038 | Deborah Ellis | Developmental Therapist | 301 West Calhoun, Magnolia, ARKANSAS 71753 | 2016-05-27 |
| 1053720144 | Alaina Atkinson-murphy | Counselor | 1705 E North St, Magnolia, AR 71753 | 2014-08-04 |
| 1467701250 | Charles P Story | Physical Therapy Assistant | 191 E Columbia # 25, Magnolia, AR 71753 | 2012-09-07 |
| 1043565542 | Magnolia Surgery Center, LLC | Clinic/Center | 25 Columbia Road 47, Magnolia, AR 71753 | 2012-07-20 |
| 1427288232 | Emily Loftin | Physical Therapy Assistant | 310 West Calhoun Road, Magnolia, AR 71753 | 2009-07-15 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720616683 | Mahabuba Akhter | Student in an Organized Health Care Education/Training Program | 100 E University # 9274, Magnolia, AR 71753-2181 | 2020-03-27 |
| 1265066252 | Tuncay Delibasi | Student in an Organized Health Care Education/Training Program | 10 Spotted Lily Way, Magnolia, TX 77354-3360 | 2020-02-27 |
| 1023514411 | Ryan Thomas Ash | Student in an Organized Health Care Education/Training Program | 37332 Diamond Oaks Dr, Magnolia, TX 77355-7526 | 2018-04-04 |
| 1225533284 | Volonda Sheredith Jackson | Student in an Organized Health Care Education/Training Program | 33702 Windcrest Estates Blvd, Magnolia, TX 77354-4860 | 2018-03-29 |
| 1760990857 | Markesha Cook | Student in an Organized Health Care Education/Training Program | 1183 Lela Dr, Magnolia, MS 39652-4118 | 2018-01-11 |
| 1912521253 | Hillary Osita Udeh | Student in an Organized Health Care Education/Training Program | 1617 N Washington, Magnolia, AR 71753-2046 | 2020-06-02 |
| 1760006001 | Avesahmed Bukhari | Student in an Organized Health Care Education/Training Program | 1617 N Washington, Magnolia, AR 71753-2046 | 2020-06-02 |
| 1114541448 | Souvonik Adhya | Student in an Organized Health Care Education/Training Program | 1617 N Washington, Magnolia, AR 71753-2046 | 2020-06-02 |
| 1265090187 | Yehudi Ailynnette Romero | Student in an Organized Health Care Education/Training Program | 1617 N Washington, Magnolia, AR 71753-2046 | 2019-06-05 |
| 1750949798 | Dauda M Rogers | Student in an Organized Health Care Education/Training Program | 1617 N Washington, Magnolia, AR 71753-2046 | 2019-06-04 |
| Find all providers in MAGNOLIA | ||||
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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.