MARILOU SHREVE (NPI# 1619961646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619961646 |
Entity Type | Individual |
Full Name | MARILOU SHREVE |
Credential | DNP, APN |
Practice Address |
900 S 52nd St 200 Rogers AR 72758-8637 |
Mailing Address |
507 Nw C St Bentonville AR 72712-4747 |
Practice Telephone | 4792541100 |
Mailing Telephone | 4794225250 |
Enumeration Date | 2005-09-06 |
Last Update Date | 2016-05-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
A01589 | AR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 146089758 | 05 |
Street Address |
900 S 52ND ST 200 |
City | ROGERS |
State | AR |
Zip Code | 72758-8637 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942564182 | Andrew Stover | Social Worker | 900 S 52nd St, 200, Rogers, AR 72758-8637 | 2012-07-03 |
1952564080 | Kathleen Pollard | Pediatrics | 900 S 52nd St, 200, Rogers, AR 72758-8637 | 2008-07-09 |
1568676369 | Harvey Pediatrics. Pllc | Pediatrics | 900 S 52nd St, 200, Rogers, AR 72758-8637 | 2007-05-10 |
1003946401 | Bryan M Harvey | Pediatrics | 900 S 52nd St, 200, Rogers, AR 72758-8637 | 2007-03-06 |
1235196528 | Janet Susan Cantwell | Pediatrics | 900 S 52nd St, Suite 200, Rogers, AR 72758-8637 | 2006-04-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
Find all providers in zip 72758 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215333075 | Lisa Lavon Fields | Nurse Practitioner | 5434 W Walsh Ln, Rogers, AR 72758-8946 | 2014-11-06 |
1497749428 | Scarlet Denise Travis | Nurse Practitioner | 500 S 52nd St, Rogers, AR 72758-8600 | 2005-09-06 |
1225292592 | Karyn Denise Sherar | Nurse Practitioner | 1233 W Poplar St, Rogers, AR 72756-4245 | 2008-07-15 |
1063481513 | William N. Kunau | Nurse Practitioner | 13980 Northdale Blvd, Rogers, MN 55374-2147 | 2006-03-16 |
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 |
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 |
1457504250 | Ramonda K Housh | Nurse Practitioner | 3219 Highway 67b, Walnut Ridge, AR 72476-8567 | 2008-10-24 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MARILOU SHREVE.
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.