REBECCA POWELL (NPI# 1639532559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639532559 |
Entity Type | Individual |
Full Name | REBECCA POWELL |
Credential | APRN |
Practice Address |
3010 Fountain Drive Conway AR 72034-3684 |
Practice Telephone | 5013280055 |
Practice Fax Number | 5013282194 |
Mailing Telephone | 5013280055 |
Mailing Fax Number | 5013282194 |
Enumeration Date | 2016-03-29 |
Last Update Date | 2016-10-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A003855 | AR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 213832758 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306328554 | Rebecca L Powell | Dietitian, Registered | 7823 S Pinewood Dr, Pine Bluff, AR 71603-8997 | 2018-09-04 |
1972771822 | Rebecca Charlotte Powell | Speech-Language Pathologist | 133 Windsor Dr, Richmond, KY 40475-1161 | 2008-02-13 |
1912084302 | Rebecca Lynn Powell | Audiologist | 1820 Coit Rd, Suite 120, Plano, TX 75075-5036 | 2006-11-01 |
1083272843 | Rebecca Powell | Behavior Technician | 505 E Commonwealth Ave, Fullerton, CA 92832-4009 | 2019-06-05 |
1174095913 | Rebecca Elizabeth Powell | Counselor | 221 E 29th St Ste 101, Loveland, CO 80538-2721 | 2018-12-18 |
1366930968 | Rebecca Powell | Pediatrics | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2018-04-29 |
1467850446 | Rebecca Walmsley Powell | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2014-12-08 |
1265788285 | Rebecca A Powell | Nurse Practitioner | 1505 State Highway 19 S, Athens, TX 75751-8950 | 2012-07-27 |
1568765774 | Rebecca Smith Powell | Nurse Practitioner | 2735 University Blvd S, Jacksonville, FL 32216-2548 | 2010-12-09 |
1497914535 | Rebecca Jo Powell | Internal Medicine | 7740 N Oracle Rd, Oro Valley, AZ 85704-6313 | 2008-06-04 |
Street Address |
3010 FOUNTAIN DRIVE |
City | CONWAY |
State | AR |
Zip Code | 72034-3684 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174501563 | Sherrye Denise Craig | Pediatrics | 3010 Fountain Drive, Conway, AR 72034-3684 | 2006-01-05 |
1992146088 | Kellie Bishop | Registered Nurse | 3010 Fountain Drive, Conway, AR 72034-3684 | 2013-07-17 |
1376759068 | Adam Bryant Harrell | Pediatrics | 3010 Fountain Drive, Conway, AR 72034-3684 | 2007-05-16 |
1659332849 | Central Arkansas Pediatrics, P.a. | Pediatrics | 3010 Fountain Drive, Conway, AR 72034-3684 | 2006-03-29 |
1215915608 | Jeffrey Alan Craig | Pediatrics | 3010 Fountain Drive, Conway, AR 72034-3684 | 2006-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
Find all providers in zip 72034 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023617594 | Mckenzie Lauren Cotton | Nurse Practitioner | 1065 Skyline Dr, Conway, AR 72032-3530 | 2020-10-25 |
1316566607 | Shannon Busby | Nurse Practitioner | 1505 Winterbrook Dr, Conway, AR 72034-3564 | 2020-04-16 |
1538798087 | Glenda Darlene Gore | Nurse Practitioner | 17 Kali Ct, Conway, AR 72032-9477 | 2020-04-06 |
1265071427 | Dana Aysha Niederhauser | Nurse Practitioner | 1250 Littlewood Cv, Conway, AR 72032-8986 | 2020-01-04 |
1285287680 | Joy Griffith | Nurse Practitioner | 2907 Percy Cir, Conway, AR 72034-5508 | 2019-07-24 |
1366094260 | Kerry Kathryn Lewis | Nurse Practitioner | 1910 Royal Dr, Conway, AR 72034-7346 | 2019-07-10 |
1487113148 | Laura B Kelly | Nurse Practitioner | 2300 Linda Dr, Conway, AR 72032-8999 | 2019-03-12 |
1780141069 | Ashleigh Lynn Kinon | Nurse Practitioner | 2065 Woodlawn Dr, Conway, SC 29526-7703 | 2019-02-22 |
1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
Find all providers in CONWAY |
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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.