RYAN SCOTT ANDERSON (NPI# 1679117659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679117659 |
| Entity Type | Individual |
| Full Name | RYAN SCOTT ANDERSON |
| Credential | APRN |
| Practice Address |
4802 E Johnson Ave Jonesboro AR 72405-8413 |
| Mailing Address |
Po Box 1960 Jonesboro AR 72403-1960 |
| Practice Telephone | 8709368000 |
| Practice Fax Number | 8709343633 |
| Mailing Telephone | 8709368000 |
| Mailing Fax Number | 8709343633 |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 121554 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053872416 | Ryan Joel Anderson | Nurse Anesthetist, Certified Registered | Address: 101 Tower Rd, Suite 201, Dakota Dunes, SD 57049 | 2019-03-28 |
| 1083086524 | Ryan Taylor Anderson | Dentist | 13 East 4th Street, La Junta, CO 81050 | 2015-10-23 |
| 1194130849 | Ryan John Anderson | Student in an Organized Health Care Education/Training Program | 200 W Arbor Dr # Md8425, San Diego, CA 92103-1911 | 2014-06-20 |
| 1235542283 | Ryan Everett Anderson | Internal Medicine | 1133 21st St Nw Fl 6, Washington, DC 20036-3390 | 2014-06-07 |
| 1295175024 | Ryan Roger Anderson | Chiropractor | 653 Camino De Los Mares Ste 100, San Clemente, CA 92673-2808 | 2013-06-25 |
| 1972812303 | Ryan Lee Anderson | Hearing Instrument Specialist | 2901a E Main St, Richmond, IN 47374-3545 | 2010-10-04 |
| 1548403694 | Ryan John Anderson | Marriage & Family Therapist | 363 E 1200 S # 201, Orem, UT 84058-6904 | 2009-04-18 |
| 1942349329 | Ryan Christopher Anderson | Dentist | 1927 Thomson Dr, Lynchburg, VA 24501-1008 | 2007-02-05 |
| 1053334730 | Ryan K Anderson | Podiatrist | 596 W 750 S, Suite 200, Bountiful, UT 84010-7268 | 2006-07-25 |
| 1891752812 | Ryan B Anderson | Ophthalmology | 2030 S Solano Dr, Las Cruces, NM 88001-5402 | 2006-04-26 |
| Street Address |
4802 E JOHNSON AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72405-8413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699779686 | Paul S Levy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4802 E Johnson Ave, Jonesboro, AR 72401 | 2005-06-08 |
| 1316546138 | Emily M Allen | Nurse Practitioner | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-10-22 |
| 1699387274 | Sarah E Dulaney | Clinical Nurse Specialist | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-08-17 |
| 1154965036 | Danny Lee Ricker | Nurse Practitioner | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-11-04 |
| 1366086787 | Jennifer L Turnbow | Nurse Practitioner | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-10-29 |
| 1487201703 | Mary Daniel Johnson | Dietitian, Registered | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-08-21 |
| 1285288357 | Kellye P Brown | Nurse Practitioner | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-07-28 |
| 1801448592 | Helen F Williams | Nurse Practitioner | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-07-12 |
| 1801350285 | Brandy N Herrington | Physician Assistant | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2019-01-30 |
| 1225512635 | Stefanie Renee Brackin | Nurse Practitioner | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2018-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023554 | Christopher Marshall | Dentist | 1804 Old Greensboro Rd Bldg B, Jonesboro, AR 72405-0003 | 2020-08-10 |
| 1346841756 | Hannah Beth Johnston | Occupational Therapy Assistant | 970 County Road 753, Jonesboro, AR 72405-0232 | 2020-11-03 |
| 1275168213 | Blaine Carson | Optometrist | 3705 E Johnson Ave, Jonesboro, AR 72405-1858 | 2020-03-10 |
| 1669006359 | Megan Maureen Anderson | Nurse Practitioner | 2712 E Johnson Ave, Jonesboro, AR 72405-1874 | 2020-03-03 |
| 1922539915 | Whitney Taylor | Registered Nurse | 2712 E Johnson Ave, Jonesboro, AR 72405-1874 | 2017-03-22 |
| 1205211976 | Higginbotham Dental Group, Pllc | Dentist | 1804 Old Greensboro Rd Ste D, Jonesboro, AR 72405-2076 | 2015-07-23 |
| 1265087092 | Richardson Anesthesia Pllc | Anesthesiology | 320 County Road 794, Jonesboro, AR 72405-7087 | 2019-08-08 |
| 1194346304 | Toni Cecil | Student in an Organized Health Care Education/Training Program | 4505 Mockernut Ln, Jonesboro, AR 72405-7848 | 2020-04-28 |
| 1992306534 | Haley Elizabeth Ballard | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-11-02 |
| 1457967986 | Ana-liese Torres | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-09-21 |
| Find all providers in zip 72405 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710430582 | Jessica Erin Camp | Clinical Nurse Specialist | 3401 E Highland Dr, Jonesboro, AR 72401-6404 | 2016-07-28 |
| 1144836347 | Ashley Featherston | Clinical Nurse Specialist | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2020-09-22 |
| 1326656513 | Heather Porterfield | Clinical Nurse Specialist | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2020-07-14 |
| 1962947200 | Brennan Weeks | Clinical Nurse Specialist | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2016-12-22 |
| 1033511449 | Stephanie Mcmellon | Clinical Nurse Specialist | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2014-09-17 |
| 1982982542 | Melanie Renee New | Clinical Nurse Specialist | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2011-08-01 |
| 1528142437 | Corinne Lynn Palmer | Clinical Nurse Specialist | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922411644 | Melba Barnes Cns Aprn Inc | Clinical Nurse Specialist | 31 La Granja Cir, Hot Springs Village, AR 71909-2652 | 2014-06-10 |
| 1649698978 | Ellen Marie Odell | Clinical Nurse Specialist | 4303 Lankford Ave, Springdale, AR 72762-5834 | 2014-04-03 |
| 1326222183 | Susan Kimbrell | Clinical Nurse Specialist | 593 Horsebarn Rd Ste 101, Rogers, AR 72758-8797 | 2007-12-28 |
| 1679052559 | Aaron Baxter | Clinical Nurse Specialist | 550 Club Ln, Conway, AR 72034-3681 | 2018-08-10 |
| 1164956199 | Lindsey R Sabatini | Clinical Nurse Specialist | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2017-04-17 |
| 1104361864 | Dawn Michelle Smedley | Clinical Nurse Specialist | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2017-01-04 |
| 1396193066 | Icarepro of Texas, Pa | Clinical Nurse Specialist | 8060 Counts Massie Rd, Maumelle, AR 72113-6657 | 2016-06-02 |
| 1447621255 | Rhonda Michelle Evans | Clinical Nurse Specialist | 4301 W Markham St, Slot 508, Little Rock, AR 72205-7101 | 2015-10-19 |
| 1285003509 | Heather Manchester | Clinical Nurse Specialist | 1500 Dodson Ave, Fort Smith, AR 72901-5182 | 2015-09-16 |
| 1497123129 | Michelle L Lemieux | Clinical Nurse Specialist | 3333 Springhill Dr, Suite 2002, North Little Rock, AR 72117-2922 | 2015-09-11 |
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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.