DONTERRIES L ALEXANDER (NPI# 1679127450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679127450 |
| Entity Type | Individual |
| Full Name | DONTERRIES L ALEXANDER |
| Practice Address |
2904 Arkansas Blvd Texarkana AR 71854-2536 |
| Practice Telephone | 8707734655 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
2904 ARKANSAS BLVD |
| City | TEXARKANA |
| State | AR |
| Zip Code | 71854-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669478434 | Sharon C Howard | Psychologist | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2005-06-24 |
| 1649893991 | Kaitlyn Renee Yancey | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2020-05-21 |
| 1417578154 | Carrie Ann James | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2020-05-05 |
| 1144857996 | Elizabeth Claire Hardy | Nurse Practitioner | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2020-03-23 |
| 1992330435 | Reagen Richburg | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2020-03-05 |
| 1396382412 | Symone Autrey | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2019-12-09 |
| 1740826874 | Brandi Diaz Deleon | Counselor | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2019-11-25 |
| 1376186700 | Michael V Cao | Counselor | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2019-10-17 |
| 1013568948 | Austin Bailey Newkirk | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2019-09-23 |
| 1144879404 | Shannon Freeman | Counselor | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2019-09-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962988253 | Holly Renee Snipe | Registered Nurse | 4700 Sunbury Dr, Texarkana, AR 71854 | 2018-07-19 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1326538810 | Chad Roldan | Occupational Therapy Assistant | 6402 Countryside Dr, Texarkana, AR 71854 | 2018-05-10 |
| 1649797481 | Alliance Counseling Agency LLC | Community/Behavioral Health | 819 Beech St, Texarkana, AR 71854 | 2017-08-23 |
| 1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
| 1295260040 | Seniors for Senior Care | Adult Companion | 4613 Parkway Dr., Texarkana, AR 71854 | 2017-04-28 |
| 1033650635 | Texarkana Eye Associates | Optometrist | 114 East 49th St, Texarkana, AR 71854 | 2017-03-15 |
| 1881064731 | Texarkana Group, P.l.l.c | Chiropractor | 2100 N. State Line Ave., Texarkana, AR 71854 | 2015-10-05 |
| 1528301819 | Megan Guercio | Specialist/Technologist | 1002 East 35th Street, Texarkana, AR 71854 | 2013-04-04 |
| 1831439116 | James Wesley Mcraven | Nurse Practitioner | 210 N. Stateline, Suite 301, Texarkana, AR 71854 | 2013-02-22 |
| Find all providers in zip 71854 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164032702 | Christopher Ray Rouse | Peer Specialist | 17235 Logan Cave Rd Lot 3, Siloam Springs, AR 72761-9223 | 2020-08-07 |
| 1538709290 | Kyle Ryan Keith | Peer Specialist | 25 Murphy Dr, Bella Vista, AR 72715-6913 | 2020-01-10 |
| 1588160634 | Terri Lashun Butler | Peer Specialist | 15 Azalea Loop, Conway, AR 72032-8522 | 2018-04-05 |
| 1548652332 | Jonathan Green | Peer Specialist | 710 Terry Ave, Springdale, AR 72764-6804 | 2015-03-03 |
| 1750994257 | Laretta Machelle Solomon | Peer Specialist | 17235 Logan Cave Rd Lot 3, Siloam Springs, AR 72761-9223 | 2020-08-25 |
| 1053944504 | Lonnie Phillips | Peer Specialist | 1521 Merrill Dr, Little Rock, AR 72211-1821 | 2020-02-12 |
| 1437621018 | Gary Wade Carter | Peer Specialist | 615 W Grand Ave, Hot Springs, AR 71901-3927 | 2018-12-20 |
| 1588032684 | Michael William Jones | Peer Specialist | 1500 Dodson Ave, Fort Smith, AR 72901-5182 | 2015-09-04 |
| 1487993655 | Judy Weaver | Peer Specialist | 350 Salem Rd Ste 1, Conway, AR 72034 | 2013-02-08 |
| 1386898765 | Raymond Zachary Bates | Peer Specialist | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2008-11-11 |
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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.