KIMBERLY LANCASTER (NPI# 1689908824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689908824 |
| Entity Type | Individual |
| Full Name | KIMBERLY LANCASTER |
| Practice Address |
2740 College Ave Conway AR 72034-6141 |
| Practice Telephone | 5013295459 |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT 3184 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306299441 | Kimberly Michelle Lancaster | Specialist/Technologist | 5022 Old Godsey Ln, Ste 3, Hixson, TN 37343-6600 | 2016-07-13 |
| 1629213459 | Kimberly A Lancaster | Occupational Therapist | 14031 Del Webb Blvd, Summerfield, FL 34491-7957 | 2008-12-08 |
| Street Address |
2740 COLLEGE AVE |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-6141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841380789 | Leah M Lowe | Physical Therapist | 2740 College Ave, Conway, AR 72034-6141 | 2006-10-13 |
| 1821695628 | Hannah J Cleveland | Day Training/Habilitation Specialist | 2740 College Ave, Conway, AR 72034-6141 | 2020-10-05 |
| 1821606138 | Meredith Hammontree | Registered Nurse | 2740 College Ave, Conway, AR 72034-6141 | 2020-07-22 |
| 1568085389 | Casey L Slayton | Registered Nurse | 2740 College Ave, Conway, AR 72034-6141 | 2020-05-27 |
| 1932720141 | Gabrielle Ashtyn Hern | Day Training/Habilitation Specialist | 2740 College Ave, Conway, AR 72034-6141 | 2020-04-28 |
| 1356970511 | Wesley Elaine Moreno Robles | Behavior Technician | 2740 College Ave, Conway, AR 72034-6141 | 2020-04-08 |
| 1104459056 | Kelby Bolling | Behavioral Analyst | 2740 College Ave, Conway, AR 72034-6141 | 2020-02-19 |
| 1689211328 | Seth Christopher Hunter | Behavior Technician | 2740 College Ave, Conway, AR 72034-6141 | 2019-12-02 |
| 1497306757 | Mia Harper | Behavior Technician | 2740 College Ave, Conway, AR 72034-6141 | 2019-09-26 |
| 1669023925 | Jason Tulberg | Behavior Technician | 2740 College Ave, Conway, AR 72034-6141 | 2019-09-26 |
| Find all providers in the same location | ||||
| 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 | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205346111 | Rehabilitation Network Outpatient Services LLC | Physical Therapist | 93 Roden Mill Rd, Conway, AR 72032-9555 | 2017-10-05 |
| 1245388446 | Dee Ann Smith | Physical Therapist | 2915 Dave Ward Dr, Suite 8, Conway, AR 72034-9310 | 2007-01-06 |
| 1942358130 | Amanda Denton | Physical Therapist | 2740 College Avenue, Conway, AR 72034-9310 | 2007-01-06 |
| 1336578012 | Deborah Ann Truett | Physical Therapist | 335 Four Mile Rd, Conway, SC 29526-4506 | 2013-11-04 |
| 1073845657 | Christi Bjornberg | Physical Therapist | 306 Salem Rd, Conway, AR 72034-6159 | 2010-02-05 |
| 1356537773 | Amanda M. Overbey | Physical Therapist | 2740 College Ave, Conway, AR 72034-6141 | 2007-09-19 |
| 1295921625 | Melissa A. Orosz | Physical Therapist | 2740 College Ave, Conway, AR 72034-6141 | 2007-09-19 |
| 1649301649 | Shannon M Greenway | Physical Therapist | 1700 South Blvd, Conway, AR 72034-6455 | 2007-03-08 |
| 1750419529 | Melinda Grimes | Physical Therapist | 1700 South Blvd, Conway, AR 72034-6455 | 2007-03-01 |
| 1891847810 | Hannah Bridges | Physical Therapist | 2740 College Avenue, Conway, AR 72034-9310 | 2007-01-18 |
| 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.