CAROLIN HOCKERSMITH (NPI# 1700205572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700205572 |
| Entity Type | Individual |
| Full Name | CAROLIN HOCKERSMITH |
| Credential | CNP |
| Practice Address |
1206 W Collin Raye Dr De Queen AR 71832-2030 |
| Mailing Address |
Po Box 1848 Mena AR 71953-1841 |
| Practice Telephone | 8706424364 |
| Practice Fax Number | 8706424362 |
| Mailing Telephone | 4794373449 |
| Mailing Fax Number | 4792430285 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2020-01-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A004074 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 202793758 | 05 |
| Street Address |
1206 W COLLIN RAYE DR |
| City | DE QUEEN |
| State | AR |
| Zip Code | 71832-2030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770537565 | Crystal Falls Healthcare, LLC | Skilled Nursing Facility | 1206 W Collin Raye Dr, De Queen, AR 71832-2030 | 2006-05-19 |
| 1275043325 | Healthy Connections Inc | Clinic/Center | 1206 W Collin Raye Dr, De Queen, AR 71832-2030 | 2017-10-03 |
| 1871868703 | Healthy Connections Inc | Clinic/Center | 1206 W Collin Raye Dr, De Queen, AR 71832-2030 | 2012-03-10 |
| 1104134501 | Nho, LLC | Skilled Nursing Facility | 1206 W Collin Raye Dr, De Queen, AR 71832-2030 | 2010-09-20 |
| 1740436930 | Crystal Falls Health & Rehab Center, LLC | Skilled Nursing Facility | 1206 W Collin Raye Dr, De Queen, AR 71832-2030 | 2008-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487149985 | Healthcare Express, LLP | Clinic/Center | 1021 W. Collin Raye Dr., Dequeen, AR 71832 | 2018-06-27 |
| 1982963781 | Callie Montana Miller | Specialist/Technologist | 194 Choctaw Trail, Dequeen, AR 71832 | 2012-05-14 |
| 1023376589 | Dequeen Medical Center | Rehabilitation Hospital | 1306 W Collin Dr., Dequeen, AR 71832 | 2012-05-02 |
| 1083971428 | Renee Logan | Pharmacist | 205 W De Queen Ave., De Queen, AR 71832 | 2012-04-23 |
| 1538434295 | Angela Kay Martin | Nurse Practitioner | 1302 W. Collin Raye Dr., Suite A, Dequeen, AR 71832 | 2012-03-14 |
| 1386950624 | Charles Norman Alston IIi | Dentist | 110 W. De Queen Avenue, De Queen, AR 71832 | 2010-08-24 |
| 1609181783 | De Queen Medical Center Inc | Home Health | 1007 N 14th St, De Queen, AR 71832 | 2010-08-12 |
| 1821301466 | Claire Terece Russell | Nurse Practitioner | 500 E. Collin Raye Dr, Dequeen, AR 71832 | 2010-07-25 |
| 1043445455 | Smiles of Arkansas Dental Center, Pllc | Dentist | 110 West Dequeen Avenue, Suite B, Dequeen, AR 71832 | 2009-05-29 |
| 1538319496 | Kerri Allison Ross | Speech-Language Pathologist | 122 Crestwood Dr., Dequeen, AR 71832 | 2008-09-26 |
| Find all providers in zip 71832 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869845 | Ginger Lee Morris | Nurse Practitioner | 1553 W Collin Raye Dr, De Queen, AR 71832-3801 | 2020-10-19 |
| 1104425586 | Martega Marie Walton | Nurse Practitioner | 1357 W Collin Raye Dr, De Queen, AR 71832-2946 | 2020-10-18 |
| 1932707346 | Bradley Wayne Patterson | Nurse Practitioner | 1553 W Collin Raye Dr, De Queen, AR 71832-3801 | 2020-10-16 |
| 1891113262 | Susan Kathryn Mcclintock | Nurse Practitioner | 405 E Collin Raye Dr Ste C, De Queen, AR 71832-4107 | 2014-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574555 | Brian Scott Burks | Nurse Practitioner | 4109 Hartford Hills Dr, Benton, AR 72019-2540 | 2020-10-05 |
| 1619574662 | Lindsey Paige Long | Nurse Practitioner | 3123 N Magnolia St, North Little Rock, AR 72116-9153 | 2020-10-02 |
| 1275151524 | Patricia Waller | Nurse Practitioner | 905 Long Branch Rd, Heber Springs, AR 72543-8305 | 2020-07-13 |
| 1659997351 | Amanda Cheatham | Nurse Practitioner | 16832 Prince Rd, Canehill, AR 72717-9415 | 2020-06-18 |
| 1073137212 | Lakeisha Shatara Falls | Nurse Practitioner | 11602 Shady Ridge Dr, Little Rock, AR 72211-4595 | 2020-06-03 |
| 1518581115 | Ragan Arrison | Nurse Practitioner | 365 Mapleleaf Cir, Hot Springs, AR 71901-3371 | 2020-05-31 |
| 1639799240 | Jessica Lee Crump | Nurse Practitioner | 1996 Highway 31 N, Beebe, AR 72012-9784 | 2020-04-23 |
| 1477183176 | Jennifer Leann Jay | Nurse Practitioner | 1501 S Waldron Rd Ste 200, Fort Smith, AR 72903-2565 | 2020-01-22 |
| 1164069969 | Morgan Wilkerson | Nurse Practitioner | 41 Weaver Cir, Vilonia, AR 72173-9014 | 2019-11-30 |
| 1881256220 | Felica Shunta Johnson | Nurse Practitioner | 311 Carson St, Bono, AR 72416-9605 | 2019-07-06 |
| Find all providers with the same taxonomy | ||||
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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.