CHARISSA WATKINS (NPI# 1700399276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700399276 |
| Entity Type | Individual |
| Full Name | CHARISSA WATKINS |
| Practice Address |
1718 Old Hot Springs Highway Benton AR 72015 |
| Practice Telephone | 5013033105 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L059008 | AR | Nursing Service Providers |
| Street Address |
1718 OLD HOT SPRINGS HIGHWAY |
| City | BENTON |
| State | AR |
| Zip Code | 72015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801243357 | Richard Andrew Dwiggins | Social Worker | 1718 Old Hot Springs Highway, Benton, AR 72019 | 2016-05-14 |
| 1457802464 | Brad Catoe | Social Worker | 1718 Old Hot Springs Highway, Benton, AR 72019 | 2016-10-14 |
| 1134678337 | Birch Tree Communities, Inc. | Case Management | 1718 Old Hot Springs Highway, Benton, AR 72019 | 2016-09-28 |
| 1770032971 | Birch Tree Communities, Inc. | Case Management | 1718 Old Hot Springs Highway, Benton, AR 72019 | 2016-09-28 |
| 1760939235 | Bobby Jones | Case Manager/Care Coordinator | 1718 Old Hot Springs Highway, Benton, AR 72019 | 2016-09-01 |
| 1750837977 | David Daniels | Case Manager/Care Coordinator | 1718 Old Hot Springs Highway, Benton, AR 72019 | 2016-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330233 | Candace D Younger | Licensed Practical Nurse | 507 Lickliter St, Benton, IL 62812-2219 | 2020-09-15 |
| 1063025781 | Austin Grant | Licensed Practical Nurse | 205 Joplin St, Benton, IL 62812-2023 | 2020-08-24 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1144528423 | Robert Mark Robinson | Licensed Practical Nurse | 5 Hickory Ridge Drive, Benton, AR 72019 | 2011-03-10 |
| 1144464702 | Milagros Q. Robbins | Licensed Practical Nurse | 243 2nd Ave, Benton, WI 53803-9410 | 2009-04-27 |
| 1306042171 | Shelby L Kester | Licensed Practical Nurse | 2030 County Line Rd, Benton, PA 17814-7790 | 2007-06-26 |
| 1831651413 | Brandy Ortiz | Licensed Practical Nurse | 1506 Mary Kay Blvd, Benton, AR 72015-7201 | 2019-04-03 |
| 1790298255 | Dean Stapleton | Licensed Practical Nurse | 1506 Mary Kay Blvd, Benton, AR 72015 | 2017-11-07 |
| 1114436599 | Kristen A Childers | Licensed Practical Nurse | 110 Pearson, Benton, AR 72015-4436 | 2017-09-28 |
| 1811406580 | Tasha N Morris | Licensed Practical Nurse | 1506 Mary Kay Blvd, Benton, AR 72015 | 2017-09-26 |
| Find all providers in BENTON | ||||
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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.