JOSE PULIDO (NPI# 1730622135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730622135 |
| Entity Type | Individual |
| Full Name | JOSE PULIDO |
| Practice Address |
2740 College Ave Conway AR 72034-6141 |
| Practice Telephone | 5013295459 |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2016-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L055282 | AR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
| 1588003669 | Jose Alfonso Pulido | Pharmacist | H100 Santa Margarita Rd, Attention: Code 00qm, Camp Pendleton, CA 92055-5191 | 2013-06-21 |
| 1154476117 | Jose R Pulido | Dentist | 310 S Broadway, Escondido, CA 92025-4207 | 2007-01-23 |
| 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 | 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 |
|---|---|---|---|---|
| 1023621182 | Twila Beckman | Licensed Practical Nurse | 1011 Mimosa Ct, Conway, SC 29527-5919 | 2020-08-28 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1780044602 | Ashley Bibby | Licensed Practical Nurse | 1940 Clarks Dr, Conway, AR 72034-2929 | 2016-03-04 |
| 1467854554 | Katherine Ilene Hill | Licensed Practical Nurse | 3100 Irby Drive, Apt. 4201, Conway, AR 72034 | 2014-09-19 |
| 1235544917 | Bradley Pisko | Licensed Practical Nurse | 199 Hoosac Rd, Conway, MA 01341-9794 | 2014-06-21 |
| 1780710392 | Billy J York | Licensed Practical Nurse | 350 Salem Road Suite #1, Conway, AR 72034 | 2007-02-26 |
| 1881230464 | Debra Todd | Licensed Practical Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2019-11-19 |
| 1548724065 | April Shirell Ford | Licensed Practical Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2019-01-29 |
| 1619326105 | Hannah Lois Judd | Licensed Practical Nurse | 1175 Morningside Dr, Conway, AR 72034-3647 | 2016-06-06 |
| 1407224496 | Loretta Brown | Licensed Practical Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2015-09-08 |
| 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.