MRS. BRENDA G ST. CLAIR (NPI# 1760040885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760040885 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA G ST. CLAIR |
| Credential | LPN |
| Practice Address |
490 Broadmoor Dr Brinkley AR 72021-2057 |
| Mailing Address |
2707 Browns Ln Jonesboro AR 72401-7213 |
| Practice Telephone | 8707343202 |
| Practice Fax Number | 8707343299 |
| Mailing Telephone | 8709724939 |
| Mailing Fax Number | 8709724911 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L42004 | AR | Nursing Service Providers |
| Street Address |
490 BROADMOOR DR |
| City | BRINKLEY |
| State | AR |
| Zip Code | 72021-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639198229 | Sherry Armstrong | Clinical Nurse Specialist | 490 Broadmoor Dr, Brinkley, AR 72021-2057 | 2006-07-18 |
| 1366925067 | Clayton Jerome Knupp | Case Manager/Care Coordinator | 490 Broadmoor Dr, Brinkley, AR 72021-2057 | 2018-09-10 |
| 1285136366 | Marla Denise Lane | Case Manager/Care Coordinator | 490 Broadmoor Dr, Brinkley, AR 72021-2057 | 2018-03-05 |
| 1548775679 | Christina Lashae James | Case Manager/Care Coordinator | 490 Broadmoor Dr, Brinkley, AR 72021-2057 | 2017-12-12 |
| 1225554942 | Jennifer Rose Hodges | Case Manager/Care Coordinator | 490 Broadmoor Dr, Brinkley, AR 72021-2057 | 2017-08-15 |
| 1447570239 | Northeast Arkansas Community Mental Health Center | Counselor | 490 Broadmoor Dr, Brinkley, AR 72021-2057 | 2010-06-03 |
| 1871737502 | Johnathan Clyde Simpson | Social Worker | 490 Broadmoor Dr, Brinkley, AR 72021-2057 | 2009-04-24 |
| 1417108846 | Counseling Services of Eastern Arkansas | Counselor | 490 Broadmoor Dr, Brinkley, AR 72021-2057 | 2008-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293041 | Brinkley Family Pharmacy | Pharmacy | 1415 Pinecrest Suite 8, Brinkley, AR 72021 | 2019-09-05 |
| 1225278633 | Adrian Cornelio, P.a. | Physical Therapist | 1116 N New York St Extension, Brinkley, AR 72021 | 2009-02-25 |
| 1124219605 | Joanne Jackson | Technician | 412 S Chaney Ave, Brinkley, AR 72021 | 2007-08-08 |
| 1518007947 | Home Care Medical System Inc | Durable Medical Equipment & Medical Supplies | 105 South New Orleans Avenue, Brinkley, AR 72021 | 2007-02-07 |
| 1962500215 | Joseph S Barker | Dentist | 206 North Main, Brinkley, AR 72021 | 2006-09-20 |
| 1649200890 | Southern Paramedic Service Inc | Ambulance | 210 N New Orleans Street, Brinkley, AR 72021 | 2006-07-04 |
| 1245406107 | Counseling Consultants | Clinic/Center | 120 South Main Street, Brinkley, AR 72021 | 2008-05-01 |
| 1326033515 | Medi-mart Pharmacy Inc | Pharmacy | 1415 Pinecrest Shopping Ctr, Brinkley, AR 72021-2000 | 2005-09-14 |
| 1801025549 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 1415 Pinecrest Shopping Ctr, Brinkley, AR 72021-2000 | 2009-07-02 |
| 1275974206 | Sam R Curry | Pharmacist | 1311 N Charlyne Ave, Brinkley, AR 72021-2001 | 2013-07-06 |
| Find all providers in zip 72021 | ||||
| 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 |
|---|---|---|---|---|
| 1417557646 | Carnisha Taylor | Licensed Practical Nurse | 1505 Jackson Ave, Hope, AR 71801-7835 | 2020-10-27 |
| 1891393740 | Christie Latonya Ware-jones | Licensed Practical Nurse | 715 Harris St, Hope, AR 71801-9102 | 2020-10-13 |
| 1508463001 | Natasha Kamika Finley | Licensed Practical Nurse | 520 N Oats St Apt 2103, Texarkana, AR 71854-5830 | 2020-10-07 |
| 1053926881 | Makayla Rae Devore | Licensed Practical Nurse | 81 Development Dr., Yellville, AR 72687 | 2020-09-09 |
| 1225641087 | Jayla Harris | Licensed Practical Nurse | 1407 S Texas St, Hope, AR 71801-7016 | 2020-08-30 |
| 1104452614 | Dondee Hill | Licensed Practical Nurse | 299 Morro Hill Rd, Brockwell, AR 72517-8886 | 2020-03-16 |
| 1346872983 | Ashley Marie Adams | Licensed Practical Nurse | 3705 E 35th St, Texarkana, AR 71854-2558 | 2020-02-11 |
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1144850710 | Whitley Nicole Caskey | Licensed Practical Nurse | 150 Little River 131, Foreman, AR 71836-8527 | 2020-01-22 |
| 1346899127 | Denesha Delancey | Licensed Practical Nurse | 1506 Merrill Dr Ste D220, Little Rock, AR 72211-1822 | 2019-09-05 |
| 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.