RENAY FORD (NPI# 1780090639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780090639 |
| Entity Type | Individual |
| Full Name | RENAY FORD |
| Credential | RN |
| Practice Address |
620 S Laurel St Pine Bluff AR 71601-4859 |
| Practice Telephone | 8705344900 |
| Practice Fax Number | 8705344906 |
| Mailing Telephone | 8705344900 |
| Mailing Fax Number | 8705344906 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
R074378 | AR | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 180635526 | 05 |
| Street Address |
620 S LAUREL ST |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71601-4859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154412815 | Rhonda Mattox | Psychiatry & Neurology | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2006-09-27 |
| 1982218830 | Myracle Murrell | Case Manager/Care Coordinator | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2020-09-08 |
| 1952925919 | The P.a.t. Center | Community/Behavioral Health | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2020-06-04 |
| 1093339137 | Rosalind Wallace | Counselor | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2020-06-04 |
| 1194361824 | Latecia Denay Barnes | Counselor | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2019-11-18 |
| 1144889874 | Rosemary Campbell-white | Social Worker | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2019-06-06 |
| 1710542444 | Jerricka Kelly | Case Manager/Care Coordinator | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2019-05-08 |
| 1578127296 | Rae-shem Hawkins | Case Manager/Care Coordinator | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2019-04-29 |
| 1437610524 | Tonya Boston | Case Manager/Care Coordinator | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2019-03-29 |
| 1518428697 | Curtis Rolfe Iv | Case Manager/Care Coordinator | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2019-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162863 | Kb's Adult Health Day Care Center | Clinic/Center | 2911 South Market Street, Pine Bluff, AR 71601 | 2020-10-19 |
| 1184244600 | Chelsea Briggs | Prosthetic/Orthotic Supplier | 601 S Main St Apt 514, Pine Bluff, AR 71601 | 2020-04-24 |
| 1407489081 | Katherine Bolden | Clinic/Center | 2911 East Market Street, Pine Bluff, AR 71601 | 2020-02-21 |
| 1851836829 | Rocky Mountain Holdings, LLC | Ambulance | 613b Hangar Row, Pine Bluff, AR 71601 | 2016-12-30 |
| 1316324494 | Nora Elizabeth Horton | Specialist/Technologist | 2003 University Drive, Suite 2, Pine Bluff, Ar, AR 71601 | 2015-04-28 |
| 1780003665 | Sameer R. Shelat | Internal Medicine | 4125, Rhinehart Road, Pine Bluff, AR 71601 | 2014-04-08 |
| 1700150471 | Community Empowerment Council, Inc. | Social Worker | 5830 Hwy 65 South, Pine Bluff, AR 71601 | 2012-02-28 |
| 1922243807 | The Pine Bluff Group, Pllc | Chiropractor | 2102 S. Olive St., Pine Bluff, AR 71601 | 2008-12-08 |
| 1053571711 | Jefferson Comprehensive Care System Inc | Clinic/Center | 1101 Tennssee, Pine Bluff, AR 71601 | 2008-06-16 |
| 1144404799 | The P.a.t. (people Advocating Transition) Center | Counselor | 620 South Laurel, Pine Bluff, AR 71601 | 2007-12-18 |
| Find all providers in zip 71601 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164805636 | Teressa Lynn Barnes | Registered Nurse | 810 N. Hutchinson St., Pine Bluff, AR 71602-4644 | 2015-07-02 |
| 1497922868 | Jacqueline Regina Love-ryan | Registered Nurse | 620 S Laurel, Pine Bluff, AR 71601-4859 | 2008-05-14 |
| 1174122451 | Barbara Ellison | Registered Nurse | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2020-10-19 |
| 1184131880 | Cassandra K Edwards | Registered Nurse | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2018-01-03 |
| 1417461989 | Holly E Dial | Registered Nurse | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2017-11-20 |
| 1114304862 | Stacy Gray | Registered Nurse | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2015-05-01 |
| 1962896233 | Stephanie Hobbs | Registered Nurse | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2015-03-25 |
| 1134528581 | Michael Nellums | Registered Nurse | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2014-08-21 |
| 1912317611 | Rosemary Wilkins | Registered Nurse | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2014-05-02 |
| 1154741403 | Caronda Hill-cole | Registered Nurse | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2014-04-24 |
| Find all providers in PINE BLUFF | ||||
| City | PINE BLUFF |
| Zip Code | 71601 |
Please comment or provide details below to improve the information on RENAY FORD.
| 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.