JENNIFER ELAINE LIGHT (NPI# 1790964054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790964054 |
| Entity Type | Individual |
| Full Name | JENNIFER ELAINE LIGHT |
| Credential | LMSW |
| Practice Address |
2400 S 48th St Springdale AR 72762-6683 |
| Mailing Address |
555 N Woodlawn St Wichita KS 67208-3646 |
| Practice Telephone | 4797502020 |
| Practice Fax Number | 4798722441 |
| Mailing Telephone | 3166851821 |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2017-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
4638 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013387083 | Jennifer Light | Advanced Practice Midwife | 2900 E 29th St, #300, Bryan, TX 77802-2622 | 2015-10-02 |
| 1841544053 | Jennifer H Light | Physician Assistant | 111 Epperson St, Athens, TN 37303-3478 | 2012-11-09 |
| 1740511427 | Jennifer L Light | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2010-01-20 |
| 1043234966 | Jennifer K. Light | Emergency Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-07-26 |
| Street Address |
2400 S 48TH ST |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762-6683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461887 | Ozark Guidance Center, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2400 S 48th St, Springdale, AR 72762-6683 | 2005-07-19 |
| 1043811136 | Brook Taylor Mattison | Social Worker | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-11-04 |
| 1861093171 | Leah Belote | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-11-03 |
| 1578162764 | Cierra Creek | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-10-20 |
| 1083211718 | Michelle Legan | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-10-06 |
| 1235736976 | Haley Medford | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-10-06 |
| 1174130926 | Mallory Cornett | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-09-25 |
| 1235742859 | Emily Magee | Social Worker | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-08-24 |
| 1932710134 | Sara Ruth Nelson | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-08-11 |
| 1659904548 | Danica Bass | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245758564 | Kelsey Lillard Embry | Social Worker | 2411 W. Main St., Jacksonville, AR 72076-8868 | 2017-09-07 |
| 1265808281 | Elizabeth Demoret | Social Worker | 4301 W Markham St # 841, Little Rock, AR 72205-7101 | 2015-08-13 |
| 1245616341 | Lakese Hicks | Social Worker | 7 Southern Hills Cir Apt 9, Little Rock, AR 72210-6102 | 2015-07-31 |
| 1629477468 | Candace Woodruff | Social Worker | 400 W Hill Ct, North Little Rock, AR 72118-3687 | 2014-08-18 |
| 1023359817 | Katherine J Grennier | Social Worker | 1506 Commerce St, Little Rock, AR 72202-5520 | 2013-03-05 |
| 1366049611 | Deborah Lynn Burks | Social Worker | 110 S Cherry St, Harrison, AR 72601-5024 | 2020-10-08 |
| 1639527385 | Brooke Allison Butler | Social Worker | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2016-06-02 |
| 1164891933 | Stephanie C Shaw | Social Worker | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2015-09-22 |
| 1306212394 | Emily Wright | Social Worker | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2015-08-13 |
| 1073994091 | Tori Tewalt | Social Worker | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2015-06-16 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
Please comment or provide details below to improve the information on JENNIFER ELAINE LIGHT.
| 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.