SHER LYNN FOMBY (NPI# 1821616343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821616343 |
Entity Type | Individual |
Full Name | SHER LYNN FOMBY |
Credential | NP-C |
Practice Address |
1000 Pine St Texarkana TX 75501-5100 |
Practice Telephone | 9037988924 |
Practice Fax Number | 9037988042 |
Mailing Telephone | 9037988924 |
Mailing Fax Number | 9037988042 |
Enumeration Date | 2020-07-10 |
Last Update Date | 2020-07-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
124238 | AR | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP139950 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1000 PINE ST |
City | TEXARKANA |
State | TX |
Zip Code | 75501-5100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649275496 | David Lee Carlisle | Specialist | 1000 Pine St, Texarkana, TX 75501-5100 | 2005-06-17 |
1609401959 | Zachary Heath Jones | Registered Nurse | 1000 Pine St, Texarkana, TX 75501-5100 | 2020-03-06 |
1528535143 | Johanna Morgan Hensley | Registered Nurse | 1000 Pine St, Texarkana, TX 75501-5100 | 2018-11-01 |
1205388212 | Cristi Anthony Hicks | Nurse Practitioner | 1000 Pine St, Texarkana, TX 75501-5100 | 2016-10-26 |
1861872467 | Karen Denise Marks | Social Worker | 1000 Pine St, Texarkana, TX 75501-5100 | 2015-06-09 |
1942601547 | Pam Squared At Texarkana, LLC | Long Term Care Hospital | 1000 Pine St, 6th Floor, Texarkana, TX 75501-5100 | 2014-09-15 |
1962819664 | Crystal Lites Speede | Nurse Practitioner | 1000 Pine St, Er, Texarkana, TX 75501-5100 | 2014-07-15 |
1295154284 | Rodney Lagrone Jr. | Anesthesiology | 1000 Pine St, Texarkana, TX 75501 | 2014-04-07 |
1700211737 | Twice Nice Anesthesia Associates, Pllc | Nurse Anesthetist, Certified Registered | 1000 Pine St, Texarkana, TX 75501-5100 | 2013-09-10 |
1891057618 | Cep America LLC | Family Medicine | 1000 Pine St, Texarkana, TX 75501-5100 | 2012-06-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598227951 | Shayla Lasonde Williams | Licensed Vocational Nurse | 409 Tracey Ave, Wake Village, TX 75501 | 2019-04-04 |
1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
1104363258 | Brent Willis | Nurse Anesthetist, Certified Registered | 203 La Grange Dr., Texarkana, TX 75501 | 2017-01-27 |
1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
1730323452 | William Leonard | Occupational Therapy Assistant | 2108 5th Street, Bridgeport, TX 75501 | 2009-04-24 |
1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
1346395977 | Sharon E. Moore | Registered Nurse | Youree Drive, Shreveport, LA 75501 | 2007-01-24 |
1962553024 | Leary Independent School District | Local Education Agency (LEA) | 9500 W. New Boston Rd, Texarkana, TX 75501 | 2007-01-16 |
1780787390 | Christina Michelle Griffin | Physical Therapist | 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 | 2006-09-07 |
Find all providers in zip 75501 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548870892 | Melissa Michelle Wilson | Nurse Practitioner | 2602 Saint Michael Dr Ste 302a, Texarkana, TX 75503-2387 | 2020-08-02 |
1558919365 | Angela Michelle Savell | Nurse Practitioner | 4192 Satterfield Ln, Texarkana, AR 71854-0552 | 2019-08-27 |
1770041691 | Genova L Hansen | Nurse Practitioner | 95 Dyke Thomas Rd, Texarkana, TX 75501-2104 | 2019-03-10 |
1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
1730678483 | Julie Sloan Henderson | Nurse Practitioner | 876 Cummings Ln, Texarkana, TX 75501-2194 | 2018-05-08 |
1083116198 | Amanda Michelle Ross | Nurse Practitioner | 3725 Mall Ln, Texarkana, TX 75501-2658 | 2018-03-05 |
1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
1326555616 | Mandilyn Kay Cottingham | Nurse Practitioner | 391 Private Road 1223, Texarkana, AR 71854-1459 | 2018-01-08 |
1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
1003331356 | Virginia Ann Parker | Nurse Practitioner | 1004 Ele St, Texarkana, TX 75501-3018 | 2017-08-08 |
Find all providers in TEXARKANA |
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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.