AMBER GLASCOCK (NPI# 1831313006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831313006 |
| Entity Type | Individual |
| Full Name | AMBER GLASCOCK |
| Credential | OTR |
| Practice Address |
216 Main St Lake Village AR 71653-1916 |
| Practice Telephone | 8702653950 |
| Practice Fax Number | 8702652525 |
| Mailing Telephone | 8702653950 |
| Mailing Fax Number | 8702652525 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OTR2103 | AR | Other Service Providers |
| Street Address |
216 MAIN ST |
| City | LAKE VILLAGE |
| State | AR |
| Zip Code | 71653-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467093716 | Brittany Albritton Wilson | Occupational Therapy Assistant | 216 Main St, Lake Village, AR 71653-1916 | 2019-10-07 |
| 1942666490 | Misty Kaye Ellerbe | Specialist | 216 Main St, Lake Village, AR 71653-1916 | 2016-01-13 |
| 1275975971 | Candace N Jordan | Health Educator | 216 Main St, Lake Village, AR 71653-1916 | 2013-07-23 |
| 1285076307 | Sarah Vitale Nichols | Occupational Therapist | 216 Main St, Lake Village, AR 71653-1916 | 2013-07-18 |
| 1821337643 | Rachel M Neal | Occupational Therapist | 216 Main St, Lake Village, AR 71653-1916 | 2013-02-14 |
| 1063657641 | Valerie Karlena Brooks | Specialist | 216 Main St, Lake Village, AR 71653-1916 | 2008-12-10 |
| 1720248370 | Caroline Sloan Mischke | Specialist | 216 Main St, Lake Village, AR 71653-1916 | 2008-06-16 |
| 1659540813 | Holly Wade | Speech-Language Pathologist | 216 Main St, Lake Village, AR 71653-1916 | 2008-02-21 |
| 1356528962 | Melody A Mcaffery | Speech-Language Pathologist | 216 Main St, 368 Panther Forrest Road, Lake Village, AR 71653-1916 | 2008-01-25 |
| 1568650760 | Gina C Mazzanti | Speech-Language Pathologist | 216 Main St, Lake Village, AR 71653-1916 | 2007-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500192 | Ashley Brown | Speech-Language Pathologist | 336 Us-82, Lake Village, AR 71653 | 2020-08-26 |
| 1861901985 | Chicot Memorial Medical Center | Clinic/Center | 2729 S. Hwy 65 82, Lake Village, AR 71653 | 2017-09-20 |
| 1326586173 | Mainline Health Systems, Inc | Clinic/Center | 360 A Hwy 82, Lake Village, AR 71653 | 2017-02-01 |
| 1508303124 | Mainline Health Systems, Inc | Clinic/Center | 360 A Highway 82, Lake Village, AR 71653 | 2017-01-20 |
| 1689120263 | Russell Medical Services Pllc | Family Medicine | 5071 Highway 82 E, Lake Village, AR 71653 | 2016-09-01 |
| 1528362035 | Hillman Chiropractic LLC | Chiropractor | 2819 Louis Sessions Dr., Lake Village, AR 71653 | 2010-12-28 |
| 1902113913 | Sheri K Bagwell | Counselor | 1127 Second St., Lake Village, AR 71653 | 2010-09-13 |
| 1205154044 | Arkansas Department of Health | Public Health or Welfare | 1742 Hwy 65 and 82 South, Lake Village, AR 71653 | 2010-05-04 |
| 1114259041 | William Jackson Weaver | General Practice | 1754 Lake Hall Road, Lake Village, AR 71653 | 2010-02-03 |
| 1821246992 | Maurenella Antionette Nelson | Social Worker | 1127 Second Street, Lake Village, AR 71653 | 2008-09-03 |
| Find all providers in zip 71653 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942666490 | Misty Kaye Ellerbe | Specialist | 216 Main St, Lake Village, AR 71653-1916 | 2016-01-13 |
| 1093123010 | Willie Lloyd | Specialist | 1659 S Highway 65 82, Lake Village, AR 71653-1661 | 2014-07-23 |
| 1063657641 | Valerie Karlena Brooks | Specialist | 216 Main St, Lake Village, AR 71653-1916 | 2008-12-10 |
| 1891930475 | Jessica Ann Walthall | Specialist | 216 Main Street, Lake Village, AR 71653 | 2008-12-10 |
| 1720248370 | Caroline Sloan Mischke | Specialist | 216 Main St, Lake Village, AR 71653-1916 | 2008-06-16 |
| 1386821908 | Sara Michelle Barley | Specialist | 216 Main Street, Lake Village, AR 71653 | 2008-01-25 |
| 1417171687 | Tiffany Denise Fox | Specialist | 216 Main St, Lake Village, AR 71653-1916 | 2007-04-12 |
| 1497979660 | Betty L Grice | Specialist | 216 Main St, Lake Village, AR 71653-1916 | 2007-04-12 |
| 1437373602 | Sonja Bradford | Specialist | 216 Main St, Lake Village, AR 71653-1916 | 2007-04-12 |
| 1548484728 | Susan Stover | Specialist | 216 Main St, Lake Village, AR 71653-1916 | 2007-04-12 |
| Find all providers in LAKE VILLAGE | ||||
| City | LAKE VILLAGE |
| Zip Code | 71653 |
Please comment or provide details below to improve the information on AMBER GLASCOCK.
| 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.