MRS. KELLIE LYNN LISENBY (NPI# 1831385772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831385772 |
| Entity Type | Individual |
| Full Name | MRS. KELLIE LYNN LISENBY |
| Other Name | KELLIE LYNN CYRUS |
| Credential | MNSC, CPNP |
| Practice Address |
1 Childrens Way Slot 837 Little Rock AR 72202-3500 |
| Practice Telephone | 5013644468 |
| Practice Fax Number | 5013641516 |
| Mailing Telephone | 5013644468 |
| Mailing Fax Number | 5013641516 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2011-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
A03042 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 CHILDRENS WAY SLOT 837 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72202-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790769586 | Kenneth Richard Knecht | Pediatrics | 1 Childrens Way, Slot 512-3, Little Rock, AR 72202-3500 | 2005-12-05 |
| 1467064519 | April Leverton | Nurse Practitioner | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-08-20 |
| 1154932655 | Lauren L Lamb | Nurse Practitioner | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-08-10 |
| 1184249039 | Thao Vu | Spec/Tech, Pathology | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-06-16 |
| 1619598703 | Elise Caroline Williams | Student in an Organized Health Care Education/Training Program | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-04-30 |
| 1437785938 | Melody Abernathy | Radiology | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-03-16 |
| 1164053625 | Jocelyn Leibovich Dennis | Registered Nurse | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-02-03 |
| 1780224923 | Tabitha Renae Mealer | Orthopaedic Surgery | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-01-15 |
| 1306486816 | Amber Dane Earls | Nurse Practitioner | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-01-13 |
| 1811546468 | Angelia Kay Trammell | Registered Nurse | 1 Childrens Way, Little Rock, AR 72202-3500 | 2019-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116481 | Kendra Kay Romig | Physical Therapist | 1617 Brookwood Dr, Little Rock, AR 72202 | 2020-08-25 |
| 1467071845 | Allison Morton | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 589, Little Rock, AR 72202 | 2020-04-15 |
| 1568091593 | Hannah Elisabeth Smashey Lewis | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot: Ach 512-15, Little Rock, AR 72202 | 2020-04-02 |
| 1922569003 | Lily Suh | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 512-19a, Little Rock, AR 72202 | 2019-03-29 |
| 1629563374 | Heidi Marie Lightle | Audiologist | 1900 Maryland Street, Slot 113 Ach-audiology, Little Rock, AR 72202 | 2018-06-26 |
| 1053817916 | Daniel Harper | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 556, Little Rock, AR 72202 | 2018-03-31 |
| 1003320185 | Uday Kumar Chalwadi | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-17, Little Rock, AR 72202 | 2017-11-28 |
| 1770010209 | Auston Wilis | Counselor | 1707 W 12th St Ste 201, Little Rock, AR 72202 | 2017-05-15 |
| 1518499888 | Patrick Ayers | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-19a, Little Rock, AR 72202 | 2017-03-28 |
| 1508213497 | The Learning Curve Lactation Support LLC | Durable Medical Equipment & Medical Supplies | 1301 S. Louisiana St. Apt. 106, Little Rock, AR 72202 | 2016-05-20 |
| Find all providers in zip 72202 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324216 | Taira Nicole Bernard | Nurse Practitioner | 6424 The Divide Pkwy Apt 106, Little Rock, AR 72223-5861 | 2020-04-07 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1689923831 | Joanna Lowery | Nurse Practitioner | 3 Childrens Way, Little Rock, AR 72202-3500 | 2012-09-04 |
| 1881941417 | Denice Marie Bozeman | Nurse Practitioner | 1 Childrens Way # 707, Little Rock, AR 72202-3500 | 2012-08-14 |
| 1699038711 | Jennifer Ellen Murphree | Nurse Practitioner | 1 Children's Way, St # 653, Little Rock, AR 72202 | 2012-06-22 |
| 1255579124 | Kimberly Ann Grundy | Nurse Practitioner | 800 Marshall St # 512-3, Little Rock, AR 72202-3510 | 2009-01-29 |
| 1093964223 | Emily Herndon Gribble | Nurse Practitioner | 800 Marshall St # Slot512, Little Rock, AR 72202-3510 | 2008-09-11 |
| 1285893552 | Carole Lee Mackey | Nurse Practitioner | 3600 Cantrell Rd, Ste 205 Slot 512-33, Little Rock, AR 72202-1893 | 2008-06-03 |
| 1407022734 | Julie Allison Watson Ko | Nurse Practitioner | 3600 Cantrell Rd Ste 205, Little Rock, AR 72202-1892 | 2008-05-06 |
| 1427136969 | Shuna Thomas | Nurse Practitioner | 25 Rahling Cir Ste C1, Little Rock, AR 72223-6000 | 2006-11-01 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72202 |
Please comment or provide details below to improve the information on MRS. KELLIE LYNN LISENBY.
| 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.