SHANNON GACHOT-RIDGLEY (NPI# 1881138550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881138550 |
| Entity Type | Individual |
| Full Name | SHANNON GACHOT-RIDGLEY |
| Credential | LAC |
| Practice Address |
205 South Street Suite 3 Benton AR 72015 |
| Mailing Address |
3517 Stivers Blvd Bryant AR 72022-9019 |
| Practice Telephone | 5015753261 |
| Practice Fax Number | 5017785049 |
| Mailing Telephone | 5013267955 |
| Mailing Fax Number | 5017785049 |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2020-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
A1808110 | AR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 216 Mcauley Ct, Hot Springs, AR 719136312 | 5016222531 | 5016204595 |
| Street Address |
205 SOUTH STREET SUITE 3 |
| City | BENTON |
| State | AR |
| Zip Code | 72015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| 1265708945 | Tracey Leigh Zeiner | Occupational Therapist | 5701 Springhill Road, Bryant, AR 72015 | 2012-03-28 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841756558 | Courtney Miller | Counselor | 187 Burt Blvd Ste B, Benton, LA 71006-4905 | 2019-02-18 |
| 1649706136 | Amanda Griggs | Counselor | 110 Summit Dr, Benton, LA 71006-9393 | 2017-05-03 |
| 1366897787 | Travis Terrell | Counselor | 297 R Duke Ln, Benton, KY 42025-5754 | 2016-05-04 |
| 1225381601 | Purchase Area Support Services LLC | Counselor | 5824 Oak Level Rd, Benton, KY 42025-5269 | 2012-10-22 |
| 1699966697 | Elizabeth Ruggiero | Counselor | 17724 I-30 Ste 2 Office 5, Benton, AR 72019-2961 | 2007-08-05 |
| 1265550420 | Jan C Roberson | Counselor | 103 W 11th St, Benton, KY 42025-1445 | 2007-03-27 |
| 1316561053 | Chelsey Kaiser | Counselor | 1604 Benton Ave, Benton, ME 04901-3327 | 2020-05-28 |
| 1124652870 | Dustin J Morrow LLC | Counselor | 125 1/2 N Market St, Benton, AR 72015-3768 | 2020-03-02 |
| 1033757968 | Elizabeth Sara Farmer | Counselor | 200 N Market St, Benton, AR 72015-3733 | 2019-12-10 |
| 1477047488 | Lisa Louise Brown | Counselor | 68 School Dr, Benton, ME 04901-3515 | 2018-06-22 |
| Find all providers in BENTON | ||||
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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.