COURTNEY BLAIR EBERHARD (NPI# 1962032888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962032888 |
| Entity Type | Individual |
| Full Name | COURTNEY BLAIR EBERHARD |
| Practice Address |
2255 Sturgis Rd Conway AR 72034-8029 |
| Practice Telephone | 5012050011 |
| Mailing Telephone | 5012050011 |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
123616 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2255 STURGIS RD |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-8029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1104464445 | Channing Hall | Nurse Practitioner | 2255 Sturgis Rd, Conway, AR 72034-8029 | 2019-12-17 |
| 1578035077 | Valeria Lawana King | Nurse Practitioner | 2255 Sturgis Rd, Conway, AR 72034-8029 | 2018-12-20 |
| 1871073577 | Ariella Frazier | Nurse Practitioner | 2255 Sturgis Rd, Conway, AR 72034-8029 | 2018-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| 1033657382 | Heath Bryan Coleman, Dds of Arkansas II, Pllc | Dentist | 635 Dave Ward Drive, Ste 101, Conway, AR 72034 | 2017-02-07 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1558471094 | Eileen Dale Barry | Nurse Practitioner | 45 Washington St, Conway, NH 03818-6031 | 2006-08-30 |
| 1093347791 | Tanya Taylor | Nurse Practitioner | 2401 Christina Ln, Conway, AR 72034-6798 | 2020-02-10 |
| 1104464445 | Channing Hall | Nurse Practitioner | 2255 Sturgis Rd, Conway, AR 72034-8029 | 2019-12-17 |
| 1578035077 | Valeria Lawana King | Nurse Practitioner | 2255 Sturgis Rd, Conway, AR 72034-8029 | 2018-12-20 |
| 1871073577 | Ariella Frazier | Nurse Practitioner | 2255 Sturgis Rd, Conway, AR 72034-8029 | 2018-08-21 |
| 1982703609 | Penny D Clardy | Nurse Practitioner | 350 Salem Rd Ste 1, Conway, AR 72034-6166 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647918 | Coco Psychiatric Services Pllc | Nurse Practitioner | 115 Bella Rosa Pl, Little Rock, AR 72223-4771 | 2020-10-23 |
| 1538767462 | Safe Harbor Behavioral Health Pllc | Nurse Practitioner | 11401 N Rodney Parham Rd Ste 4, Little Rock, AR 72212-4168 | 2020-10-13 |
| 1457968737 | Natural State Behavioral Health | Nurse Practitioner | 1401 Malvern Ave Ste 180, Hot Springs, AR 71901-6370 | 2020-09-30 |
| 1255944559 | The Clinic At The Forging Place | Nurse Practitioner | 1302 Cherry St, Van Buren, AR 72956-4543 | 2020-08-26 |
| 1508478066 | Jaleesa Shears | Nurse Practitioner | 880 Bayou Vista Dr, Marion, AR 72364-5006 | 2020-08-17 |
| 1306455860 | Wendy Michelle Ray | Nurse Practitioner | 1012 E Church St Ste A, Warren, AR 71671-3530 | 2020-07-29 |
| 1295352771 | Mindful Rx LLC | Nurse Practitioner | 501 Commerce Dr Unit 13341, Maumelle, AR 72113-7729 | 2020-06-30 |
| 1235755638 | Jason David Wallace | Nurse Practitioner | 2616 Gallaway Cv, Jonesboro, AR 72404-7827 | 2020-06-22 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1588299291 | Chastity Qg Stephens | Nurse Practitioner | 2607 Alford Cv, Bryant, AR 72022-7527 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
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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.