KELLIE BISHOP (NPI# 1992146088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992146088 |
| Entity Type | Individual |
| Full Name | KELLIE BISHOP |
| Credential | APRN |
| Practice Address |
3010 Fountain Drive Conway AR 72034-3684 |
| Practice Telephone | 5013280055 |
| Practice Fax Number | 5013282194 |
| Mailing Telephone | 5013280055 |
| Mailing Fax Number | 5013282194 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2016-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R093565 | AR | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
A004760 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 214659758 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407403256 | Kellie Marie Bishop | Social Worker | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2019-08-26 |
| 1245413723 | Kellie C Bishop | Psychiatry & Neurology | 151 Dillon Rd, Hilton Head Island, SC 29926-3705 | 2007-12-07 |
| Street Address |
3010 FOUNTAIN DRIVE |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-3684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174501563 | Sherrye Denise Craig | Pediatrics | 3010 Fountain Drive, Conway, AR 72034-3684 | 2006-01-05 |
| 1639532559 | Rebecca Powell | Nurse Practitioner | 3010 Fountain Drive, Conway, AR 72034-3684 | 2016-03-29 |
| 1376759068 | Adam Bryant Harrell | Pediatrics | 3010 Fountain Drive, Conway, AR 72034-3684 | 2007-05-16 |
| 1659332849 | Central Arkansas Pediatrics, P.a. | Pediatrics | 3010 Fountain Drive, Conway, AR 72034-3684 | 2006-03-29 |
| 1215915608 | Jeffrey Alan Craig | Pediatrics | 3010 Fountain Drive, Conway, AR 72034-3684 | 2006-01-05 |
| 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 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 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 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558835355 | Conway Hospital Inc | Nurse Practitioner | 124 Professional Park Drive, Ste A, Conway, SC 29526-9260 | 2019-01-15 |
| 1104220433 | Diana L Taylor | Nurse Practitioner | 140 Professional Park Drive, Conway, SC 29526 | 2014-10-15 |
| 1740713650 | Linda Christine Post | Nurse Practitioner | 2505 College Ave, Conway, AR 72034 | 2017-04-07 |
| 1144637166 | Amanda Gerrald | Nurse Practitioner | 1608 Main St, Conway, SC 29526-3572 | 2014-07-22 |
| 1457678054 | Jo E. Greenhill | Nurse Practitioner | 1500 Museum Rd, Conway, AR 72032 | 2010-04-23 |
| 1609106392 | Shalini Gates | Nurse Practitioner | 1608 Main St, Conway, SC 29526-3572 | 2010-01-03 |
| 1578898748 | Betsy Anna Efird | Nurse Practitioner | 2710 College Ave, Conway, AR 72034-6141 | 2009-10-06 |
| 1366775553 | Karen Louise Martin | Nurse Practitioner | 2710 College Ave, Conway, AR 72034-6141 | 2009-09-07 |
| 1588800890 | Amanda J Bruce | Nurse Practitioner | 124 Professional Park Dr, Ste A, Conway, SC 29526-9260 | 2008-12-17 |
| 1356419972 | Sharyn Mae Flanagan-rogers | Nurse Practitioner | 298 White Mountain Hwy, Conway, NH 03818-4204 | 2006-12-01 |
| Find all providers in CONWAY | ||||
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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.