DEMOND LAVAR SHIELDS (NPI# 1003384041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003384041 |
| Entity Type | Individual |
| Full Name | DEMOND LAVAR SHIELDS |
| Credential | E.M.T. |
| Practice Address |
130 Barton Cv Marion AR 72364-1601 |
| Practice Telephone | 9018288832 |
| Mailing Telephone | 9018288832 |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 23601 | AR | Emergency Medical Service Providers |
| Street Address |
130 BARTON CV |
| City | MARION |
| State | AR |
| Zip Code | 72364-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942320 | Freda Cunningham | Pharmacy | 2100 Hwy 77, Marion, AR 72364 | 2020-11-05 |
| 1083235998 | Lorenzo Soto | Specialist/Technologist | 444 Dogwood Cove, Marion, AR 72364 | 2020-05-01 |
| 1225663073 | Martha Hall | Technician | 144 Morningside Drive, Marion, AR 72364 | 2020-03-11 |
| 1073159984 | Angela Hamill | Nurse Practitioner | 924 Ar 77, Marion, AR 72364 | 2019-11-26 |
| 1346761251 | Ashlyn Brook Williams | Nurse Practitioner | 136 Block Street, Marion, AR 72364 | 2017-06-30 |
| 1447622873 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2100 Highway 77, Marion, AR 72364 | 2015-10-26 |
| 1366828378 | Hilary Hartwig | Nurse Practitioner | 1139 Hwy 77, Marion, AR 72364 | 2015-08-03 |
| 1730575077 | Roadmaps To Recovery Counseling Services of Midsouth | Community/Behavioral Health | 162 W Military Road, Marion, AR 72364 | 2015-04-14 |
| 1144661141 | Heather Chapman | Physical Therapy Assistant | 2860 I 55 Service Rd Ste C, Marion, AR 72364 | 2013-07-08 |
| 1679919351 | Gladys Hampton | Counselor | 1227 Highway 77, Suite 2, Marion, AR 72364 | 2013-05-21 |
| Find all providers in zip 72364 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780885095 | Community Ambulance Service | Emergency Medical Technician, Basic | 396 North Broadway, Marion, SD 57043 | 2007-05-31 |
| 1609835099 | Jeffrey Alan Habicht | Emergency Medical Technician, Basic | 66 Spring St, Tabor Academy, Marion, MA 02738-1518 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184975310 | John Dorsey Pike Sr. | Emergency Medical Technician, Basic | 5 Chaparral Ln, Little Rock, AR 72212-3619 | 2012-09-27 |
| 1225348980 | Jackie Leon Cheatham | Emergency Medical Technician, Basic | 907 Ar Hwy 56, Calico Rock, AR 72519-0261 | 2010-10-15 |
| 1386648855 | Volunteer Ambulance Service of Ne Benton County | Emergency Medical Technician, Basic | 17938 Dennis Mitchell Rd, Garfield, AR 72732-9048 | 2005-06-12 |
| 1295106524 | Belinda Snyder Bolden | Emergency Medical Technician, Basic | 3214 E Race Ave, Searcy, AR 72143-4810 | 2015-10-13 |
| 1508137308 | Jonathan Morgan Elrod | Emergency Medical Technician, Basic | 1 Childrens Way, Little Rock, AR 72202-3500 | 2012-01-25 |
Please comment or provide details below to improve the information on DEMOND LAVAR SHIELDS.
| 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.