AMANDA RYAN TIMMER (NPI# 1003467549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003467549 |
| Entity Type | Individual |
| Full Name | AMANDA RYAN TIMMER |
| Practice Address |
2792 S 2nd St Ste B Cabot AR 72023-7064 |
| Mailing Address |
1900 Stillwater Dr Jonesboro AR 72404-9119 |
| Practice Telephone | 8709323600 |
| Mailing Telephone | 8709323600 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669845277 | Amanda Timmer | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2015-11-04 |
| Street Address |
2792 S 2ND ST STE B |
| City | CABOT |
| State | AR |
| Zip Code | 72023-7064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376774141 | Lauren Nicole Smith | Licensed Practical Nurse | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2009-07-28 |
| 1841899135 | Ashley Stafford | Driver | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2020-10-19 |
| 1871131144 | Laura Hemer | Day Training/Habilitation Specialist | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2019-12-17 |
| 1689220717 | Leslie Anne Bryant | Speech-Language Pathologist | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2019-08-14 |
| 1811541071 | Melanie Lynne Watson | Day Training/Habilitation Specialist | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2019-07-26 |
| 1073174348 | Mittie Charolett Collins | Driver | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2019-06-26 |
| 1891268249 | Leaann Mason | Speech-Language Pathologist | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2019-01-08 |
| 1205304490 | Kimberly Jimerson | Registered Nurse | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2018-11-06 |
| 1720588163 | Grace Valentine | Day Training/Habilitation Specialist | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2018-02-12 |
| 1710402276 | Amy Mendenhall | Registered Nurse | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2017-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458407 | Arthur Latrell Mays Jr. | Transportation Broker | 18 High Plains Drive, Cabot, AR 72023 | 2019-10-17 |
| 1275182677 | Central Arkansas Screening and Medical Services | Clinical Nurse Specialist | 801 W. Locust St, Cabot, AR 72023 | 2019-09-09 |
| 1154975431 | Cabot Ep, Pllc | Emergency Medicine | 212 Willie Ray Dr., Cabot, AR 72023 | 2019-07-25 |
| 1972070993 | Little Rock Hospital 1, LLC | General Acute Care Hospital | 212 Willie Ray Dr, Cabot, AR 72023 | 2018-10-29 |
| 1437654670 | Eldercare of Arkansas V, Inc. | Assisted Living Facility | 601 E. Mountain Springs Road, Cabot, AR 72023 | 2018-03-29 |
| 1558889220 | Justin Kent | Physical Therapist | 2800 South 2nd Street Ste. B, Cabot, AR 72023 | 2017-09-01 |
| 1518310390 | Viki Vinson | Registered Nurse | 51 Financial Drive, Cabot, AR 72023 | 2016-07-18 |
| 1477934552 | Next Generation Physical Therapy | Physical Therapist | 100 Gateway Drive, Cabot, AR 72023 | 2015-06-15 |
| 1366829020 | Amber Barnes | Speech-Language Pathologist | 16150 Arkansas 5, Cabot, AR 72023 | 2015-05-01 |
| 1184020984 | Jodi Hood | Speech-Language Pathologist | 601 N Lincoln St, Cabot, AR 72023 | 2014-11-06 |
| Find all providers in zip 72023 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134559206 | Beverly Dennis | Day Training/Habilitation Specialist | 2792 S 2nd St Ste B&c, Cabot, AR 72023-7020 | 2013-11-26 |
| 1871131144 | Laura Hemer | Day Training/Habilitation Specialist | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2019-12-17 |
| 1811541071 | Melanie Lynne Watson | Day Training/Habilitation Specialist | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2019-07-26 |
| 1720588163 | Grace Valentine | Day Training/Habilitation Specialist | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2018-02-12 |
| 1629489448 | Jenna Ferricher | Day Training/Habilitation Specialist | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2014-05-14 |
| 1811308638 | Candace Holt | Day Training/Habilitation Specialist | 2792 S 2nd St Ste B, Cabot, AR 72023-7064 | 2014-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396375796 | Diana L Beck | Day Training/Habilitation Specialist | 1008 W Childress St, Morrilton, AR 72110-1708 | 2020-01-24 |
| 1538677869 | Regina Sloan | Day Training/Habilitation Specialist | 920 University Dr, Russellville, AR 72801-4303 | 2018-01-22 |
| 1194230169 | Amanda Morgan | Day Training/Habilitation Specialist | 272 School Ave, West Fork, AR 72774-3124 | 2017-12-12 |
| 1396268090 | Dawn Bridges | Day Training/Habilitation Specialist | 3920 Woodland Heights Road, Little Rock, AR 72223 | 2017-07-25 |
| 1871016923 | Emily A Huddleston | Day Training/Habilitation Specialist | 1801 N Buerkle St, Stuttgart, AR 72160-2519 | 2017-07-20 |
| 1255866604 | Race Cunningham | Day Training/Habilitation Specialist | 2871 American St, Springdale, AR 72764-6938 | 2017-04-24 |
| 1619417896 | Amy Pinkston | Day Training/Habilitation Specialist | 149 Old Trestle Ln, Batesville, AR 72501-9597 | 2017-03-07 |
| 1891155719 | Karen Hartsfield | Day Training/Habilitation Specialist | 524 Self Ln, Newark, AR 72562-9615 | 2016-03-04 |
| 1821458738 | Sarah Sexton | Day Training/Habilitation Specialist | 1334 Red Deer Trl, Salem, AR 72576-5510 | 2016-03-04 |
| 1063885002 | Jaime Smith | Day Training/Habilitation Specialist | 56 Buck Ln, Poughkeepsie, AR 72569-9150 | 2015-11-12 |
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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.