LINDA PREBBLE (NPI# 1023053907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023053907 |
| Entity Type | Individual |
| Full Name | LINDA PREBBLE |
| Credential | RN, FNP |
| Practice Address |
260 South Main Street Mammoth Spring AR 72554 |
| Mailing Address |
Po Box 250 Mammoth Spring AR 72554-0250 |
| Practice Telephone | 8076253228 |
| Practice Fax Number | 8706253227 |
| Mailing Telephone | 8706253228 |
| Mailing Fax Number | 8706253227 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2012-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 655175 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2010012214 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRICARE WEST | 431560263 | 01 | |
| MO | 1023053907 | 05 |
| Street Address |
260 SOUTH MAIN STREET |
| City | MAMMOTH SPRING |
| State | AR |
| Zip Code | 72554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255764312 | Hazel Wilcox | Social Worker | 325 South 12th Street, Mammoth Spring, AR 72554 | 2013-08-13 |
| 1912193467 | Mammoth Spring School District | Local Education Agency (LEA) | 410 Goldsmith Ave., Mammoth Spring, AR 72554 | 2007-09-19 |
| 1689749426 | Ronald Myers | Pharmacist | 226 Main, Mammoth Spring, AR 72554 | 2006-11-21 |
| 1942319769 | Michael Dean Kersey | Dentist | 180 Main Street, Mammoth Spring, AR 72554 | 2006-08-29 |
| 1770507642 | Alan W Winberry | Dentist | 730 Hwy 62 W, Salem, AR 72554 | 2006-07-26 |
| 1356329650 | V & K Prn, Inc | Pharmacy | 270 Main Street, Mammoth Spring, AR 72554 | 2006-01-06 |
| 1619516200 | Baxter Regional Health System | Family Medicine | 277 Main Street, Mammoth Spring, AR 72554 | 2019-12-30 |
| 1477079325 | Transforming Lives Counseling LLC | Clinic/Center | 325 South 12th Street, Mammoth Spring, AR 72554 | 2017-08-22 |
| 1023349651 | Mammoth Spring Dental Clinic, LLC | Dentist | 180 Main Street, Mammoth Spring, AR 72554 | 2010-01-21 |
| 1285705848 | Harry Kelly | Specialist | 236 Main Street, Mammoth Springs, AR 72554 | 2006-11-13 |
| Find all providers in zip 72554 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477898021 | Leslie L. Batterton | Nurse Practitioner | 236 Main St, Mammoth Spring, AR 72554-7466 | 2012-12-09 |
| 1992970727 | Family Health Care | Nurse Practitioner | 350 Main St, Ste 4, Mammoth Spring, AR 72554-7423 | 2008-04-23 |
| 1205937695 | Tamra P Ward | Nurse Practitioner | 350 S Main St, Suite 4, Mammoth Spring, AR 72554-7423 | 2006-09-26 |
| 1992806376 | Family Health Care, LLC | Nurse Practitioner | 350 S Main St, Ste 4, Mammoth Spring, AR 72554-7425 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617594 | Mckenzie Lauren Cotton | Nurse Practitioner | 1065 Skyline Dr, Conway, AR 72032-3530 | 2020-10-25 |
| 1437758026 | Ashley Michelle Rima | Nurse Practitioner | 205 Spencer St, Hot Springs, AR 71901-7742 | 2020-10-23 |
| 1063010874 | Phillip Wayne Stokes Jr. | Nurse Practitioner | 31 Ashcraft Ct, Paragould, AR 72450-7592 | 2020-10-14 |
| 1720685308 | Dannie Evenda Loy | Nurse Practitioner | 101 Hammond Drive #2131, Hot Springs, AR 71914 | 2020-10-06 |
| 1457958233 | Kaitlyn Soffray Simmons | Nurse Practitioner | 500 Kitchen St, Jonesboro, AR 72401-3135 | 2020-10-05 |
| 1013524487 | Danielle Lynn Frueh | Nurse Practitioner | 103 W University St, Siloam Springs, AR 72761-2663 | 2020-09-29 |
| 1407463938 | Aleshia Williams | Nurse Practitioner | 5401 Clear Creek Ln, Jonesboro, AR 72404-7006 | 2020-09-29 |
| 1801403217 | Jessica Evelyn Mcnamee | Nurse Practitioner | 180 Medical Park Pl Ste 202, Hot Springs, AR 71901-8067 | 2020-09-29 |
| 1437765831 | Allison Nicole Hitt | Nurse Practitioner | 3644 W Hwy 18, Manila, AR 72442 | 2020-09-21 |
| 1528674181 | Maggie Mullican | Nurse Practitioner | 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
| City | MAMMOTH SPRING |
| Zip Code | 72554 |
Please comment or provide details below to improve the information on LINDA PREBBLE.
| 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.