KATINA BRISCOE (NPI# 1023170305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023170305 |
| Entity Type | Individual |
| Full Name | KATINA BRISCOE |
| Credential | APN |
| Practice Address |
400 Highway 64 E Augusta AR 72006 |
| Mailing Address |
Po Box 497 Augusta AR 72006-0497 |
| Practice Telephone | 8703473351 |
| Mailing Telephone | 8703473350 |
| Mailing Fax Number | 8703473492 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2019-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
902574 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3007796 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A002982 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 165059758 | 05 |
| Street Address |
400 HIGHWAY 64 E |
| City | AUGUSTA |
| State | AR |
| Zip Code | 72006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497716062 | Arcare | Clinic/Center | 400 Highway 64 E, Augusta, AR 72006-5150 | 2006-03-31 |
| 1912492273 | Courtney Cassinelli | Nurse Practitioner | 400 Highway 64 E, Augusta, AR 72006-5150 | 2018-06-28 |
| 1841632957 | Amanda Renee Rigsby | Pharmacist | 400 Highway 64 E, Augusta, AR 72006-5150 | 2013-07-18 |
| 1861766891 | Arcare | Clinic/Center | 400 Highway 64 E, Augusta, AR 72006-5150 | 2012-03-08 |
| 1699731091 | Steven Collier | Family Medicine | 400 Highway 64 E, Augusta, AR 72006-5150 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861530362 | Wallace Jean Trice | Case Manager/Care Coordinator | 64 East Hwy, Augusta, AR 72006 | 2007-02-05 |
| 1275635542 | Arcare | Clinic/Center | 117 S 2nd St, Augusta, AR 72006 | 2006-09-05 |
| 1013928381 | Audra M Hamilton | Dental Hygienist | 623 N 9th Street, Augusta, AR 72006 | 2006-08-11 |
| 1013932714 | Steven F Collier Md Pa | Family Medicine | 106 South 2nd Street, Augusta, AR 72006 | 2006-07-13 |
| 1558396119 | Steve D Chason | Dentist | 216 S Second St, Augusta, AR 72006 | 2006-07-12 |
| 1790718906 | Jesse D Moore Md | Family Medicine | Highway 64 East, Augusta, AR 72006 | 2006-07-09 |
| 1053553024 | Jaime L Whitehead | Nurse Practitioner | 800 Main St, Augusta, AR 72006 | 2009-04-06 |
| 1578640785 | Doris R Wright | Pharmacy Technician | 111 Main Street, Cotton Plant, AR 72006 | 2006-11-01 |
| 1538268081 | Jaymie Frances Hopkins | Counselor | 623 N 9th Street, Augusta, AR 72006 | 2006-09-21 |
| 1306856455 | State of Arkansas | Home Health | 623 North Ninth St, Woodruff County Health Unit, Augusta, AR 72006-0542 | 2006-08-09 |
| Find all providers in zip 72006 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1588262372 | Taylor Safford | Nurse Practitioner | 1348 Walton Way Ste 4100, Augusta, GA 30901-5107 | 2020-10-13 |
| 1831719269 | Tanaysa Green | Nurse Practitioner | 1702 Holly Hill Rd, Augusta, GA 30904-5050 | 2020-04-27 |
| 1699395749 | Mary Elizabeth Dalis | Nurse Practitioner | 1025 Redbird Rd, Augusta, GA 30904-3181 | 2020-04-18 |
| 1316585185 | Rebecca Williford | Nurse Practitioner | 1220 George C Wilson Dr, Augusta, GA 30909-4501 | 2019-12-12 |
| 1699322370 | Ashley Staten | Nurse Practitioner | 2739 Huntcliffe Dr, Augusta, GA 30909-0662 | 2019-08-19 |
| 1053978205 | Keneka V Allen | Nurse Practitioner | 6229 Key West Dr, Augusta, GA 30909-6745 | 2019-05-23 |
| 1487210589 | Jason Schunk | Nurse Practitioner | S7645 Morning Crest Dr, Augusta, WI 54722-7579 | 2019-05-14 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1174097190 | Yuri Kang | Nurse Practitioner | Augusta University Medical Center 1120 15th Street, Augusta, GA 30912-0359 | 2019-01-12 |
| Find all providers in AUGUSTA | ||||
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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.