LISA M IVY


Address: 7 Shackleford West Blvd, Little Rock, AR 72211-3714
Phone: 5016645860

LISA M IVY (NPI# 1033103296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033103296
Entity Type Individual
Full Name LISA M IVY
Credential ANP
Practice Address 7 Shackleford West Blvd
Little Rock
AR 72211-3714
Practice Telephone 5016645860
Practice Fax Number 5016640889
Mailing Telephone 5016645860
Mailing Fax Number 5016640889
Enumeration Date 2005-09-02
Last Update Date 2010-02-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
A01826 AR Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 7 SHACKLEFORD WEST BLVD
City LITTLE ROCK
State AR
Zip Code 72211-3714

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861485302 Scott L Beau Internal Medicine 7 Shackleford West Blvd, Little Rock, AR 72211 2005-08-30
1801411285 Allyson D Carroll Dietitian, Registered 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2020-06-11
1104476720 Abigail Grace Connerly Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2019-09-16
1013560655 Angela Denise Cheves Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2019-07-23
1922565233 Crystal E Meziere Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2019-02-22
1134685217 Felicia Mae Johnson Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2019-02-14
1588132948 Lauren Elizabeth Mcbride Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2018-11-05
1144705047 Cassandra Love Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2018-09-27
1457832842 Marissa Boggs Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2018-08-24
1568955441 Jared H Umland Physician Assistant 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2018-06-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760004618 Samantha Lenore Hilborn Behavior Technician 1525 Merrill Drive Suite 100, Little Rock, AR 72211 2020-05-14
1003437740 Centers for Youth and Families, Inc. Community/Behavioral Health 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 2020-05-05
1962040568 Erica N Taylor Nurse Practitioner 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 2019-12-13
1568932119 Katie Jones Nurse Practitioner 1children's Way, Little Rock, AR 72211 2018-11-27
1356828651 Kayleigh King Dietitian, Registered 4 Shackleford Plz Ste 209, Little Rock, AR 72211 2018-07-19
1699283838 Kara Elizabeth Simmons Physician Assistant 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 2018-01-22
1194241463 Wendy Newsam Pllc Counselor 1 Innwood Circle, Suite 107, Little Rock, AR 72211 2017-08-18
1861915159 Sarah Renee Beall Counselor 10800 Financial Centre #290, Little Rock, AR 72211 2017-07-19
1457873127 Restore Hope Counseling Center, Pllc Counselor One Innwood Circle, Suite 201, Little Rock, AR 72211 2017-07-13
1447707500 University of Arkansas for Medical Sciences Durable Medical Equipment & Medical Supplies 601 Autumn Road, Little Rock, AR 72211 2016-09-07
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528691912 Rachel Wetherington Nurse Practitioner 9501 Baptist Health Dr Ste 500, Little Rock, AR 72205-6225 2020-02-13
1811492242 Megan Ashley Thomas Nurse Practitioner 816 N Polk St, Little Rock, AR 72205-3448 2018-03-27
1669972022 Kristie Stringer Nurse Practitioner 11001 Executive Center Dr Ste 200, Little Rock, AR 72211-4393 2018-02-12
1265892186 Maeghan E Arnold Nurse Practitioner 8901 Carti Way Ste 302, Little Rock, AR 72205-6523 2016-03-04
1891103073 Deborah Evans Nurse Practitioner 5 Saint Vincent Cir Ste 500, Little Rock, AR 72205-5412 2014-07-31
1356683890 Sarah Y. Floyd Nurse Practitioner 19 Hatfield Dr, Little Rock, AR 72209-6127 2013-03-22
1265710958 Dana Lynn Phillips Nurse Practitioner 4301 W. Markham Slot 783, Little Rock, AR 72205-7101 2011-07-28
1609050087 Nicholas Jay Fazio Nurse Practitioner 6119 Midtown Ave Ste 202, Little Rock, AR 72205 2007-12-20
1053593509 Audra Page Arant Nurse Practitioner 4301 W Markham St # 602a, Little Rock, AR 72205-7101 2007-11-27
1366537466 Melody A Walls Nurse Practitioner 9500 Kanis Rd Ste 101, Little Rock, AR 72205-6358 2006-10-04
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Competitor

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City LITTLE ROCK
Zip Code 72211

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Dataset Information

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.

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