PEGGIE TISDALE-BROWN (NPI# 1053816827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053816827 |
| Entity Type | Individual |
| Full Name | PEGGIE TISDALE-BROWN |
| Other Name | MRS. PEGGIE TISDALE BROWN |
| Practice Address |
1864 E Parkshore Dr Apt 11 Fayetteville AR 72703-6268 |
| Mailing Address |
1100 N College Ave Fayetteville AR 72703-1944 |
| Practice Telephone | 4794434301 |
| Practice Fax Number | 4795875994 |
| Mailing Telephone | 4794434301 |
| Mailing Fax Number | 4795875994 |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 8100-M | AR | Behavioral Health & Social Service Providers |
| Street Address |
1864 E PARKSHORE DR APT 11 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-6268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326027 | Kerri Adams | Social Worker | 4170 W Mlk Blvd Ste 901, Fayetteville, AR 72704-7702 | 2020-08-13 |
| 1427683655 | Zoe Janell Bridger | Social Worker | 159 Maxwell St Rm 67, Fayetteville, NC 28301-5592 | 2020-03-09 |
| 1427698828 | Yazlyn Maria Jacobs | Social Worker | 5403 Nessee St, Fayetteville, NC 28314-4600 | 2020-01-14 |
| 1801356399 | Ophelia Bates | Social Worker | 115 Baywatch Cir, Fayetteville, GA 30215-4671 | 2019-03-21 |
| 1679032296 | Mary Elizabeth Morgan | Social Worker | 6803 Holliston Cir, Fayetteville, NY 13066-1708 | 2019-03-13 |
| 1356825830 | Erica Bell | Social Worker | 110 Habersham Dr Ste 142, Fayetteville, GA 30214-1381 | 2018-09-20 |
| 1245725415 | Brittany Nicole Jenkins | Social Worker | 692 Dowfield Dr, Fayetteville, NC 28311-2068 | 2018-06-28 |
| 1164923330 | Sherri Holmes | Social Worker | 96 N Blackberry Ln, Fayetteville, PA 17222-9364 | 2018-02-23 |
| 1104337625 | All-american Counseling Wellness | Social Worker | 5619 Ramsey St, Fayetteville, NC 28311-1423 | 2017-10-24 |
| 1699205617 | Lexus Andrea Goings | Social Worker | 54 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2017-06-13 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on PEGGIE TISDALE-BROWN.
| 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.