MS. MARY M PAAL (NPI# 1063564623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063564623 |
| Entity Type | Individual |
| Full Name | MS. MARY M PAAL |
| Credential | APRN |
| Practice Address |
112 Pearson Benton AR 72015-4436 |
| Practice Telephone | 5013154224 |
| Practice Fax Number | 5017780450 |
| Mailing Telephone | 5013154224 |
| Mailing Fax Number | 5017780450 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2015-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
S001084 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
112 PEARSON |
| City | BENTON |
| State | AR |
| Zip Code | 72015-4436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598292179 | Alana Kennedy | Counselor | 112 Pearson, Benton, AR 72015-4436 | 2017-05-15 |
| 1144766361 | Billy Hubbard | Case Manager/Care Coordinator | 112 Pearson, Benton, AR 72015-4436 | 2017-01-11 |
| 1598201055 | Melissa Pettus | Case Manager/Care Coordinator | 112 Pearson, Benton, AR 72015-4436 | 2017-01-09 |
| 1417499369 | Stephanie Newton | Case Manager/Care Coordinator | 112 Pearson, Benton, AR 72015-4436 | 2016-11-09 |
| 1386094043 | Chanel Tillman | Case Manager/Care Coordinator | 112 Pearson, Benton, AR 72015-4436 | 2016-06-14 |
| 1235508797 | Tiffany Davault | Case Manager/Care Coordinator | 112 Pearson, Benton, AR 72015-4436 | 2015-09-15 |
| 1972979946 | Rebecca Glave | Case Manager/Care Coordinator | 112 Pearson, Benton, AR 72015 | 2015-08-13 |
| 1952665002 | Roger D Johnson | Counselor | 112 Pearson, Benton, AR 72015-4436 | 2012-07-03 |
| 1174829634 | Lisa Yvonne Carter | Nurse Practitioner | 112 Pearson, Benton, AR 72015-4436 | 2011-02-01 |
| 1629370127 | Brooke Ann Turner | Counselor | 112 Pearson, Benton, AR 72015-4436 | 2010-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513924 | Stephanie Burnett Aprn, Pllc | Clinical Nurse Specialist | 2796 S 2nd St Ste E, Cabot, AR 72023-7043 | 2020-03-19 |
| 1053974030 | Ashley Renee Larru | Clinical Nurse Specialist | 2400 S 48th St, Springdale, AR 72762-6683 | 2019-04-16 |
| 1952525743 | Mary Ann Adams | Clinical Nurse Specialist | 2400 S 48th St, Springdale, AR 72762-6683 | 2007-04-12 |
| 1205859907 | Lynne Williams Seymour | Clinical Nurse Specialist | 1100 N College Ave, 116a, Fayetteville, AR 72703-1944 | 2006-07-25 |
Please comment or provide details below to improve the information on MS. MARY M PAAL.
| 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.