SANDRA OLIVIA GARRISON (NPI# 1063856722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063856722 |
| Entity Type | Individual |
| Full Name | SANDRA OLIVIA GARRISON |
| Practice Address |
6601 Phoenix Ave Suite B Fort Smith AR 72903-5092 |
| Mailing Address |
1 Childrens Way Slot 512-39 Little Rock AR 72202-3500 |
| Practice Telephone | 4797859091 |
| Practice Fax Number | 4797823415 |
| Mailing Telephone | 5015268700 |
| Mailing Fax Number | 5015268740 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L29670 | AR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837533 | Sandra Dee Garrison | Nurse Practitioner | 335 Lillian Dr, Memphis, TN 38109-4431 | 2020-10-08 |
| 1497952881 | Sandra A Garrison | Occupational Therapist | 1420 Elmhurst Way, Bowling Green, KY 42104-0203 | 2007-06-28 |
| 1770668873 | Sandra J. Garrison | Nurse Practitioner | Bryn Mawr Hospital, 130 S. Bryn Mawr Ave., Bryn Mawr, PA 19010-3121 | 2006-10-26 |
| Street Address |
6601 PHOENIX AVE SUITE B |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-5092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245482561 | Elizabeth Janes | Developmental Therapist | 6601 Phoenix Ave, Fort Smith, AR 72903-5092 | 2008-10-17 |
| 1811421068 | Stacey Anne Frederick | Developmental Therapist | 6601 Phoenix Ave, Suite B, Fort Smith, AR 72903-5092 | 2017-04-14 |
| 1669845806 | Jo Batt | Developmental Therapist | 6601 Phoenix Ave, Fort Smith, AR 72903-5092 | 2015-11-10 |
| 1023485489 | Kelsey Renihan | Speech-Language Pathologist | 6601 Phoenix Ave, Fort Smith, AR 72903-5092 | 2015-09-01 |
| 1104241892 | Brenna Rainwater | Registered Nurse | 6601 Phoenix Ave, Suite B, Fort Smith, AR 72903-5092 | 2014-03-04 |
| 1649695867 | Sarah Edwards | Registered Nurse | 6601 Phoenix Ave, Fort Smith, AR 72903-5092 | 2014-02-25 |
| 1336580356 | Jessica A Sutherland | Speech-Language Pathologist | 6601 Phoenix Ave, Suite B, Fort Smith, AR 72903-5092 | 2013-07-08 |
| 1730446592 | Stacy Lynn Boggs | Registered Nurse | 6601 Phoenix Ave, Suite B, Fort Smith, AR 72903-5092 | 2012-04-18 |
| 1700161759 | Robin Denise Tatum | Registered Nurse | 6601 Phoenix Ave, Suite B, Fort Smith, AR 72903-5092 | 2011-10-20 |
| 1588946693 | Richard Colin Newton | Developmental Therapist | 6601 Phoenix Ave, Suite B, Fort Smith, AR 72903-5092 | 2011-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023670973 | Regina Ann Mason | Licensed Practical Nurse | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2019-07-01 |
| 1245898428 | Julie Lynn Evans | Licensed Practical Nurse | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2019-06-03 |
| 1275013211 | Carol Jane Ragan | Licensed Practical Nurse | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2018-08-20 |
| 1376029967 | Jimmy Taylor | Licensed Practical Nurse | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2018-07-17 |
| 1376029009 | Samuel Mendez | Licensed Practical Nurse | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2018-07-16 |
| 1902308869 | Christy Miller | Licensed Practical Nurse | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2018-03-06 |
| 1013420538 | Lawanda Phillips | Licensed Practical Nurse | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2017-11-06 |
| 1144758764 | Laney Fincher | Licensed Practical Nurse | 5400 Euper Ln, Fort Smith, AR 72903-3232 | 2017-05-26 |
| 1194263855 | Walter Cresson | Licensed Practical Nurse | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2017-02-02 |
| 1811433543 | Kathryn Dreamer | Licensed Practical Nurse | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2017-01-19 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
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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.