KATIE RAE CRAWFORD (NPI# 1073159133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073159133 |
| Entity Type | Individual |
| Full Name | KATIE RAE CRAWFORD |
| Credential | PA-C |
| Practice Address |
1176 State Highway 22 W Ste B Dardanelle AR 72834-3006 |
| Mailing Address |
101 W Main St Hardy AR 72542-9566 |
| Practice Telephone | 4792293004 |
| Practice Fax Number | 8709947488 |
| Mailing Fax Number | 8708562133 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2020-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PT2019-051 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1176 STATE HIGHWAY 22 W STE B |
| City | DARDANELLE |
| State | AR |
| Zip Code | 72834-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568904480 | Bradley Bibb, Md Pllc | Clinic/Center | 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 | 2016-11-09 |
| 1669012878 | James Ryan Carroll | Nurse Practitioner | 1176 State Highway 22 W Ste B, Dardanelle, AR 72834-3006 | 2020-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356711 | Joshua Craig Cummins | Pharmacist | 1172 Highway 7 North, Dardanelle, AR 72834 | 2020-11-03 |
| 1639716905 | Rodney Vance Parker | Pharmacist | 309 E. 8th Street, Danville, AR 72834 | 2019-12-05 |
| 1861735243 | Tranquility Day Spa, Inc. | Point of Service | 27403 N State Hwy 27 South, Suite B, Pottsville, AR 72834 | 2013-04-03 |
| 1790990240 | Dardanelle Community Hospital LLC | Psychiatric Unit | 200 North Third Street, Dardanelle, AR 72834 | 2007-05-10 |
| 1356400634 | Gilbert Howard Kimball | Emergency Medicine | Yell County Hospital Dardanelle 200 North Third St., Dardanelle, AR 72834 | 2006-12-06 |
| 1255423059 | Michael D Mccormick | Dentist | 116 S Front St, Dardanelle, AR 72834 | 2006-09-29 |
| 1205940236 | Dardanelle Hospital Yell County | Emergency Medicine | 200 North 3rd Street, Dardanelle, AR 72834 | 2006-08-18 |
| 1740207240 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1172 Old Highway 7 S, Dardanelle, AR 72834 | 2006-07-17 |
| 1881671055 | William Patrick Scott | General Practice | 200 N 3rd, Dardanelle, AR 72834 | 2005-12-28 |
| 1063410223 | Duvall Enterprises Inc | Pharmacy | 1736 State Hwy 22 W., Dardanelle, AR 72834 | 2005-07-12 |
| Find all providers in zip 72834 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821525916 | Concetta Whitley Martin | Physician Assistant | 1652 State Highway 22 W, Dardanelle, AR 72834-2909 | 2017-05-19 |
| 1770954927 | Christa Bartlett | Physician Assistant | 1652 State Highway 22 W, Dardanelle, AR 72834-2909 | 2015-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093271082 | Megan Breanna Albers | Physician Assistant | 100 Broadhurst St, Siloam Springs, AR 72761-4081 | 2019-02-14 |
| 1982115218 | Tabitha Jaggers | Physician Assistant | 1000 Hwy 35 N Ste 8, Benton, AR 72019-2353 | 2017-10-13 |
| 1801279575 | Rachel Fritsche Gordon | Physician Assistant | Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 | 2015-06-30 |
| 1700281938 | Carol J Trana | Physician Assistant | 4301 West Markham St, #748, Little Rock, AR 72205-7199 | 2014-10-30 |
| 1790011005 | Cassandra Lynn Ganus | Physician Assistant | 205 E Race Ave, Searcy, AR 72143-4329 | 2009-10-20 |
| 1699008672 | Robin Lynn Isaacks | Physician Assistant | 821 East Park Street, Highway 70, Carlisle, AR 72024 | 2009-09-09 |
| 1194966374 | Daniel Shane Briley | Physician Assistant | 2125 E Main St Ste 10, Siloam Springs, AR 72761-5576 | 2009-03-17 |
| 1619128360 | Stacie Renee Smith | Physician Assistant | 47 Hwy 64 W, Beebe, AR 72012-9500 | 2008-09-30 |
| 1861669541 | Gregory D Mills | Physician Assistant | 300 East Main, Swifton, AR 72471-0000 | 2008-05-13 |
| 1194990366 | Michelle Lee Manthe | Physician Assistant | 1615 W Persimmon St Ste B, Rogers, AR 72756-3383 | 2008-04-28 |
| Find all providers with the same taxonomy | ||||
| City | DARDANELLE |
| Zip Code | 72834 |
Please comment or provide details below to improve the information on KATIE RAE CRAWFORD.
| 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.