AMBIE VANDERMARK (NPI# 1083260491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083260491 |
| Entity Type | Individual |
| Full Name | AMBIE VANDERMARK |
| Practice Address |
3005 Apache Dr Jonesboro AR 72401-7432 |
| Practice Telephone | 8703360238 |
| Mailing Telephone | 8703360238 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
AR | Speech, Language and Hearing Service Providers |
| Street Address |
3005 APACHE DR |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-7432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588717730 | Joseph Anthony Waleszonia | Physical Therapist | 3005 Apache Dr, Jonesboro, AR 72401-7432 | 2007-01-19 |
| 1952908428 | Shayna Wright | Occupational Therapy Assistant | 3005 Apache Dr, Jonesboro, AR 72401-7432 | 2020-10-07 |
| 1104439140 | Homerose Uy | Occupational Therapy Assistant | 3005 Apache Dr, Jonesboro, AR 72401-7432 | 2020-08-28 |
| 1326650482 | Kaitlyn Barron | Speech-Language Pathologist | 3005 Apache Dr, Jonesboro, AR 72401-7432 | 2020-08-20 |
| 1144832106 | Emily Coggins | Speech-Language Pathologist | 3005 Apache Dr, Jonesboro, AR 72401-7432 | 2020-08-20 |
| 1518579549 | Marisa Montgomery | Speech-Language Pathologist | 3005 Apache Dr, Jonesboro, AR 72401-7432 | 2020-08-20 |
| 1609487685 | Morgan Peterson | Occupational Therapist | 3005 Apache Dr, Jonesboro, AR 72401-7432 | 2020-08-12 |
| 1699308304 | Mollie Martin | Occupational Therapy Assistant | 3005 Apache Dr, Jonesboro, AR 72401-7432 | 2020-02-20 |
| 1679105159 | Brent Ray | Occupational Therapist | 3005 Apache Dr, Jonesboro, AR 72401-7432 | 2020-02-12 |
| 1588204457 | Ashlee Rawls | Speech-Language Pathologist | 3005 Apache Dr, Jonesboro, AR 72401-7432 | 2020-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760036156 | Candace L Hughes | Specialist/Technologist | 1058 5th Ave, Jonesboro, GA 30236-3299 | 2019-07-24 |
| 1053780643 | Madison Paige Caldwell | Specialist/Technologist | 2414 E Matthews Ave, Suite C, Jonesboro, AR 72401-4416 | 2015-09-24 |
| 1083963102 | Micha Morgan Lamberson, Inc | Specialist/Technologist | 2729 E Nettleton Ave, Suite D, Jonesboro, AR 72401-4530 | 2012-09-05 |
| 1336474873 | Christina Joy Hagood | Specialist/Technologist | 300 Southwest Square, Jonesboro, AR 72401 | 2009-10-15 |
| 1548401011 | Erin Elizabeth Thompson | Specialist/Technologist | 708 Windover Rd Ste A, Jonesboro, AR 72401-6064 | 2009-03-13 |
| 1487262127 | Emily Elizabeth Pogue | Specialist/Technologist | 1699 Red Wolf Blvd Ste H, Jonesboro, AR 72401-5453 | 2020-07-20 |
| 1376180026 | Vivian Paige Burgess | Specialist/Technologist | 3005 Apache Dr, Jonesboro, AR 72401-7432 | 2019-12-02 |
| 1235785643 | Jasmine Goode | Specialist/Technologist | 3005 Apache Dr, Jonesboro, AR 72401-7432 | 2019-08-12 |
| 1437718061 | Jaycee Caraline Hogan | Specialist/Technologist | 1699 Red Wolf Blvd Ste H, Jonesboro, AR 72401-5453 | 2019-06-07 |
| 1295217339 | Erica Adams | Specialist/Technologist | 3005 Apache Dr, Jonesboro, AR 72401-7432 | 2018-09-05 |
| Find all providers in JONESBORO | ||||
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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.