NICK LEE HAYWOOD (NPI# 1093336323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093336323 |
| Entity Type | Individual |
| Full Name | NICK LEE HAYWOOD |
| Practice Address |
1900 Mcnatt Dr Apt 16 Brookland AR 72417-9024 |
| Practice Telephone | 8705984362 |
| Mailing Telephone | 8705984362 |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1900 MCNATT DR APT 16 |
| City | BROOKLAND |
| State | AR |
| Zip Code | 72417-9024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760948244 | Keh Dental Pllc | Clinic/Center | 8471 Hwy 49 N, Brookland, AR 72417 | 2019-02-20 |
| 1316435548 | Adam Joseph Moon | Clinic/Center | 300 E Matthews St, Brookland, AR 72417 | 2018-04-24 |
| 1588184121 | 1st Choice Home Care, Inc. | Registered Nurse | 2164 County Road 762, Brookland, AR 72417 | 2017-06-25 |
| 1245442771 | Kimberly Dawn Shelby | Speech-Language Pathologist | 105 N Oak St, Brookland, AR 72417 | 2007-05-04 |
| 1013086487 | Brookland Pharmacy Inc | Pharmacist | 103 West Smith, Brookland, TX 72417 | 2006-11-07 |
| 1215971338 | Sandra Carole Stubblefield | Family Medicine | 8170 Us Highway 49n, Brookland, AR 72417 | 2006-06-16 |
| 1417947672 | William Scott Stubblefield | Family Medicine | 102 West Smith, Brookland, AR 72417 | 2005-10-27 |
| 1851858773 | Jessica M Womble | Nurse Practitioner | 8170 Us Highway 49n, Brookland, AR 72417 | 2019-02-27 |
| 1194291336 | Natalie N Martin | Nurse Practitioner | 8170 Us Highway 49n, Brookland, AR 72417 | 2018-10-15 |
| 1740572387 | Meghan Lindsay Lyerly | Family Medicine | 8170 Us Highway 49n, Brookland, AR 72417 | 2011-05-13 |
| Find all providers in zip 72417 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686571 | Prachi Saluja | Student in an Organized Health Care Education/Training Program | 2400 Riverfront Dr Apt 424, Little Rock, AR 72202-2219 | 2020-07-16 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1407470263 | Cara Shelby | Student in an Organized Health Care Education/Training Program | 2505 Rannoch Ln, Fort Smith, AR 72908-0960 | 2020-06-07 |
| 1306460456 | Vidhu Vadini | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 634, University of Arkansas For, Little Rock, AR 77205 | 2020-06-04 |
| 1952922676 | Rachel Brehm | Student in an Organized Health Care Education/Training Program | 19048 Woodridge Rd, Garfield, AR 72732-9780 | 2020-05-04 |
| 1396366381 | Tyrel Larsen | Student in an Organized Health Care Education/Training Program | 15731 Coose Hollow Dr, Rogers, AR 72756-8966 | 2020-04-30 |
| 1194346304 | Toni Cecil | Student in an Organized Health Care Education/Training Program | 4505 Mockernut Ln, Jonesboro, AR 72405-7848 | 2020-04-28 |
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1629697982 | Avril Alison Parker | Student in an Organized Health Care Education/Training Program | 1301 S Madison St, Jonesboro, AR 72401-4047 | 2020-04-15 |
| 1467071845 | Allison Morton | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 589, Little Rock, AR 72202 | 2020-04-15 |
| Find all providers with the same taxonomy | ||||
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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.