HOWARD MEMORIAL HOSPITAL (NPI# 1104282664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104282664 |
| Entity Type | Organization |
| Organization Name | HOWARD MEMORIAL HOSPITAL |
| Practice Address |
122 Medical Cir Nashville AR 71852-8606 |
| Mailing Address |
130 Medical Cir Nashville AR 71852-8606 |
| Practice Telephone | 8708456069 |
| Practice Fax Number | 8458456068 |
| Mailing Telephone | 8708458024 |
| Mailing Fax Number | 8708458027 |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |
| Authorized Official Name | MRS. JUDY ANN KOSTERS (BUSINESS OFFICE DIRECTOR) |
| Authorized Official Telephone | 8708458024 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOWARD MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | E-5611 | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | HOSPITAL LICENSE | AR4577 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346698248 | Howard Memorial Hospital | Clinic/Center | 1357 W Collin Raye Dr, De Queen, AR 71832-2946 | 2016-06-01 |
| 1619370558 | Howard Memorial Hospital | Durable Medical Equipment & Medical Supplies | 130 Medical Cir, Nashville, AR 71852-8606 | 2014-10-07 |
| 1467852210 | Howard Memorial Hospital | Family Medicine | 110 Medical Cir, Nashville, AR 71852-8606 | 2014-08-29 |
| 1215102702 | Howard Memorial Hospital | Surgery | 130 Medical Circle, Nashville, AR 71852 | 2008-04-25 |
| 1578617791 | Howard Memorial Hospital | Medicare Defined Swing Bed Unit | 130 Medical Circle, Nashville, AR 71852 | 2007-01-23 |
| 1609920370 | Howard Memorial Hospital | Nurse Anesthetist, Certified Registered | 130 Medical Circle, Nashville, AR 71852-8606 | 2007-01-22 |
| 1851484695 | Howard Memorial Hospital | General Acute Care Hospital | 130 Medical Circle, Nashville, AR 71852 | 2006-10-02 |
| Street Address |
122 MEDICAL CIR |
| City | NASHVILLE |
| State | AR |
| Zip Code | 71852-8606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033766316 | Kaydra Ayers | Case Manager/Care Coordinator | 508 N. 2nd Street, Nashville, AR 71852 | 2019-08-21 |
| 1861925794 | Kristin T Myers | Occupational Therapy Assistant | 27 Boyd Lane, Nashville, AR 71852 | 2017-04-07 |
| 1639539687 | Regan Carlton | Occupational Therapy Assistant | 1407 Maine St, Nashville, AR 71852 | 2016-03-03 |
| 1053633487 | Rehab Specialists, Inc. | Durable Medical Equipment & Medical Supplies | 22 Southpark Shopping Center, Nashville, AR 71852 | 2010-02-26 |
| 1104312701 | American Oncology Partners, P.a. | Internal Medicine | 130 Medical Cir, Nashville, AR 71852 | 2018-07-06 |
| 1528573896 | Lhcg Cxxv, LLC | Nursing Care | 505 S Main St, Nashville, AR 71852 | 2017-12-08 |
| 1346542933 | Karen Loomis | Nurse Practitioner | 6 Southpark Shopping Ctr, Nashville, AR 71852 | 2010-12-02 |
| 1043538218 | Syed Ussama Javed | Family Medicine | 119 Medical Circle, Suite 1, Nashville, AR 71852 | 2010-05-12 |
| 1558516831 | Joni D Mcghee | Occupational Therapist | 130 Medical Circle, Nashville, AR 71852 | 2008-11-30 |
| 1215102702 | Howard Memorial Hospital | Surgery | 130 Medical Circle, Nashville, AR 71852 | 2008-04-25 |
| Find all providers in zip 71852 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013391960 | Victoria Villicana | Clinical Neuropsychologist | 2417 Bayview Dr, Nashville, TN 37217-3437 | 2015-07-09 |
| 1891177812 | Penny S. Tyler | Clinical Neuropsychologist | 205 N 8th St Unit 102, Nashville, TN 37206-4099 | 2015-06-25 |
| 1295120491 | Elise Baldwin Bradley | Clinical Neuropsychologist | 1161 21st Avenue S, Nashville, TN 37232 | 2015-04-03 |
| 1295160760 | Jacqueline Klaver | Clinical Neuropsychologist | 2200 21st Ave S Ste 300, Nashville, TN 37212 | 2013-09-03 |
| 1508115668 | Michael Shapiro | Clinical Neuropsychologist | 4219 Hillsboro Pike Ste 306, Nashville, TN 37215-3332 | 2012-09-05 |
| 1922310176 | Yasmeen Iqbal Neal | Clinical Neuropsychologist | 4235 Hillsboro Pike Ste 300, Nashville, TN 37215-3344 | 2010-07-03 |
| 1356440788 | Elliot Fielstein | Clinical Neuropsychologist | 2203 Westview Dr, Nashville, TN 37212-4123 | 2006-09-22 |
| 1285652701 | Laura Brown Coulam | Clinical Neuropsychologist | Vanderbilt Medical Group, 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2006-07-17 |
| 1215550900 | Kaltra Dhima | Clinical Neuropsychologist | 1500 21st Ave S Ste 1506, Nashville, TN 37212-3137 | 2020-05-28 |
| 1740800200 | Sarah Marie Szymkowicz | Clinical Neuropsychologist | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2850 | 2020-04-24 |
| Find all providers in NASHVILLE | ||||
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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.