DR. SCOT KENNETH CANFIELD (NPI# 1104989862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104989862 |
| Entity Type | Individual |
| Full Name | DR. SCOT KENNETH CANFIELD |
| Credential | PHD,APN-BC |
| Practice Address |
703 Calvin Avery Dr West Memphis AR 72301-6501 |
| Mailing Address |
8863 Dewberry Ln Cordova TN 38016-4010 |
| Practice Telephone | 8707321878 |
| Mailing Telephone | 9017528773 |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2012-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | S01124CNS | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
01765 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 169462795 | 05 |
| Street Address |
703 CALVIN AVERY DR |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301-6501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659450823 | Treva Ross Sanders | Counselor | 703 Calvin Avery Dr, Suite B, West Memphis, AR 72301-6501 | 2006-11-06 |
| 1629509765 | Shella Pounds | Registered Nurse | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2017-03-21 |
| 1588111595 | Chandra Ellis | Social Worker | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2016-09-07 |
| 1558777896 | Courtney Porter | Social Worker | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2014-07-08 |
| 1982019592 | Telisa Davis | Case Manager/Care Coordinator | 703 Calvin Avery Dr, Suite A, West Memphis, AR 72301-6501 | 2014-06-23 |
| 1154756286 | Patricia Shelton | Case Manager/Care Coordinator | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2013-09-09 |
| 1962837096 | Stephanie Warren | Case Manager/Care Coordinator | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2013-09-09 |
| 1386087450 | Brea Banks | Case Manager/Care Coordinator | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2013-04-09 |
| 1447693528 | Marcus Brooks | Case Manager/Care Coordinator | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2013-04-09 |
| 1871849422 | James Raynard Edwards | Counselor | 703 Calvin Avery Dr, Suite A, West Memphis, AR 72301-6501 | 2012-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1336787035 | Yolanda Monique Fulton | Assisted Living Facility | 711 Purduve Ave, West Memphis, AR 72301 | 2019-12-13 |
| 1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
| 1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
| 1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
| 1043715329 | Crossroads Treatment Center of West Memphis, PC | Clinic/Center | 103 S Avalon St, West Memphis, AR 72301 | 2018-03-28 |
| 1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
| 1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
| Find all providers in zip 72301 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659578458 | Debbie Shelton | Nurse Practitioner | 3900 Petro Rd, Ste 11, West Memphis, AS 72301 | 2007-06-27 |
| 1831271493 | Laura S Allen | Nurse Practitioner | 310 W Tyler Ave, West Memphis, AR 72301-4225 | 2006-10-20 |
| 1255987699 | Sarah Bean | Nurse Practitioner | 304 N 6th St, West Memphis, AR 72301-3221 | 2019-08-12 |
| 1629620190 | Laura Margaret Ballard | Nurse Practitioner | 108 W Tyler Ave, West Memphis, AR 72301-4221 | 2019-07-15 |
| 1952808651 | Phyllis Riggins | Nurse Practitioner | 900 N 7th St, West Memphis, AR 72301-2001 | 2018-04-09 |
| 1467640946 | Arkansas Em-i Medical Services, Pa | Nurse Practitioner | 200 Tyler Street, West Memphis, AR 72307 | 2007-10-09 |
| 1750577698 | Terri N Moody | Nurse Practitioner | 304 S Rhodes St, West Memphis, AR 72301-4215 | 2007-09-24 |
| 1578784997 | Shirley Alema Tanner | Nurse Practitioner | 900 N 7th St, West Memphis, AR 72301-2001 | 2007-05-02 |
| 1245307586 | Kathleen M Maples | Nurse Practitioner | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2006-11-30 |
| 1487621157 | Angela J Sheddan | Nurse Practitioner | 215 E Bond Ave, West Memphis, AR 72301-3550 | 2006-03-02 |
| Find all providers in WEST MEMPHIS | ||||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
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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.