SAMANTHA JOANN SHANKLE (NPI# 1124514328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124514328 |
| Entity Type | Individual |
| Full Name | SAMANTHA JOANN SHANKLE |
| Credential | APRN |
| Practice Address |
1001 Towson Ave Fort Smith AR 72901-4921 |
| Practice Telephone | 4794415005 |
| Mailing Telephone | 4794415005 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
R079261 | AR | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A005752 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265969125 | Samantha Shankle | Counselor | 140 River Dr, Wadesboro, NC 28170-6515 | 2017-05-22 |
| 1881731024 | Samantha M Shankle | Nurse Anesthetist, Certified Registered | 1101 W University Dr, Rochester, MI 48307-1863 | 2007-01-30 |
| Street Address |
1001 TOWSON AVE |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901-4921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053314203 | Cygnet A Bise | Physical Medicine & Rehabilitation | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2005-05-23 |
| 1083259766 | Mireya Adame | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-11-17 |
| 1891337275 | Alicia Anne Schlesier | Family Medicine | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-10-17 |
| 1811538424 | Ashley Renee Calvillo | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-10-04 |
| 1588212575 | Lino Lamb | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-09-03 |
| 1063069326 | Tara Rae Sandusky | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-08-21 |
| 1962975664 | Thurithabhani Maechler | Anesthesiology | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-01-04 |
| 1750856043 | Baptist Health Services | Internal Medicine | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2018-10-12 |
| 1477039782 | Baptist Health Regional Hospitals | Psychiatric Unit | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2018-07-19 |
| 1710463146 | Baptist Health Regional Hospitals | General Acute Care Hospital | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2018-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
| 1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| Find all providers in zip 72901 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018350 | Lacey Deshay Kennon | Nurse Practitioner | 7509 Red Pine Dr, Fort Smith, AR 72916-8809 | 2020-06-19 |
| 1275174518 | Michele Holland | Nurse Practitioner | 3300 S 70th St, Fort Smith, AR 72903-5052 | 2019-10-07 |
| 1831740125 | Shannan Deann Souza | Nurse Practitioner | 5901 Riley Park Dr Ste B, Fort Smith, AR 72916-6104 | 2019-09-27 |
| 1851948640 | Mindy Lebarr | Nurse Practitioner | 4850 Leigh Ave, Fort Smith, AR 72903-6018 | 2019-08-26 |
| 1457899338 | Ai-chau Hang Nguyen | Nurse Practitioner | 5428 Ellsworth Rd, Fort Smith, AR 72903-3220 | 2017-02-10 |
| 1558715987 | Amanda Day | Nurse Practitioner | 9207 Highway 71 S Ste 9, Fort Smith, AR 72916-9389 | 2016-04-21 |
| 1659738250 | Dana Kim Pulliam | Nurse Practitioner | 301 S E St Ste A, Fort Smith, AR 72901-4316 | 2016-01-27 |
| 1356716963 | Julie Rowland | Nurse Practitioner | 5100 Rosewood Cir, Fort Smith, AR 72903-7000 | 2015-12-08 |
| 1770712275 | Amy Marie Brown | Nurse Practitioner | 7001 Rogers Ave Ste 401a, Fort Smith, AR 72903-4034 | 2009-07-07 |
| 1356502710 | Jacqueline Goldsmith Phillips | Nurse Practitioner | 7215 Cameron Park Dr, Fort Smith, AR 72903-6167 | 2008-06-18 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
Please comment or provide details below to improve the information on SAMANTHA JOANN SHANKLE.
| 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.