DR. SHANNON ARLEESE JEWELL (NPI# 1134187156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134187156 |
| Entity Type | Individual |
| Full Name | DR. SHANNON ARLEESE JEWELL |
| Credential | MD |
| Practice Address |
3101 Se 14th St Bentonville AR 72712-4900 |
| Practice Telephone | 4796369234 |
| Practice Fax Number | 4796360774 |
| Mailing Telephone | 4796369234 |
| Mailing Fax Number | 4796360774 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2011-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
E0839 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 131827001 | 05 |
| Street Address |
3101 SE 14TH ST |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760447353 | Rickey L Mcgath | Family Medicine | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2006-04-18 |
| 1093273195 | Melinda S Tucker | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2019-03-07 |
| 1568958833 | Meredith R Krohn | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2018-07-10 |
| 1194210070 | Jaime Marie Holthaus | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2018-06-25 |
| 1154810612 | Paige Boles | Registered Nurse | 3101 Se 14th St, Bentonville, AR 72712 | 2018-05-09 |
| 1750800827 | Smile Shoppe Bentonville Jeffrey D Rhodes Dds Ms Pllc | Dentist | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2017-09-11 |
| 1750818894 | Tiffany Lynn Shanahan | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712 | 2017-05-19 |
| 1962937102 | Megan Elizabeth Owen | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2017-04-25 |
| 1982147765 | Tori Layne Abernathy | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2016-11-28 |
| 1972954600 | Rachel Angulo | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2016-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| Find all providers in zip 72712 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659323038 | Carl A. Engmann | Pediatrics | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2006-05-16 |
| 1235197435 | Joy Wilson Hill | Pediatrics | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2006-05-04 |
| 1114975117 | James Gavin Scherer | Pediatrics | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2006-05-04 |
| 1700834603 | George Valentine Schaefer | Pediatrics | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689182412 | Saveritt Pediatrics Pllc | Pediatrics | 5501 Willow Creek Dr Ste 203, Springdale, AR 72762-8708 | 2018-01-15 |
| 1255517066 | Joshua R Wilkinson | Pediatrics | 5901 Riley Park Drive, Suite B, Fort Smith, AR 72916 | 2008-01-11 |
| 1578619177 | John Alonzo Flowers Sr. | Pediatrics | 316 W 5th Ave, Pine Bluff, AR 71601-4214 | 2007-01-26 |
| 1285654285 | William Ladell Douglas | Pediatrics | 100 E 20th St, Suite B, Hope, AR 71801-8213 | 2006-07-20 |
| 1811955974 | Loren Barry Allen | Pediatrics | 1223 W Poplar St, Rogers, AR 72756-4245 | 2006-05-01 |
| 1093779787 | Lloyene Bruce-reid | Pediatrics | 1420 W 43rd Ave, Pine Bluff, AR 71603-7010 | 2006-04-12 |
| 1972502953 | Floyd Gonzalez | Pediatrics | 821 Walter J Leeper Dr, Suite 101, De Queen, AR 71832-2591 | 2005-07-20 |
| 1700885522 | Renee Jones | Pediatrics | 615 N Main St, Brinkley, AR 72021-2507 | 2005-07-14 |
| 1588121065 | Premier Pediatrics Pllc | Pediatrics | 5901 Riley Park Drive, Suite B, Fort Smith, AR 72916 | 2019-02-21 |
| 1881162469 | Jefferson Hospital Association, Inc. | Pediatrics | 1420 W 43rd Ave, Pine Bluff, AR 71603-7010 | 2018-11-13 |
| Find all providers with the same taxonomy | ||||
| City | BENTONVILLE |
| Zip Code | 72712 |
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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.