MR. HEATH A REEP (NPI# 1134215288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134215288 |
| Entity Type | Individual |
| Full Name | MR. HEATH A REEP |
| Credential | ANP |
| Practice Address |
1012 E Church St Suite C Warren AR 71671-3509 |
| Mailing Address |
Po Box 850 Warren AR 71671-0850 |
| Practice Telephone | 8702266786 |
| Practice Fax Number | 8702265101 |
| Mailing Telephone | 8702266786 |
| Mailing Fax Number | 8702265101 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2010-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A01630 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | AETNA | 710815809 | 01 |
| AR | QUALCHOICE | 1279200000 | 01 |
| AR | HEALTHLINK | 710815809 | 01 |
| AR | 146452758 | 05 | |
| AR | UNITED HEALTHCARE | 710815809 | 01 |
| Street Address |
1012 E CHURCH ST SUITE C |
| City | WARREN |
| State | AR |
| Zip Code | 71671-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447226253 | Kerry Pennington, Pa | Family Medicine | 1012 E Church St, Sutie A, Warren, AR 71671-3509 | 2006-02-23 |
| 1639513609 | Tammy S Green | Nurse Practitioner | 1012 E Church St, Warren, AR 71671-3509 | 2013-04-22 |
| 1154674133 | Bradley County Medical Center | Clinic/Center | 1012 E Church St, Suite B, Warren, AR 71671-3509 | 2012-10-16 |
| 1508153974 | Arkansas Health Group | Family Medicine | 1012 E Church St, Suite A, Warren, AR 71671-3509 | 2011-07-06 |
| 1902910516 | Kenneth W Purvis | Family Medicine | 1012 E Church St, Suite B, Warren, AR 71671-3509 | 2006-08-19 |
| 1003862251 | Wharton Clinic, Pa | Family Medicine | 1012 E Church St, Suite C, Warren, AR 71671-3509 | 2006-05-26 |
| 1225084577 | Joe H Wharton | Family Medicine | 1012 E Church St, Suite C, Warren, AR 71671-3509 | 2006-05-26 |
| 1013983873 | Kerry Franklin Pennington | Family Medicine | 1012 E Church St, Suite A, Warren, AR 71671-3509 | 2006-02-23 |
| 1285600049 | Karen J. Richardson | Nurse Practitioner | 1012 E Church St, Suite A, Warren, AR 71671-3509 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992116396 | Bradley Newton Biggers | Family Medicine | 304 E Central St., Warren, AR 71671 | 2014-05-19 |
| 1558602003 | Kelley M Hollingsworth | Licensed Practical Nurse | 1404 East Church Street, Warren, AR 71671 | 2013-03-08 |
| 1245516228 | Lauren Lynch | Pharmacist | 507 W Pine, Warren, AR 71671 | 2011-10-22 |
| 1114237062 | Gary Maskell | Chiropractor | 210 East Shields Street, Warren, AR 71671 | 2010-10-13 |
| 1841442811 | Wagnon Place Health Facilities | Skilled Nursing Facility | 1440 East Church Street, Warren, AR 71671 | 2008-10-21 |
| 1104953629 | Kathryn Kelly Cash | Speech-Language Pathologist | 206 Bragg St., Warren, AR 71671 | 2007-02-28 |
| 1477628352 | University of Arkansas for Medical Sciences | Pediatrics | 222 E Central St, Warren, AR 71671 | 2006-11-23 |
| 1649383514 | Karen Walker | Social Worker | 1404 E Church, Warren, AR 71671 | 2006-08-16 |
| 1699705178 | Rosemary Bell | Licensed Practical Nurse | 1404 E Church St, Warren, AR 71671 | 2006-07-03 |
| 1992348551 | Charles C Gibson | Case Manager/Care Coordinator | 1404 E Church St, Warren, AR 71671 | 2019-10-25 |
| Find all providers in zip 71671 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1629695598 | Souzan Siryani | Nurse Practitioner | 31700 Van Dyke Ave Ste A, Warren, MI 48093-7949 | 2020-06-26 |
| 1245856947 | Giavanna M Tkach | Nurse Practitioner | 1695 Niles Cortland Rd Ne Ste 2, Warren, OH 44484-1165 | 2020-06-19 |
| 1306461561 | Stephanie Dawn Ostetrico | Nurse Practitioner | 1454 Grove Ave Nw, Warren, OH 44483-3341 | 2020-06-13 |
| 1457983710 | Lisa Virginia Cameron | Nurse Practitioner | 14103 Lowe Dr, Warren, MI 48088-5735 | 2020-02-05 |
| 1659916955 | Joni Mccoy | Nurse Practitioner | 31110 Saratoga Ave, Warren, MI 48093-1619 | 2019-11-10 |
| 1811450760 | Stephanie Burbick | Nurse Practitioner | 8488 Black Oak Dr Ne, Warren, OH 44484-1615 | 2019-04-08 |
| 1336619964 | Alexis Valentino | Nurse Practitioner | 247 Oak Knoll Se, Warren, OH 44483 | 2018-11-27 |
| 1194291682 | Mary E Palumbo | Nurse Practitioner | 2517 Forest Springs Dr Se, Warren, OH 44484-5619 | 2018-10-23 |
| 1548735483 | Stephanie Gialdi | Nurse Practitioner | 8545 Common Rd Ste 200, Warren, MI 48093-6775 | 2018-10-08 |
| Find all providers in WARREN | ||||
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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.