MRS. TINA LOUISE PATRICK (NPI# 1134765746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134765746 |
Entity Type | Individual |
Full Name | MRS. TINA LOUISE PATRICK |
Credential | LPN |
Practice Address |
3307 N Dixieland Rd Rogers AR 72756-6816 |
Mailing Address |
Po Box 130 Rogers AR 72757-0130 |
Practice Telephone | 4799865150 |
Practice Fax Number | 4799865191 |
Mailing Telephone | 4799865150 |
Mailing Fax Number | 4799865191 |
Enumeration Date | 2019-11-19 |
Last Update Date | 2019-11-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | L039606 | AR | Nursing Service Providers |
Street Address |
3307 N DIXIELAND RD |
City | ROGERS |
State | AR |
Zip Code | 72756-6816 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508037870 | Kids for The Future Rogers, Inc. | Clinic/Center | 3307 N Dixieland Rd, Rogers, AR 72756-6816 | 2008-03-14 |
1427676402 | Andrea Sims | Physical Therapy Assistant | 3307 N Dixieland Rd, Rogers, AR 72756-6816 | 2020-07-07 |
1710513601 | Brittany Michelle Miles | Occupational Therapy Assistant | 3307 N Dixieland Rd, Rogers, AR 72756-6816 | 2020-03-23 |
1952934184 | Camille Nicole Burchfield | Occupational Therapy Assistant | 3307 N Dixieland Rd, Rogers, AR 72756-6816 | 2020-02-17 |
1972147783 | Ashley Dossey | Developmental Therapist | 3307 N Dixieland Rd, Rogers, AR 72756-6816 | 2019-11-05 |
1922640242 | Sydney Secrest | Developmental Therapist | 3307 N Dixieland Rd, Rogers, AR 72756-6816 | 2019-10-09 |
1811538291 | Liliana Yasmin Camacho | Developmental Therapist | 3307 N Dixieland Rd, Rogers, AR 72756-6816 | 2019-10-07 |
1295376200 | Natalie Lynn Galucki | Developmental Therapist | 3307 N Dixieland Rd, Rogers, AR 72756-6816 | 2019-10-01 |
1609438449 | Ashley Thielemier | Registered Nurse | 3307 N Dixieland Rd, Rogers, AR 72756-6816 | 2019-07-02 |
1851952428 | Sarah Powell | Speech-Language Pathologist | 3307 N Dixieland Rd, Rogers, AR 72756-6816 | 2019-06-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
1669009049 | Keller Davis Sims | Physical Therapist | 2403 W Hudson Rd Ste, Ste 1, Rogers, AR 72756 | 2020-03-25 |
1437692720 | Ginah Brianne Porter | Counselor | 1108 Poplar Pl, Rogers, AR 72756 | 2016-11-18 |
1629404868 | Natalie Elizabeth Myers | Occupational Therapy Assistant | 1000 West Poplar St, Rogers, AR 72756 | 2013-09-19 |
1295081529 | Aaron Lee Matthews Sr. | Counselor | 411 W Poplar St., Rogers, AR 72756 | 2012-07-24 |
1538420286 | Allison R Corter | Speech-Language Pathologist | 1000 W. Poplar St, Rogers, AR 72756 | 2012-05-30 |
1871859496 | Fisher Denture & Dental Care | Dentist | 4404 W. Walnut, Suite 2, Rogers, AR 72756 | 2012-04-09 |
1407130487 | Timeni Strauss | Occupational Therapy Assistant | 1000 W. Poplar Street, Rogers, AR 72756 | 2011-10-07 |
1316192768 | William Barton Tate | Obstetrics & Gynecology | 1233 Poplar Pl, Rogers, AR 72756 | 2008-11-27 |
1093905069 | Sunshine School & Development Center | Day Training, Developmentally Disabled Services | 3400 Woods Lanee, Rogers, AR 72756 | 2007-07-26 |
Find all providers in zip 72756 |
Taxonomy Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205343894 | Jamie Michelle Carman | Licensed Practical Nurse | 9955 Union Ridge Rd, Rogers, OH 44455-9763 | 2018-01-04 |
1942516893 | Matilda Kla-diihbah | Licensed Practical Nurse | 14096 Gadwall Ln, Rogers, MN 55374-8769 | 2010-08-28 |
1023342508 | Dana Renee Satchel | Licensed Practical Nurse | 609 W Dyke Rd, Rogers, AR 72758-6442 | 2009-09-30 |
1366699530 | Cynthia Gail Crawford | Licensed Practical Nurse | 1400 Hardwood Dr, Rogers, AR 72758-0133 | 2008-08-19 |
1700402344 | Brandi Marie Gunn | Licensed Practical Nurse | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2020-06-19 |
1225663214 | Joyce Kathleen Deshields | Licensed Practical Nurse | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2020-03-10 |
1144852161 | Tracy Rogers | Licensed Practical Nurse | 9955 Union Ridge Rd, Rogers, OH 44455-9763 | 2020-02-07 |
1356904569 | Amy L Sutherin | Licensed Practical Nurse | 9955 Union Ridge Rd, Rogers, OH 44455-9763 | 2019-04-15 |
1528521945 | Brooke N Walker | Licensed Practical Nurse | 9955 Union Ridge Rd, Rogers, OH 44455-9763 | 2019-04-11 |
1962967588 | Jeanne Wilson | Licensed Practical Nurse | 9955 Union Ridge Rd, Rogers, OH 44455-9763 | 2019-02-07 |
Find all providers in ROGERS |
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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.