KIMBERLY ANN HAVARD (NPI# 1164419776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164419776 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN HAVARD |
| Credential | APRN-BC |
| Practice Address |
460 W Oak St El Dorado AR 71730-4500 |
| Mailing Address |
514 E 5th Street El Dorado AR 71730 |
| Practice Telephone | 9708814410 |
| Mailing Telephone | 8708814488 |
| Mailing Fax Number | 8706393966 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2014-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
A01510 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
460 W OAK ST |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659365351 | Michael Fitts | Psychologist | 460 W Oak St, El Dorado, AR 71730-4500 | 2005-09-08 |
| 1619231966 | Gregory S. Backofen | General Practice | 460 W Oak St, El Dorado, AR 71730-4567 | 2012-07-02 |
| 1144584392 | Erwin R Espino | Family Medicine | 460 W Oak St, El Dorado, AR 71730-4567 | 2012-07-02 |
| 1437300860 | Eli Vinson | Pharmacist | 460 W Oak St, El Dorado, AR 71730-4567 | 2008-10-03 |
| 1902005234 | Michael Beltran Corpus | Family Medicine | 460 W Oak St, El Dorado, AR 71730-4567 | 2007-07-17 |
| 1326257387 | Shu Zhang | Family Medicine | 460 W Oak St, El Dorado, AR 71730-4567 | 2007-05-22 |
| 1427018704 | South Arkansas Physician Services LLC | Family Medicine | 460 W Oak St, Suite 601, El Dorado, AR 71730-4567 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856172 | Mental Health Counseling for Individuals and Couples | Clinic/Center | 3256 West Hillsboro Suite C, El Dorado, AR 71730 | 2019-11-25 |
| 1114578168 | Candance Marie Guinn | Nurse Practitioner | 1906 W Hillsboro St Ste B, El Dorado, AR 71730 | 2019-09-20 |
| 1811460462 | Kelsie Rogers | Pharmacist | 2202 N West Ave, El Dorado, El Dorado, AR 71730 | 2019-01-07 |
| 1861925331 | Kasey Leigh Mcclain | Nurse Practitioner | 2280 E Main St, El Dorado, AR 71730 | 2017-04-11 |
| 1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
| 1376986539 | Ivory A. Kinslow, Mdpa | Optometrist | 443 W Oak St, El Dorado, AR 71730 | 2013-04-08 |
| 1134485170 | Drs Weddle and Baumsardner | Dentist | 106 West Main St. 212, El Dorado, AR 71730 | 2012-04-04 |
| 1972888923 | Lenora S Newsome | Pharmacist | 2135 North West Ave, El Dorado, AR 71730 | 2011-10-20 |
| 1730460338 | South Arkansas Pharmacy, Inc | Pharmacy | 600 South Timberlane #101, El Dorado, AR 71730 | 2011-09-09 |
| 1710273891 | Ezinne Charity Nwude | Emergency Medicine | 701 N. West Avenue, El Dorado, AR 71730 | 2011-06-27 |
| Find all providers in zip 71730 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497122758 | Jo O'guinn-charles, Pllc | Nurse Practitioner | 2284 Smackover Hwy, El Dorado, AR 71730-8855 | 2015-08-21 |
| 1144577586 | Jo Lynn O'guinn-charles | Nurse Practitioner | 2301 Champagnolle Road, Life Touch Hospice, El Dorado, AR 71730-3125 | 2012-08-03 |
| 1700058245 | Teresa Post Mcdonald | Nurse Practitioner | 700 W Grove St, 2 North, El Dorado, AR 71730-4416 | 2008-03-25 |
| 1508994542 | Amy Machelle Triplet | Nurse Practitioner | 700 W Grove St, El Dorado, AR 71730-4416 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451853 | Quynh Chau Bao Wang | Nurse Practitioner | 1024 Boulder Dr, Little Rock, AR 72210-4789 | 2020-06-10 |
| 1881233914 | Barbara Faye Ellis | Nurse Practitioner | 4250 Brewer Rd, Edgemont, AR 72044-9539 | 2020-01-07 |
| 1154964559 | Latoya Danielle Young | Nurse Practitioner | 1413 Sweetgum Ln, North Little Rock, AR 72117-9740 | 2019-10-18 |
| 1932754942 | Amy Cooper | Nurse Practitioner | 14309 Cantrell Rd Ste 7, Little Rock, AR 72223-4230 | 2019-08-06 |
| 1548827066 | Melonie Ann Cook | Nurse Practitioner | 1407 Jennifer St, Springdale, AR 72762-2091 | 2019-05-20 |
| 1659851400 | Lorena Aimee Padilla | Nurse Practitioner | 3003 Napa Ln, Springdale, AR 72764-7818 | 2018-08-20 |
| 1427535673 | Michelle D. Joyner | Nurse Practitioner | 398 Honey Hill Loop, Searcy, AR 72143-9170 | 2018-07-20 |
| 1679012504 | Lerizza D Nunag | Nurse Practitioner | 2540 State Highway 388, Gould, AR 71643-9634 | 2017-02-13 |
| 1407203425 | Katherine Antoinette Robertson | Nurse Practitioner | 1307 Trinity Blvd, Texarkana, AR 71854-8310 | 2016-05-19 |
| 1457716029 | Chasta Mandy Barbee-lumpkin | Nurse Practitioner | 609 Sw 8th St Fl 6, Bentonville, AR 72712-7886 | 2015-12-23 |
| Find all providers with the same taxonomy | ||||
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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.