FELICIA WHATLEY (NPI# 1174063358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174063358 |
Entity Type | Individual |
Full Name | FELICIA WHATLEY |
Other Name | FELICIA PRINCE |
Credential | AGNP-C |
Practice Address |
40 Jb Dr Lonoke AR 72086-8184 |
Practice Telephone | 9034905477 |
Mailing Telephone | 9034905477 |
Enumeration Date | 2017-03-07 |
Last Update Date | 2020-04-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
A005071 | AR | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
A005071 | AR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CAQH | 14111516 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
901 Hugh Wallis Rd S, Lafayette, LA 705082511 | 5023279100 |
Street Address |
40 JB DR |
City | LONOKE |
State | AR |
Zip Code | 72086-8184 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265065064 | Access Medical Clinic Arkansas LLC | Family Medicine | 1010 N Center St, Lonoke, AR 72086 | 2020-02-20 |
1952944407 | Shannan Stewart | Counselor | 201 W. 2nd Street, Lonoke, AR 72086 | 2019-10-28 |
1134574379 | Kiara Loring | Case Manager/Care Coordinator | 201 W 2nd, Lonoke, AR 72086 | 2016-04-25 |
1184091415 | Whitney Reed | Nurse Practitioner | 130 Jf Blvd, Lonoke, AR 72086 | 2015-08-21 |
1265816672 | Catherine Forney | Case Manager/Care Coordinator | 201 W. Second, Lonoke, AR 72086 | 2015-07-15 |
1366865883 | Tiffany Hunter | Case Manager/Care Coordinator | 201 West 2nd St., Lonoke, AR 72086 | 2014-02-04 |
1174873723 | Jacob Darrell Johnson | Physical Therapist | 1515 North Center Street, Suite 5, Lonoke, AR 72086 | 2012-09-11 |
1154697829 | Joan Lavonne Tackett | Nurse Practitioner | 305 W. Front St.., Sherwood Urgent Care, Lonoke, AR 72086 | 2012-03-28 |
1013216035 | Angela Dyan Johnson | Speech-Language Pathologist | 114 Holly St, Lonoke, AR 72086 | 2011-03-16 |
1528382496 | Michael Roy Brown | Counselor | 201 W. 2nd, Lonoke, AR 72086 | 2010-03-22 |
Find all providers in zip 72086 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
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 |
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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.