TESSA M LEE (NPI# 1205386604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205386604 |
| Entity Type | Individual |
| Full Name | TESSA M LEE |
| Practice Address |
600 S Timberlane Dr El Dorado AR 71730-6990 |
| Mailing Address |
600 S. Timberlane Dr El Dorado AR 71730 |
| Practice Telephone | 8708622400 |
| Practice Fax Number | 8708648142 |
| Mailing Telephone | 8708622400 |
| Mailing Fax Number | 8708648142 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | PA LICENSE | PA | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1093192353 | Tessa Mackenzie Lee | Developmental Therapist | 317 North 4th St, Elburn, IL 60119 | 2015-05-06 |
| Street Address |
600 S TIMBERLANE DR |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-6990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538154570 | Gary Lloyd Bevill | Family Medicine | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2005-09-15 |
| 1740735323 | Ambrosia A Caruso | Nurse Practitioner | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2016-08-24 |
| 1851754972 | Spencer Mccullough | Counselor | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2016-04-05 |
| 1811312960 | Amanda Shirron | Nurse Practitioner | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2014-02-26 |
| 1528482189 | Christy Buhrman | Nurse Practitioner | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2014-02-18 |
| 1023449550 | Rebecca Jan Porter | Nurse Practitioner | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2013-12-10 |
| 1194166199 | Christina Lauren Monteith | Family Medicine | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2013-07-08 |
| 1548555378 | Virginia Denise Price | Nurse Practitioner | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2011-06-09 |
| 1861526121 | Erin Braden Goss | Family Medicine | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2007-03-16 |
| 1235290735 | Sama Healthcare Services, Pa | Clinical Neuropsychologist | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2006-12-12 |
| Find all providers in the same location | ||||
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902273931 | Matthew Lee Aitchison | Physician Assistant | 700 W Central Ave, Suite #205, El Dorado, KS 67042-2184 | 2015-08-25 |
| 1285816363 | El Dorado Emergency Group LLC | Physician Assistant | 700 W Grove St, El Dorado, AR 71730-4416 | 2007-11-30 |
| 1700973583 | Caleb W Grove | Physician Assistant | 700 W Central Ave Ste 105, El Dorado, KS 67042-2187 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093271082 | Megan Breanna Albers | Physician Assistant | 100 Broadhurst St, Siloam Springs, AR 72761-4081 | 2019-02-14 |
| 1982115218 | Tabitha Jaggers | Physician Assistant | 1000 Hwy 35 N Ste 8, Benton, AR 72019-2353 | 2017-10-13 |
| 1801279575 | Rachel Fritsche Gordon | Physician Assistant | Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 | 2015-06-30 |
| 1700281938 | Carol J Trana | Physician Assistant | 4301 West Markham St, #748, Little Rock, AR 72205-7199 | 2014-10-30 |
| 1790011005 | Cassandra Lynn Ganus | Physician Assistant | 205 E Race Ave, Searcy, AR 72143-4329 | 2009-10-20 |
| 1699008672 | Robin Lynn Isaacks | Physician Assistant | 821 East Park Street, Highway 70, Carlisle, AR 72024 | 2009-09-09 |
| 1194966374 | Daniel Shane Briley | Physician Assistant | 2125 E Main St Ste 10, Siloam Springs, AR 72761-5576 | 2009-03-17 |
| 1619128360 | Stacie Renee Smith | Physician Assistant | 47 Hwy 64 W, Beebe, AR 72012-9500 | 2008-09-30 |
| 1861669541 | Gregory D Mills | Physician Assistant | 300 East Main, Swifton, AR 72471-0000 | 2008-05-13 |
| 1194990366 | Michelle Lee Manthe | Physician Assistant | 1615 W Persimmon St Ste B, Rogers, AR 72756-3383 | 2008-04-28 |
| 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.