MAGNOLIA HEALTHCARE CENTER LLC GROUP (NPI# 1215209648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215209648 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA HEALTHCARE CENTER LLC GROUP |
| Practice Address |
2642 N Dudney Rd Magnolia AR 71753-4305 |
| Practice Telephone | 8702347000 |
| Practice Fax Number | 8702347168 |
| Mailing Telephone | 8702347000 |
| Mailing Fax Number | 8702347168 |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |
| Authorized Official Name | MS. JEANNE H BUTTERWORTH (MEMBER) |
| Authorized Official Telephone | 4105274083 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAGNOLIA HEALTHCARE CENTER LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A01537 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2642 N DUDNEY RD |
| City | MAGNOLIA |
| State | AR |
| Zip Code | 71753-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811534977 | Magnolia Healthcare LLC | Skilled Nursing Facility | 2642 N Dudney Rd, Magnolia, AR 71753-4305 | 2019-12-06 |
| 1154803997 | Community Compassion Magnolia | Skilled Nursing Facility | 2642 N Dudney Rd, Magnolia, AR 71753-4305 | 2018-08-29 |
| 1568820843 | Silver Lining Rehab LLC | Skilled Nursing Facility | 2642 N Dudney Rd, Magnolia, AR 71753-4305 | 2016-02-02 |
| 1003274218 | Ahna Farrar | Physical Therapy Assistant | 2642 N Dudney Rd, Magnolia, AR 71753-4305 | 2016-02-02 |
| 1861850067 | Brandi Michelle Chisholm | Occupational Therapy Assistant | 2642 N Dudney Rd, Magnolia, AR 71753-4305 | 2016-02-02 |
| 1740654185 | Magnolia Health Holdings LLC | Skilled Nursing Facility | 2642 N Dudney Rd, Magnolia, AR 71753-4305 | 2015-11-23 |
| 1255765046 | Magnolia Health and Rehab, LLC | Skilled Nursing Facility | 2642 N Dudney Rd, Magnolia, AR 71753-4305 | 2013-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939862 | Kylie Nokes | Occupational Therapy Assistant | 1403 High School Drive, Magnolia, AR 71753 | 2019-12-20 |
| 1225510266 | Douglas Palmer | Specialist/Technologist | 100 E University St, Magnolia, AR 71753 | 2018-09-06 |
| 1568940781 | Alyssa Scholl | Specialist/Technologist | Msc 8800, Magnolia, AR 71753 | 2018-07-31 |
| 1881141950 | Yuichi Takizawa | Specialist/Technologist | 2212 Lacari Dr., Fox Creek Apt #a1, Magnolia, AR 71753 | 2016-09-07 |
| 1609322981 | Stephen Baldwin Jr. | Specialist/Technologist | 100 E University Msc 9202, Magnolia, AR 71753 | 2016-08-28 |
| 1760830038 | Deborah Ellis | Developmental Therapist | 301 West Calhoun, Magnolia, ARKANSAS 71753 | 2016-05-27 |
| 1053720144 | Alaina Atkinson-murphy | Counselor | 1705 E North St, Magnolia, AR 71753 | 2014-08-04 |
| 1467701250 | Charles P Story | Physical Therapy Assistant | 191 E Columbia # 25, Magnolia, AR 71753 | 2012-09-07 |
| 1043565542 | Magnolia Surgery Center, LLC | Clinic/Center | 25 Columbia Road 47, Magnolia, AR 71753 | 2012-07-20 |
| 1427288232 | Emily Loftin | Physical Therapy Assistant | 310 West Calhoun Road, Magnolia, AR 71753 | 2009-07-15 |
| Find all providers in zip 71753 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548786932 | Donald Mcdaniel | Nurse Practitioner | 2683 Kermit Road, Magnolia, MS 39652 | 2017-08-17 |
| 1619350378 | Marissa Garcia Langford | Nurse Practitioner | 18602 Fm 1488 Rd Ste 700, Magnolia, TX 77354-8510 | 2015-06-30 |
| 1194775734 | Family Care Center Magnolia | Nurse Practitioner | 432 Mill Rd, Magnolia, KY 42757-7862 | 2006-05-12 |
| 1407410293 | Iv Rx Healthcare, LLC | Nurse Practitioner | 33300 Egypt Ln Ste I100, Magnolia, TX 77354-3658 | 2019-04-26 |
| 1871948380 | Apn Services, LLC | Nurse Practitioner | 26 Warnock Springs Rd, Magnolia, AR 71753-9000 | 2016-05-03 |
| 1548207103 | Franks Internal Medicien | Nurse Practitioner | 1010 N Dudney Rd, Magnolia, AR 71753-2624 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574555 | Brian Scott Burks | Nurse Practitioner | 4109 Hartford Hills Dr, Benton, AR 72019-2540 | 2020-10-05 |
| 1619574662 | Lindsey Paige Long | Nurse Practitioner | 3123 N Magnolia St, North Little Rock, AR 72116-9153 | 2020-10-02 |
| 1275151524 | Patricia Waller | Nurse Practitioner | 905 Long Branch Rd, Heber Springs, AR 72543-8305 | 2020-07-13 |
| 1659997351 | Amanda Cheatham | Nurse Practitioner | 16832 Prince Rd, Canehill, AR 72717-9415 | 2020-06-18 |
| 1073137212 | Lakeisha Shatara Falls | Nurse Practitioner | 11602 Shady Ridge Dr, Little Rock, AR 72211-4595 | 2020-06-03 |
| 1518581115 | Ragan Arrison | Nurse Practitioner | 365 Mapleleaf Cir, Hot Springs, AR 71901-3371 | 2020-05-31 |
| 1639799240 | Jessica Lee Crump | Nurse Practitioner | 1996 Highway 31 N, Beebe, AR 72012-9784 | 2020-04-23 |
| 1477183176 | Jennifer Leann Jay | Nurse Practitioner | 1501 S Waldron Rd Ste 200, Fort Smith, AR 72903-2565 | 2020-01-22 |
| 1164069969 | Morgan Wilkerson | Nurse Practitioner | 41 Weaver Cir, Vilonia, AR 72173-9014 | 2019-11-30 |
| 1881256220 | Felica Shunta Johnson | Nurse Practitioner | 311 Carson St, Bono, AR 72416-9605 | 2019-07-06 |
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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.