KYLE SIEROCUK


Address: 3300 S Market St Ste 118, Rogers, AR 72758-8127
Phone: 4793660850

KYLE SIEROCUK (NPI# 1235757816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235757816
Entity Type Individual
Full Name KYLE SIEROCUK
Credential PMHNP
Practice Address 3300 S Market St Ste 118
Rogers
AR 72758-8127
Mailing Address 198 E Palmetto Dr Apt 201
Fayetteville
AR 72703-3282
Practice Telephone 4793660850
Enumeration Date 2020-07-09
Last Update Date 2020-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
125894 AR Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
609 W Maple Ave, Springdale, AR 727645335 4797571455

Office Location

Street Address 3300 S MARKET ST STE 118
City ROGERS
State AR
Zip Code 72758-8127

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467408880 Brian Thomas Hyatt Psychiatry & Neurology 3300 S Market St Ste 118, Rogers, AR 72758-8127 2006-05-26
1700351376 Hailey Arens Physician Assistant 3300 S Market St Ste 118, Rogers, AR 72758-8127 2018-10-09
1477965044 Shelbi K Dawson Social Worker 3300 S Market St Ste 118, Rogers, AR 72758-8127 2014-05-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417588690 Premier Hospitalists of Nwa, Pllc Hospitalist 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 2020-01-28
1447893235 Kelsey Elizabeth Sutton Speech-Language Pathologist 2100 West Perry Rd, Rogers, AR 72758 2019-10-24
1447700299 Shannon Kaima Physician Assistant 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 2016-10-05
1801345426 The Exclusive Eye, Pllc Optometrist 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 2016-09-23
1780063909 Nicholas Honea Nurse Anesthetist, Certified Registered 4600 Centre Court, Rogers, AR 72758 2015-05-20
1811388945 Amanda M Hawes Physician Assistant 1000 S. 52nd Street, Rogers, AR 72758 2015-02-11
1316354087 Natalie Horine Chiropractor 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 2014-07-15
1205248903 Clyde K. Tempel Registered Nurse 2100 W. New Hope Rd. #1804, Rogers, AR 72758 2014-05-29
1548692445 Becky Tadlock Ross Pharmacist 1766 West Laurel, Rogers, AR 72758 2013-08-01
1497190797 Medical Associates of Northwest Arkansas Pa Pediatrics 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 2013-05-01
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609335835 Rebecca Loehrer Nurse Practitioner 21370 Ste 210 John Milless Dr., Rogers, MN 55374 2019-03-18
1982176335 Shawnte Farmer Psychiatric Services Pllc Nurse Practitioner 3300 S Market St, Rogers, AR 72758-8197 2018-12-26
1356510507 Better Life Health Corporation Nurse Practitioner 1821 S 8th St, Rogers, AR 72756-5912 2008-02-21
1548451131 Karen Kaye Taymore Nurse Practitioner 7 Halstead Cir, Ste 101, Rogers, AR 72756-3185 2007-08-07
1467084384 Laura L Williams Nurse Practitioner 1106 Poplar Pl, Rogers, AR 72756-4249 2020-02-08
1588700702 Debra C. Zinken Nurse Practitioner 21370 John Milless Dr, Suite #210, Rogers, MN 55374-9449 2007-01-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326647918 Coco Psychiatric Services Pllc Nurse Practitioner 115 Bella Rosa Pl, Little Rock, AR 72223-4771 2020-10-23
1538767462 Safe Harbor Behavioral Health Pllc Nurse Practitioner 11401 N Rodney Parham Rd Ste 4, Little Rock, AR 72212-4168 2020-10-13
1457968737 Natural State Behavioral Health Nurse Practitioner 1401 Malvern Ave Ste 180, Hot Springs, AR 71901-6370 2020-09-30
1255944559 The Clinic At The Forging Place Nurse Practitioner 1302 Cherry St, Van Buren, AR 72956-4543 2020-08-26
1508478066 Jaleesa Shears Nurse Practitioner 880 Bayou Vista Dr, Marion, AR 72364-5006 2020-08-17
1306455860 Wendy Michelle Ray Nurse Practitioner 1012 E Church St Ste A, Warren, AR 71671-3530 2020-07-29
1295352771 Mindful Rx LLC Nurse Practitioner 501 Commerce Dr Unit 13341, Maumelle, AR 72113-7729 2020-06-30
1235755638 Jason David Wallace Nurse Practitioner 2616 Gallaway Cv, Jonesboro, AR 72404-7827 2020-06-22
1891319745 Heather Nichole Fesperman Nurse Practitioner 420 W Cooper Ave, West Memphis, AR 72301 2020-06-05
1588299291 Chastity Qg Stephens Nurse Practitioner 2607 Alford Cv, Bryant, AR 72022-7527 2020-03-03
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Competitor

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City ROGERS
Zip Code 72758

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Dataset Information

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.

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