KIM CALLICUTT (NPI# 1245791094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245791094 |
| Entity Type | Individual |
| Full Name | KIM CALLICUTT |
| Practice Address |
110 Block St Marion AR 72364-1956 |
| Mailing Address |
125 Allen Cv Marion AR 72364-8001 |
| Practice Telephone | 8706369593 |
| Mailing Telephone | 8706369593 |
| Mailing Fax Number | 8705592803 |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
225320732 | AR | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 225320732 | 05 |
| Street Address |
110 BLOCK ST |
| City | MARION |
| State | AR |
| Zip Code | 72364-1956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578121448 | Faithful Healthcare & Supplies,llc | Home Health | 110 Block St, Marion, AR 72364-1956 | 2019-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942320 | Freda Cunningham | Pharmacy | 2100 Hwy 77, Marion, AR 72364 | 2020-11-05 |
| 1083235998 | Lorenzo Soto | Specialist/Technologist | 444 Dogwood Cove, Marion, AR 72364 | 2020-05-01 |
| 1225663073 | Martha Hall | Technician | 144 Morningside Drive, Marion, AR 72364 | 2020-03-11 |
| 1073159984 | Angela Hamill | Nurse Practitioner | 924 Ar 77, Marion, AR 72364 | 2019-11-26 |
| 1346761251 | Ashlyn Brook Williams | Nurse Practitioner | 136 Block Street, Marion, AR 72364 | 2017-06-30 |
| 1447622873 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2100 Highway 77, Marion, AR 72364 | 2015-10-26 |
| 1366828378 | Hilary Hartwig | Nurse Practitioner | 1139 Hwy 77, Marion, AR 72364 | 2015-08-03 |
| 1730575077 | Roadmaps To Recovery Counseling Services of Midsouth | Community/Behavioral Health | 162 W Military Road, Marion, AR 72364 | 2015-04-14 |
| 1144661141 | Heather Chapman | Physical Therapy Assistant | 2860 I 55 Service Rd Ste C, Marion, AR 72364 | 2013-07-08 |
| 1679919351 | Gladys Hampton | Counselor | 1227 Highway 77, Suite 2, Marion, AR 72364 | 2013-05-21 |
| Find all providers in zip 72364 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100842 | Melody Rivers | Technician | 149 Sharpless Ct, Marion, OH 43302-3105 | 2020-09-24 |
| 1710592233 | Christine Lynn Hamm | Technician | 1744 Summerset Dr, Marion, OH 43302-5842 | 2020-09-11 |
| 1902355134 | Heart To Heart, Inc. | Technician | 307 Judge Smith Dr, Marion, AR 72364-2225 | 2016-09-29 |
| 1841656006 | Sabrina Bentley | Technician | 144 Spencer St, Marion, OH 43302-4421 | 2016-01-04 |
| 1952732554 | Shalynne Hopper | Technician | 406 S Grand Ave, Marion, OH 43302-5310 | 2013-12-06 |
| 1003243510 | Sean Patrick Monahan | Technician | 435 Ballentine Ave, Marion, OH 43302-2426 | 2013-09-28 |
| 1982038675 | Amber N Noe | Technician | 3068 Marion Waldo Rd Lot 113, Marion, OH 43302-8486 | 2013-08-29 |
| 1831536986 | Jaime Lynette Alicie | Technician | 859 E Center St, Marion, OH 43302-4348 | 2013-05-30 |
| 1659434967 | High Country Home Care, Inc | Technician | 63 Lake Tahoma Rd., Marion, NC 28752-9247 | 2006-12-18 |
| 1518306729 | Nikki Hoagland | Technician | 128 Lincoln Ave, Marion, OH 43302-3228 | 2013-06-20 |
| Find all providers in MARION | ||||
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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.