HEATHER DENISE MCKINZIE (NPI# 1255806493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255806493 |
| Entity Type | Individual |
| Full Name | HEATHER DENISE MCKINZIE |
| Credential | APN |
| Practice Address |
6209 W 12th St Little Rock AR 72204-1505 |
| Practice Telephone | 5016635221 |
| Practice Fax Number | 5016636759 |
| Mailing Telephone | 5016635221 |
| Mailing Fax Number | 5016636759 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A005480 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | APN LICENSE | A005480 | 01 |
| Street Address |
6209 W 12TH ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750345427 | Arkansas Primary Care Clinics Pa | Family Medicine | 6209 W 12th St, Little Rock, AR 72204-1505 | 2006-04-12 |
| 1144691320 | Regenia Carter | Nurse Practitioner | 6209 W 12th St, Little Rock, AR 72204-1505 | 2015-10-13 |
| 1134562697 | Demetrius L Pighee | Nurse Practitioner | 6209 W 12th St, Little Rock, AR 72204-1505 | 2013-04-15 |
| 1376711937 | Frederick Braswell | Nurse Practitioner | 6209 W 12th St, Little Rock, AR 72204-1505 | 2008-02-18 |
| 1407810641 | Derek Lewis | Family Medicine | 6209 W 12th St, Little Rock, AR 72204-1505 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861003196 | Allison Mcpeak | Nurse Practitioner | 10800 Financial Centre Pkwy Ste 380, Little Rock, AR 72211-3508 | 2020-08-11 |
| 1316556632 | Pamela Volner | Nurse Practitioner | 4 Shackleford Plz Ste 202, Little Rock, AR 72211-1844 | 2020-07-23 |
| 1528676764 | Katherine Dunigan | Nurse Practitioner | 11 White Oak Ln, Little Rock, AR 72207-2549 | 2020-07-14 |
| 1679198287 | Marilyn Anne Johnson-mcfarland | Nurse Practitioner | 1 Saint Vincent Cir Ste 440, Little Rock, AR 72205-5492 | 2020-06-09 |
| 1174160089 | Natalie Cobb | Nurse Practitioner | 10 Courts Dr, Little Rock, AR 72223-9021 | 2019-12-10 |
| 1609410232 | Rachel Nicole Mccrary | Nurse Practitioner | 108 N Shackleford Rd, Little Rock, AR 72211-2840 | 2019-11-06 |
| 1093361347 | Whitney Lashell Johnson | Nurse Practitioner | 15 Stonebridge Cir Apt 1536, Little Rock, AR 72223-4550 | 2019-08-13 |
| 1780230375 | Krystal Collins | Nurse Practitioner | 9800 Baptist Health Dr Ste 600, Little Rock, AR 72205-6244 | 2019-08-10 |
| 1659932994 | Judith Chinwe Spencer-cole | Nurse Practitioner | 2 Waters Edge Dr, Little Rock, AR 72204-8645 | 2019-06-27 |
| 1063971935 | Sara Mannis | Nurse Practitioner | 1816 Gamble Rd, Little Rock, AR 72211-4196 | 2019-03-19 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
Please comment or provide details below to improve the information on HEATHER DENISE MCKINZIE.
| 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.