SHALLON FORTE (NPI# 1275057374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275057374 |
| Entity Type | Individual |
| Full Name | SHALLON FORTE |
| Credential | RN |
| Practice Address |
701 Arkansas Blvd Texarkana AR 71854 |
| Mailing Address |
701 Arkansas Blvd Texarkana AR 71854-2105 |
| Practice Telephone | 87077250284285 |
| Mailing Telephone | 87077250284285 |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2017-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
923244 | TX | Nursing Service Providers |
| Street Address |
701 ARKANSAS BLVD |
| City | TEXARKANA |
| State | AR |
| Zip Code | 71854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790754018 | Debbie J Autrey | Counselor | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2006-03-17 |
| 1205352226 | Keith Roadcap | Case Manager/Care Coordinator | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2017-08-22 |
| 1881110971 | Chairmaine Sanders | Case Manager/Care Coordinator | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2017-08-21 |
| 1033649892 | Adrain Nicole Oglesby | Case Manager/Care Coordinator | 701 Arkansas Blvd, Texarkana, AR 71854 | 2017-06-14 |
| 1508393885 | Gabrielle Renee Gamble | Case Manager/Care Coordinator | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2017-05-17 |
| 1013443779 | Teresa Milner | Case Manager/Care Coordinator | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2017-05-02 |
| 1033643382 | Alexandrea Purifoy | Case Manager/Care Coordinator | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2017-04-13 |
| 1891228300 | Dorcas Townsend | Registered Nurse | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2017-04-11 |
| 1861933509 | Alicia Caldwell | Case Manager/Care Coordinator | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2017-03-14 |
| 1023559762 | Angela Mckinney | Counselor | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2017-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962988253 | Holly Renee Snipe | Registered Nurse | 4700 Sunbury Dr, Texarkana, AR 71854 | 2018-07-19 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1326538810 | Chad Roldan | Occupational Therapy Assistant | 6402 Countryside Dr, Texarkana, AR 71854 | 2018-05-10 |
| 1649797481 | Alliance Counseling Agency LLC | Community/Behavioral Health | 819 Beech St, Texarkana, AR 71854 | 2017-08-23 |
| 1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
| 1295260040 | Seniors for Senior Care | Adult Companion | 4613 Parkway Dr., Texarkana, AR 71854 | 2017-04-28 |
| 1033650635 | Texarkana Eye Associates | Optometrist | 114 East 49th St, Texarkana, AR 71854 | 2017-03-15 |
| 1881064731 | Texarkana Group, P.l.l.c | Chiropractor | 2100 N. State Line Ave., Texarkana, AR 71854 | 2015-10-05 |
| 1528301819 | Megan Guercio | Specialist/Technologist | 1002 East 35th Street, Texarkana, AR 71854 | 2013-04-04 |
| 1831439116 | James Wesley Mcraven | Nurse Practitioner | 210 N. Stateline, Suite 301, Texarkana, AR 71854 | 2013-02-22 |
| Find all providers in zip 71854 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518434745 | Shawnte Marie Farmer | Registered Nurse | 910 Nw 7th St Ste 6, Bentonville, AR 72712-4565 | 2018-10-25 |
| 1346789948 | Watkins Family Health & Counseling, Inc. | Registered Nurse | 10345 W Jeter Rd, Fayetteville, AR 72701-9382 | 2017-02-15 |
| 1841740115 | Kelsey Morgan Sallee | Registered Nurse | 4004 Massard Rd, Fort Smith, AR 72903-6222 | 2016-10-10 |
| 1982060562 | Buffalo River Clinic Inc | Registered Nurse | 933 Mc 6013, Yellville, AR 72687-7595 | 2016-01-12 |
| 1164805636 | Teressa Lynn Barnes | Registered Nurse | 810 N. Hutchinson St., Pine Bluff, AR 71602-4644 | 2015-07-02 |
| 1215194055 | Darin Paul Morgan | Registered Nurse | 1014 Autumn Rd Ste 3, Little Rock, AR 72211-3768 | 2008-05-20 |
| 1497922868 | Jacqueline Regina Love-ryan | Registered Nurse | 620 S Laurel, Pine Bluff, AR 71601-4859 | 2008-05-14 |
| 1669664975 | Lori Jean Cline | Registered Nurse | 2322 Gunpowder Rd, Little Rock, AR 72227-3025 | 2007-08-10 |
| 1588709646 | Perspectives Behavioral Health Management, LLC | Registered Nurse | 115 Fort St, Barling, AR 72923-2646 | 2007-02-20 |
| 1407910680 | Susan Lowrey | Registered Nurse | 4601 W 7th St, Little Rock, AR 72205-5441 | 2006-12-21 |
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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.