KIMBERLY MCFADDEN (NPI# 1275166167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275166167 |
| Entity Type | Individual |
| Full Name | KIMBERLY MCFADDEN |
| Practice Address |
401 W Main St Marianna AR 72360-2102 |
| Mailing Address |
Po Box 2192 Forrest City AR 72336-2192 |
| Practice Telephone | 8702955280 |
| Practice Fax Number | 8702955390 |
| Mailing Telephone | 8702088362 |
| Mailing Fax Number | 8702088384 |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396234712 | Kimberly Mcfadden | Licensed Practical Nurse | 3655 Canton Rd Ste 201, Marietta, GA 30066-7614 | 2018-05-02 |
| Street Address |
401 W MAIN ST |
| City | MARIANNA |
| State | AR |
| Zip Code | 72360-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235762139 | Shawanda Valentine | Day Training/Habilitation Specialist | 401 W Main St, Marianna, AR 72360-2102 | 2020-02-19 |
| 1336770981 | Sonya Hazel | Registered Nurse | 401 W Main St, Marianna, AR 72360-2102 | 2020-02-03 |
| 1174076905 | Ashley Mccoy | Registered Nurse | 401 W Main St, Marianna, AR 72360-2102 | 2016-07-28 |
| 1659742609 | Danyelle Scarbrough | Registered Nurse | 401 W Main St, Marianna, AR 72360-2102 | 2015-10-16 |
| 1073916656 | Kids for The Future of Marianna, Inc. | Registered Nurse | 401 W Main St, Marianna, AR 72360-2102 | 2014-09-26 |
| 1780945337 | William Lee Chapman | Physical Therapist | 401 W Main St, Marianna, AR 72360-2102 | 2012-05-30 |
| 1689987000 | Frances Brown | Case Manager/Care Coordinator | 401 W Main St, Marianna, AR 72360-2102 | 2010-07-15 |
| 1114230539 | Montiquita Arnold | Case Manager/Care Coordinator | 401 W Main St, Marianna, AR 72360-2102 | 2010-07-15 |
| 1285954339 | Kids for The Future of Marianna, Inc. | Counselor | 401 W Main St, Marianna, AR 72360-2102 | 2010-06-10 |
| 1568697019 | Kids for The Future, Inc. | Psychologist | 401 W Main St, Marianna, AR 72360-2102 | 2009-05-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255843306 | Hannah Michelle Byrd | Occupational Therapy Assistant | 3326 Hwy 1 South, Forrest City, AR 72360 | 2017-10-30 |
| 1114237369 | Don W. Ball, M.d. P,a. | General Practice | 154 Mulberry Street, Marianna, AR 72360 | 2010-10-20 |
| 1528234101 | Counseling Consultants | Clinic/Center | 199 Hwy 243, Marianna, AR 72360 | 2008-05-05 |
| 1467658435 | Requisha Denee Brooks | Home Health Aide | 218 E. Mlk Apt 1, Marianna, AR 72360 | 2007-06-26 |
| 1740310481 | Abe Lovelace | Social Worker | 63 N Carolina St, Marianna, AR 72360 | 2007-03-06 |
| 1932254653 | Alisia Skinner | Physical Therapy Assistant | 700 West Chestnut, Marianna, AR 72360 | 2007-01-24 |
| 1063577682 | James Wilson Jr. | Lodging | 1679 Highway 243 South, Marianna, AR 72360 | 2006-12-26 |
| 1073693701 | Marianna Family Medicine Clinic Pllc | Family Medicine | 29 West Tennessee Street, Marianna, AR 72360 | 2006-10-17 |
| 1467469718 | Jonathan Simmons | Optometrist | 219 W. Chestnut, Marianna, AR 72360 | 2006-08-01 |
| 1093093247 | Valentine C Emechete | Dentist | 530 West Atkins Blvd, Mrianna, AR 72360 | 2011-07-21 |
| Find all providers in zip 72360 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235762139 | Shawanda Valentine | Day Training/Habilitation Specialist | 401 W Main St, Marianna, AR 72360-2102 | 2020-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396375796 | Diana L Beck | Day Training/Habilitation Specialist | 1008 W Childress St, Morrilton, AR 72110-1708 | 2020-01-24 |
| 1538677869 | Regina Sloan | Day Training/Habilitation Specialist | 920 University Dr, Russellville, AR 72801-4303 | 2018-01-22 |
| 1194230169 | Amanda Morgan | Day Training/Habilitation Specialist | 272 School Ave, West Fork, AR 72774-3124 | 2017-12-12 |
| 1396268090 | Dawn Bridges | Day Training/Habilitation Specialist | 3920 Woodland Heights Road, Little Rock, AR 72223 | 2017-07-25 |
| 1871016923 | Emily A Huddleston | Day Training/Habilitation Specialist | 1801 N Buerkle St, Stuttgart, AR 72160-2519 | 2017-07-20 |
| 1255866604 | Race Cunningham | Day Training/Habilitation Specialist | 2871 American St, Springdale, AR 72764-6938 | 2017-04-24 |
| 1619417896 | Amy Pinkston | Day Training/Habilitation Specialist | 149 Old Trestle Ln, Batesville, AR 72501-9597 | 2017-03-07 |
| 1891155719 | Karen Hartsfield | Day Training/Habilitation Specialist | 524 Self Ln, Newark, AR 72562-9615 | 2016-03-04 |
| 1821458738 | Sarah Sexton | Day Training/Habilitation Specialist | 1334 Red Deer Trl, Salem, AR 72576-5510 | 2016-03-04 |
| 1063885002 | Jaime Smith | Day Training/Habilitation Specialist | 56 Buck Ln, Poughkeepsie, AR 72569-9150 | 2015-11-12 |
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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.