LANCE C. SHULTZ (NPI# 1275183782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275183782 |
| Entity Type | Individual |
| Full Name | LANCE C. SHULTZ |
| Credential | NP |
| Practice Address |
609 Sw 8th St Fl 6 Bentonville AR 72712-7886 |
| Mailing Address |
1509 Dulles Dr Lafayette LA 70506-3718 |
| Practice Telephone | 3379919276 |
| Practice Fax Number | 3379430846 |
| Mailing Telephone | 3379919276 |
| Mailing Fax Number | 3379430846 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
121804 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
609 SW 8TH ST FL 6 |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712-7886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457716029 | Chasta Mandy Barbee-lumpkin | Nurse Practitioner | 609 Sw 8th St Fl 6, Bentonville, AR 72712-7886 | 2015-12-23 |
| 1912538463 | Tracy C Poole | Nurse Practitioner | 609 Sw 8th St Fl 6, Bentonville, AR 72712-7886 | 2020-02-03 |
| 1598318958 | Dara A Prowse | Nurse Practitioner | 609 Sw 8th St Fl 6, Bentonville, AR 72712-7886 | 2019-07-24 |
| 1942861794 | Daniel L. Smith | Nurse Practitioner | 609 Sw 8th St Fl 6, Bentonville, AR 72712-7886 | 2019-06-24 |
| 1811550031 | Carrie Ann Hickmon | Nurse Practitioner | 609 Sw 8th St Fl 6, Bentonville, AR 72712-7886 | 2019-04-15 |
| 1528597028 | Jordan M Longnecker | Nurse Practitioner | 609 Sw 8th St Fl 6, Bentonville, AR 72712-7886 | 2017-06-08 |
| 1497299523 | Courtney D Mckinney | Nurse Practitioner | 609 Sw 8th St Fl 6, Bentonville, AR 72712-7886 | 2016-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| Find all providers in zip 72712 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457716029 | Chasta Mandy Barbee-lumpkin | Nurse Practitioner | 609 Sw 8th St Fl 6, Bentonville, AR 72712-7886 | 2015-12-23 |
| 1144334343 | Samantha A Shepherd | Nurse Practitioner | 2618 Se J St Ste 12, Bentonville, AR 72712-3857 | 2006-08-18 |
| 1912538463 | Tracy C Poole | Nurse Practitioner | 609 Sw 8th St Fl 6, Bentonville, AR 72712-7886 | 2020-02-03 |
| 1942861794 | Daniel L. Smith | Nurse Practitioner | 609 Sw 8th St Fl 6, Bentonville, AR 72712-7886 | 2019-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451853 | Quynh Chau Bao Wang | Nurse Practitioner | 1024 Boulder Dr, Little Rock, AR 72210-4789 | 2020-06-10 |
| 1881233914 | Barbara Faye Ellis | Nurse Practitioner | 4250 Brewer Rd, Edgemont, AR 72044-9539 | 2020-01-07 |
| 1154964559 | Latoya Danielle Young | Nurse Practitioner | 1413 Sweetgum Ln, North Little Rock, AR 72117-9740 | 2019-10-18 |
| 1932754942 | Amy Cooper | Nurse Practitioner | 14309 Cantrell Rd Ste 7, Little Rock, AR 72223-4230 | 2019-08-06 |
| 1548827066 | Melonie Ann Cook | Nurse Practitioner | 1407 Jennifer St, Springdale, AR 72762-2091 | 2019-05-20 |
| 1659851400 | Lorena Aimee Padilla | Nurse Practitioner | 3003 Napa Ln, Springdale, AR 72764-7818 | 2018-08-20 |
| 1427535673 | Michelle D. Joyner | Nurse Practitioner | 398 Honey Hill Loop, Searcy, AR 72143-9170 | 2018-07-20 |
| 1679012504 | Lerizza D Nunag | Nurse Practitioner | 2540 State Highway 388, Gould, AR 71643-9634 | 2017-02-13 |
| 1407203425 | Katherine Antoinette Robertson | Nurse Practitioner | 1307 Trinity Blvd, Texarkana, AR 71854-8310 | 2016-05-19 |
| 1366810491 | Anna Jean Passmore | Nurse Practitioner | 601 Dripping Springs Rd, Judsonia, AR 72081-9797 | 2015-09-06 |
| Find all providers with the same taxonomy | ||||
| City | BENTONVILLE |
| Zip Code | 72712 |
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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.