MACY ANNETTE MASSEY (NPI# 1275932634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275932634 |
| Entity Type | Individual |
| Full Name | MACY ANNETTE MASSEY |
| Other Name | MACY ANNETTE BLAIR |
| Credential | CPNP-PC |
| Practice Address |
2263 Highway 65 North Marshall AR 72650 |
| Mailing Address |
Po Box 1030 Marshall AR 72650-1030 |
| Practice Telephone | 8704485733 |
| Practice Fax Number | 8704485728 |
| Mailing Telephone | 8704485733 |
| Mailing Fax Number | 8704485728 |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
A004179 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2263 HIGHWAY 65 NORTH |
| City | MARSHALL |
| State | AR |
| Zip Code | 72650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750386553 | Larry Bryan Jennings | Family Medicine | 2263 Highway 65 North, Marshall, AR 72650-1060 | 2005-06-17 |
| 1346784162 | Boston Mountain Rural Health Center, Inc | Registered Nurse | 2263 Highway 65 North, Marshall, AR 72650-1060 | 2016-12-13 |
| 1538530316 | Neil Langer I | Nurse Practitioner | 2263 Highway 65 North, Marshall, AR 72650-1060 | 2015-10-19 |
| 1790058709 | Amber N Tilley | Nurse Practitioner | 2263 Highway 65 North, Marshall, AR 72650 | 2012-02-22 |
| 1720096027 | Boston Mountain Rural Health Center Inc | Clinic/Center | 2263 Highway 65 North, Marshall, AR 72650-1060 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124254255 | Keshia Grinder | Counselor | 316 Hwy 65 N, Marshall, AR 72650 | 2009-06-03 |
| 1629214150 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 200 E Main Street, Marshall, AR 72650 | 2009-01-06 |
| 1649466178 | Andrea Lea Mccallister | Occupational Therapist | 201 West College St, Searay County School District, Marshall, AR 72650 | 2007-09-18 |
| 1841405040 | Highland Court, LLC | Skilled Nursing Facility | 100 South Cedar St, Marshall, AR 72650 | 2007-05-11 |
| 1770701690 | Carylene Gentry | Optometrist | 303 E. Main St., Marshall, AR 72650 | 2007-04-23 |
| 1790815827 | Jeri A White | Registered Nurse | 316 Hwy 65 North, Marshall, AR 72650 | 2007-03-07 |
| 1992848493 | Marshall Medic Pharmacy, Inc. | Pharmacy | 243 Hwy 65 North, Marshall, AR 72650 | 2007-02-14 |
| 1912057118 | Marshall Family Eyecare | Optometrist | 303 E. Main, Marshall, AR 72650 | 2007-01-11 |
| 1609947068 | Michael Baker Pharmacy, Inc. | Pharmacy | 101 W. Main St., Marshall, AR 72650 | 2006-11-10 |
| 1679658637 | White River Health System | Skilled Nursing Facility | 100 South Cedar, Marshall, AR 72650 | 2006-10-26 |
| Find all providers in zip 72650 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558764886 | Robin Hogue | Nurse Practitioner | 618 S Grove St Ste 100&300, Marshall, TX 75670-5294 | 2014-10-01 |
| 1609323484 | Amanda Kate Enestvedt | Nurse Practitioner | 1521 Carlson St, Marshall, MN 56258 | 2016-09-08 |
| 1659624328 | Joan Turner Billeaud | Nurse Practitioner | 304 University Ave, Suite 105, Marshall, TX 75670-5210 | 2012-10-18 |
| 1326322975 | Courtney June Blomme | Nurse Practitioner | 300 S Bruce St, Marshall, MN 56258-1934 | 2011-09-30 |
| 1669761235 | Marie Clare Heimerdinger | Nurse Practitioner | 304 University Ave, Suite 105, Marshall, TX 75670-5210 | 2011-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324216 | Taira Nicole Bernard | Nurse Practitioner | 6424 The Divide Pkwy Apt 106, Little Rock, AR 72223-5861 | 2020-04-07 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1386152163 | Sara Jane Brown | Nurse Practitioner | 4000 Linwood Dr Ste H, Paragould, AR 72450-7224 | 2018-01-16 |
| 1194178376 | Amy Hodges | Nurse Practitioner | 172 Highway 62 W, Salem, AR 72576-8059 | 2016-07-22 |
| 1265824841 | Ashley Gayle Vaughan | Nurse Practitioner | 7303 Rogers, Ave 201, Pediatric Partners, Fort Smith, AR 72903-4112 | 2015-02-19 |
| 1215333075 | Lisa Lavon Fields | Nurse Practitioner | 5434 W Walsh Ln, Rogers, AR 72758-8946 | 2014-11-06 |
| 1689923831 | Joanna Lowery | Nurse Practitioner | 3 Childrens Way, Little Rock, AR 72202-3500 | 2012-09-04 |
| 1881941417 | Denice Marie Bozeman | Nurse Practitioner | 1 Childrens Way # 707, Little Rock, AR 72202-3500 | 2012-08-14 |
| 1699038711 | Jennifer Ellen Murphree | Nurse Practitioner | 1 Children's Way, St # 653, Little Rock, AR 72202 | 2012-06-22 |
| 1255579124 | Kimberly Ann Grundy | Nurse Practitioner | 800 Marshall St # 512-3, Little Rock, AR 72202-3510 | 2009-01-29 |
| Find all providers with the same taxonomy | ||||
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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.