MALLORY RENAE BERRY (NPI# 1336493998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336493998 |
Entity Type | Individual |
Full Name | MALLORY RENAE BERRY |
Practice Address |
3400 N Woods Ln Rogers AR 72756-6712 |
Practice Telephone | 4796363190 |
Mailing Telephone | 4796363190 |
Enumeration Date | 2012-11-05 |
Last Update Date | 2012-11-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
DDS#609 | AR | Speech, Language and Hearing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356814271 | Mallory Lynn Berry | Family Medicine | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2019-01-03 |
Street Address |
3400 N WOODS LN |
City | ROGERS |
State | AR |
Zip Code | 72756-6712 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356655203 | Erin Frazier | Speech-Language Pathologist | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2010-08-03 |
1619593241 | Shannon Marie Kelly | Registered Nurse | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2020-06-19 |
1700402344 | Brandi Marie Gunn | Licensed Practical Nurse | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2020-06-19 |
1225663214 | Joyce Kathleen Deshields | Licensed Practical Nurse | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2020-03-10 |
1891333183 | Susan Joann Spear | Registered Nurse | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2019-12-17 |
1821547837 | Yvonne Sears | Occupational Therapist | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2016-10-03 |
1356721773 | Hannah Melton | Occupational Therapist | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2015-06-01 |
1447654017 | Jennifer Marie Newell | Physical Therapy Assistant | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2014-10-10 |
1548663719 | Andrea Rogers Vanhecke | Early Intervention Provider Agency | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2014-10-02 |
1861777518 | Elizabeth Brown | Occupational Therapist | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2011-10-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
1669009049 | Keller Davis Sims | Physical Therapist | 2403 W Hudson Rd Ste, Ste 1, Rogers, AR 72756 | 2020-03-25 |
1437692720 | Ginah Brianne Porter | Counselor | 1108 Poplar Pl, Rogers, AR 72756 | 2016-11-18 |
1629404868 | Natalie Elizabeth Myers | Occupational Therapy Assistant | 1000 West Poplar St, Rogers, AR 72756 | 2013-09-19 |
1295081529 | Aaron Lee Matthews Sr. | Counselor | 411 W Poplar St., Rogers, AR 72756 | 2012-07-24 |
1538420286 | Allison R Corter | Speech-Language Pathologist | 1000 W. Poplar St, Rogers, AR 72756 | 2012-05-30 |
1871859496 | Fisher Denture & Dental Care | Dentist | 4404 W. Walnut, Suite 2, Rogers, AR 72756 | 2012-04-09 |
1407130487 | Timeni Strauss | Occupational Therapy Assistant | 1000 W. Poplar Street, Rogers, AR 72756 | 2011-10-07 |
1316192768 | William Barton Tate | Obstetrics & Gynecology | 1233 Poplar Pl, Rogers, AR 72756 | 2008-11-27 |
1093905069 | Sunshine School & Development Center | Day Training, Developmentally Disabled Services | 3400 Woods Lanee, Rogers, AR 72756 | 2007-07-26 |
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Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053692855 | Kerrie Heiligenthal | Specialist/Technologist | 3904 W Olive St, Rogers, AR 72756-1803 | 2011-09-07 |
1487914990 | Tiffany Darity | Specialist/Technologist | 3307 N Dixieland Rd, Rogers, AR 72756-6816 | 2012-05-18 |
1144503681 | Linda Holtgrewe | Specialist/Technologist | 212 S 3rd St, Rogers, AR 72756-4547 | 2011-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316557143 | Christie Abella | Specialist/Technologist | 2006 Goodfellow Road, Star City, AR 71667 | 2020-08-06 |
1205475639 | Kayla Marie Riddle | Specialist/Technologist | 2700 N Prickett Rd Ste 2b, Bryant, AR 72022-7511 | 2020-01-02 |
1417590993 | Skylar Baker | Specialist/Technologist | 212 Scoby Dr, Warren, AR 71671-2050 | 2019-10-28 |
1669025045 | Alexis Davis | Specialist/Technologist | 185 Cornerstone Blvd, Hot Springs, AR 71913-6500 | 2019-07-24 |
1730646753 | Abigail Kathryn Arterbury | Specialist/Technologist | 3010 Highway 22 E Ste A, Branch, AR 72928-9648 | 2019-02-26 |
1568939700 | Rachel Ann Clayton | Specialist/Technologist | 735 Robin St, Camden, AR 71701-6834 | 2018-10-25 |
1285112888 | Briana Lanay Hatcher | Specialist/Technologist | 801 Deadrick Rd., Forrest City, AR 72335 | 2018-08-06 |
1336636000 | Ashley Napurano | Specialist/Technologist | 9505 Chad Colley Blvd Apt 3407, Fort Smith, AR 72916-5821 | 2018-04-18 |
1285146142 | Shelby Michelle Petersen | Specialist/Technologist | 10310 W Markham St Ste 205, Little Rock, AR 72205-1579 | 2017-11-01 |
1578087763 | Shane Worthington | Specialist/Technologist | 712 Calvin Avery Dr Ste C, West Memphis, AR 72301-6515 | 2017-07-28 |
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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.