KRISTINE BEARD (NPI# 1336584978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336584978 |
| Entity Type | Individual |
| Full Name | KRISTINE BEARD |
| Practice Address |
17706 I-30 Ste. 3 Benton AR 72019-2907 |
| Mailing Address |
17706 I-30 Ste. 3 Benton AR 72019 |
| Practice Telephone | 5013154414 |
| Practice Fax Number | 5013150075 |
| Mailing Telephone | 5013154414 |
| Mailing Fax Number | 5013150075 |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790742211 | Kristine Lauren Beard | Psychiatry & Neurology | 1500 E Medical Center Drive, Uh South F6245, Ann Arbor, MI 48109 | 2006-04-27 |
| Street Address |
17706 I-30 STE. 3 |
| City | BENTON |
| State | AR |
| Zip Code | 72019-2907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053370700 | Kathyrn Elaine Sandusky | Physical Therapist | 17706 I-30, Ste 3, Benton, AR 72015 | 2006-03-21 |
| 1568879849 | Whitney Francis | Occupational Therapy Assistant | 17706 I-30, Ste. 3, Benton, AR 72019-2907 | 2014-07-17 |
| 1831529957 | Jennifer Dickson | Occupational Therapist | 17706 I-30, Ste. 3, Benton, AR 72019-2907 | 2013-11-27 |
| 1629406822 | Tonya Sacomani | Speech-Language Pathologist | 17706 I-30, Ste. 3, Benton, AR 72019-2907 | 2013-10-24 |
| 1750714465 | Heidi Hawthorn | Student in an Organized Health Care Education/Training Program | 17706 I-30, Ste. 3, Benton, AR 72019-2907 | 2013-08-16 |
| 1811329196 | Carlisa Ford | Occupational Therapist | 17706 I-30, Ste. 3, Benton, AR 72019-2907 | 2013-08-08 |
| 1497196125 | Jackie Beck | Occupational Therapy Assistant | 17706 I-30, Ste. 3, Benton, AR 72019-2907 | 2013-07-10 |
| 1780025403 | Chelsea Roach | Occupational Therapist | 17706 I-30, Ste. 3, Benton, AR 72019-2907 | 2013-07-10 |
| 1104267822 | Brittany Ward | Occupational Therapy Assistant | 17706 I-30, Ste.3, Benton, AR 72019-2907 | 2013-07-10 |
| 1154667624 | Melanie Hill | Physical Therapist | 17706 I-30, Ste. 3, Benton, AR 72019-2907 | 2013-01-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898293 | Arkansas Heart Hospital LLC | General Acute Care Hospital | 1901 Encore Way, Bryant, AR 72019 | 2020-10-16 |
| 1306485545 | Ryan Adams | Pharmacist | 20820 I-30 North, Benton, AR 72019 | 2020-01-06 |
| 1649819962 | Josh Landrum | Pharmacist | 20820 I 30 N, Benton, AR 72019 | 2020-01-03 |
| 1710525720 | Melanie Mabry | Nurse Practitioner | 11510 State Highway 298, Benton, AR 72019 | 2019-12-20 |
| 1578086864 | Ronald Winkler | Occupational Therapy Assistant | 2907 Hurricane Lake Rd, Bryant, AR 72019 | 2017-07-19 |
| 1801243357 | Richard Andrew Dwiggins | Social Worker | 1718 Old Hot Springs Highway, Benton, AR 72019 | 2016-05-14 |
| 1184008377 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 2080 I-30 North, Benton, AR 72019 | 2015-07-17 |
| 1689910051 | Rachel Cloud | Physical Therapist | 2010 Activeway, Benton, AR 72019 | 2012-12-12 |
| 1538444583 | Stacy Ann Harris | Specialist | 403 Demuth Lane, Benton, AR 72019 | 2011-10-20 |
| 1144528423 | Robert Mark Robinson | Licensed Practical Nurse | 5 Hickory Ridge Drive, Benton, AR 72019 | 2011-03-10 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073960555 | Elena Vicerza | Student in an Organized Health Care Education/Training Program | 1502 Mary Kay Blvd, Benton, AR 72015 | 2016-05-16 |
| 1336560341 | Emily Newton | Student in an Organized Health Care Education/Training Program | 17706 I-30 Ste 3, Benton, AR 72019-2930 | 2013-12-17 |
| 1750714465 | Heidi Hawthorn | Student in an Organized Health Care Education/Training Program | 17706 I-30, Ste. 3, Benton, AR 72019-2907 | 2013-08-16 |
| 1093087256 | Jamie Renae Newton | Student in an Organized Health Care Education/Training Program | 1 Medical Park Dr, Benton, AR 72015-3353 | 2012-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686571 | Prachi Saluja | Student in an Organized Health Care Education/Training Program | 2400 Riverfront Dr Apt 424, Little Rock, AR 72202-2219 | 2020-07-16 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1407470263 | Cara Shelby | Student in an Organized Health Care Education/Training Program | 2505 Rannoch Ln, Fort Smith, AR 72908-0960 | 2020-06-07 |
| 1306460456 | Vidhu Vadini | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 634, University of Arkansas For, Little Rock, AR 77205 | 2020-06-04 |
| 1952922676 | Rachel Brehm | Student in an Organized Health Care Education/Training Program | 19048 Woodridge Rd, Garfield, AR 72732-9780 | 2020-05-04 |
| 1396366381 | Tyrel Larsen | Student in an Organized Health Care Education/Training Program | 15731 Coose Hollow Dr, Rogers, AR 72756-8966 | 2020-04-30 |
| 1194346304 | Toni Cecil | Student in an Organized Health Care Education/Training Program | 4505 Mockernut Ln, Jonesboro, AR 72405-7848 | 2020-04-28 |
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1629697982 | Avril Alison Parker | Student in an Organized Health Care Education/Training Program | 1301 S Madison St, Jonesboro, AR 72401-4047 | 2020-04-15 |
| 1467071845 | Allison Morton | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 589, Little Rock, AR 72202 | 2020-04-15 |
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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.