SLEEP MANAGEMENT CLINIC-AR, LLC (NPI# 1336674035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336674035 |
| Entity Type | Organization |
| Organization Name | SLEEP MANAGEMENT CLINIC-AR, LLC |
| Practice Address |
201 E Oak Ave Suite B Jonesboro AR 72401-4163 |
| Mailing Address |
1156 Sanbyrn Dr Cordova TN 38018-6593 |
| Practice Telephone | 9014051025 |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | MR. DEVIN DUANE DONALDSON (CEO) |
| Authorized Official Telephone | 9014051025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173F00000X | Sleep Specialist, PhD | Other Service Providers |
| Street Address |
201 E OAK AVE SUITE B |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-4163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407940 | Ammar Al-hallak | Internal Medicine | 201 E Oak Ave, Jonesboro, AR 72401 | 2005-06-16 |
| 1326655416 | Taylor S Long | Nurse Practitioner | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2020-09-23 |
| 1487269726 | Rachael Richardson | Nurse Practitioner | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2020-09-14 |
| 1568070761 | Brittany Spence | Nurse Practitioner | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2020-07-14 |
| 1619445632 | Georgia L. Wooten | Nurse Practitioner | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2018-11-07 |
| 1063987667 | Amanda Michelle Anderson | Nurse Practitioner | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2018-10-10 |
| 1053819417 | Kristen Paige Neldon | Nurse Practitioner | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2018-01-31 |
| 1750899266 | Kelly Michele Mccain | Nurse Practitioner | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2018-01-18 |
| 1316466154 | Rachel Cohen | Clinical Nurse Specialist | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2017-09-13 |
| 1174048201 | Shayna Nunn | Nurse Practitioner | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2017-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 173F00000X |
| Grouping | Other Service Providers |
| Classification | Sleep Specialist, PhD |
| Sleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. The knowledge base of sleep medicine is derived from many disciplines including neuroanatomy, neurophysiology, respiratory physiology, pharmacology, psychology, psychiatry, neurology, general internal medicine, pulmonary medicine, and pediatrics as well as others. |
| Notes: Source: National Uniform Claim Committee (based on American Board of Sleep Medicine), 2007 [1/1/2008: new] Additional resources: www.absm.org |
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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.