JERRICA SUE GRAY (NPI# 1336775139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336775139 |
| Entity Type | Individual |
| Full Name | JERRICA SUE GRAY |
| Practice Address |
204 S Peake St Arkadelphia AR 71923-5534 |
| Practice Telephone | 5013535000 |
| Mailing Telephone | 5013535000 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | DRIVER LISCENSE | 934922977 | 01 |
| Street Address |
204 S PEAKE ST |
| City | ARKADELPHIA |
| State | AR |
| Zip Code | 71923-5534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811525330 | Nightingale Comfort Care LLC | Home Health | 204 S Peake St, Arkadelphia, AR 71923-5534 | 2020-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053512 | Lacey Griffin | Pharmacist | 109 Wp Malone Drive, Arkadelphia, AR 71923 | 2020-11-05 |
| 1528478955 | Baptist Health | Clinic/Center | 10 Montgomery Drive, Caddo Valley, AR 71923 | 2014-05-07 |
| 1770923724 | Amber Dawn Jones | Nurse Practitioner | 10 Montgomery Dr, Caddo Valley, AR 71923 | 2013-07-04 |
| 1699050872 | Timothy R Phelan | Pharmacist | 131 N 26 St, Walgreens, Arkadelphia, AR 71923 | 2011-10-19 |
| 1083924229 | Misty Cox | Health Educator | 2410 Pine Street, Arkadelphia, AR 71923 | 2010-10-20 |
| 1942433677 | James W. Hankins, D.d.s., P.a. | Dentist | 2840 Twin Rivers Dr., Arkadelphia, AR 71923 | 2009-08-28 |
| 1003027061 | William Coke Viser | Counselor | 94 Pinnacle Drive, Arkadelphia, AR 71923 | 2007-05-24 |
| 1184843773 | Renski Davis-buckley | Case Manager/Care Coordinator | 524 N. Clark, Arkadelphia, AR 71923 | 2007-04-24 |
| 1407988355 | State of Arkansas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Prator Drive, Arkadelphia, AR 71923 | 2007-03-09 |
| 1003945734 | Danita Stubbs | Case Manager/Care Coordinator | 2607 Caddo Street, Arkadelphia, AR 71923 | 2007-03-06 |
| Find all providers in zip 71923 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719067 | Nicole Lynn Gordon | Home Health Aide | 1013 W Semmes Ave, Osceola, AR 72370-2347 | 2020-10-28 |
| 1902413115 | Karen Johnson | Home Health Aide | 714 Greendale Dr, North Little Rock, AR 72117-4515 | 2020-09-30 |
| 1487263737 | Tamara Nicole Alexander | Home Health Aide | 223 W 8th St, North Little Rock, AR 72114-4603 | 2020-07-23 |
| 1336793199 | Dana K. Burden | Home Health Aide | 891 Connerly Rd, Lake Village, AR 71653-6163 | 2019-07-30 |
| 1417517145 | Tenisha Buford | Home Health Aide | 600 Dorothy Dr, North Little Rock, AR 72117-3544 | 2019-06-14 |
| 1962962761 | Extended Life Personal Care Staffing Agency,llc | Home Health Aide | 310 Mid Continent Plz Ste 460, West Memphis, AR 72301-1700 | 2019-03-20 |
| 1295223592 | Vanessa Bato Laranjo | Home Health Aide | 2120 S Waldron Rd Ste 3b, Fort Smith, AR 72903-3655 | 2018-04-23 |
| 1205331147 | Jason Q Brown | Home Health Aide | 111 E Gaines St, Monticello, AR 71655-4901 | 2018-03-23 |
| 1609261312 | Kiffany Williams | Home Health Aide | 1015 Princeton St, Apt.15, Forrest City, AR 72335-2658 | 2015-03-31 |
| 1831587070 | Penelope Stewart | Home Health Aide | 413 S Spring St, A, Jacksonville, AR 72076-4530 | 2014-12-22 |
| Find all providers with the same taxonomy | ||||
| City | ARKADELPHIA |
| Zip Code | 71923 |
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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.