POONAM PATEL (NPI# 1356957344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356957344 |
| Entity Type | Individual |
| Full Name | POONAM PATEL |
| Credential | APRN |
| Practice Address |
2223 Grant St Malvern AR 72104-4700 |
| Mailing Address |
500 Napa Valley Dr Apt 523 Little Rock AR 72211-5059 |
| Practice Telephone | 5013379031 |
| Mailing Telephone | 5019099766 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 125902 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496864 | Poonam A Patel | Counselor | 2916 Clairmont Rd Ne Apt 2413, Brookhaven, GA 30329-4476 | 2020-10-29 |
| 1417451725 | Poonam D Patel | Counselor | 14 Farber Rd Ste 112, Princeton, NJ 08540-5913 | 2018-03-21 |
| 1831488196 | Poonam Patel | Emergency Medicine | 1830 E Monument St Ste 6-100, Baltimore, MD 21287-0020 | 2011-04-06 |
| 1306466727 | Poonam Patel | Student in an Organized Health Care Education/Training Program | 1125 N Church St, Greensboro, NC 27401-1007 | 2020-04-27 |
| 1770005902 | Poonam Patel | Internal Medicine | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2017-07-10 |
| 1174053540 | Poonam Patel | Pharmacist | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2017-06-18 |
| 1841734985 | Poonam Patel | Nurse Practitioner | 3801 Miranda Ave, Palo Alto, CA 94304 | 2016-12-08 |
| 1720430622 | Poonam Patel | Physician Assistant | 1600 E High St, Pottstown, PA 19464-5008 | 2016-07-05 |
| 1548545452 | Poonam Patel | Pharmacist | 4395 Kimball Bridge Rd, Alpharetta, GA 30022-4409 | 2011-10-12 |
| 1295022127 | Poonam Patel | Optometrist | 850 E Golf Rd, Schaumburg, IL 60173-4502 | 2011-06-29 |
| Street Address |
2223 GRANT ST |
| City | MALVERN |
| State | AR |
| Zip Code | 72104-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952497240 | Bruce Kent Burton | Internal Medicine | 2223 Grant St, Malvern, AR 72104 | 2006-10-05 |
| 1609040849 | Dylan Paul Thaxton | Family Medicine | 2223 Grant St, Malvern, AR 72104-4700 | 2008-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
| 1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
| 1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
| 1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
| 1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
| 1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
| Find all providers in zip 72104 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448818 | Emily A Lockwood | Nurse Practitioner | 266 Lancaster Ave Ste 303, Malvern, PA 19355-3256 | 2020-08-17 |
| 1134597362 | Cynthia A Ristine | Nurse Practitioner | 103 Longwood Ct, Malvern, PA 19355-8509 | 2015-09-03 |
| 1558481481 | Maria Lane | Nurse Practitioner | 100 Walco Ln, Malvern, AR 72104-6793 | 2007-04-02 |
| 1629150669 | Sandra Elaine Leaders | Nurse Practitioner | 415 Main St Ste 1, Malvern, IA 51551-8137 | 2006-10-19 |
| 1093227423 | Rachel Scrimshire | Nurse Practitioner | 1517 S Main St, Malvern, AR 72104 | 2017-10-25 |
| 1013460849 | Presidential Emergency Physicians, LLC | Nurse Practitioner | 1002 Schneider Dr, Malvern, AR 72104-4816 | 2016-07-28 |
| 1962822726 | Nancy Gordon | Nurse Practitioner | 2476 Swedesford Rd Ste 150, Malvern, PA 19355-1456 | 2014-04-21 |
| 1619089133 | Joann M Murray-schluckebier | Nurse Practitioner | 2476 Swedesford Rd Ste 150, Malvern, PA 19355-1456 | 2006-08-31 |
| 1225001464 | Krista Lynn Wilson | Nurse Practitioner | 415 Main St, Malvern, IA 51551-8152 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574555 | Brian Scott Burks | Nurse Practitioner | 4109 Hartford Hills Dr, Benton, AR 72019-2540 | 2020-10-05 |
| 1619574662 | Lindsey Paige Long | Nurse Practitioner | 3123 N Magnolia St, North Little Rock, AR 72116-9153 | 2020-10-02 |
| 1275151524 | Patricia Waller | Nurse Practitioner | 905 Long Branch Rd, Heber Springs, AR 72543-8305 | 2020-07-13 |
| 1659997351 | Amanda Cheatham | Nurse Practitioner | 16832 Prince Rd, Canehill, AR 72717-9415 | 2020-06-18 |
| 1073137212 | Lakeisha Shatara Falls | Nurse Practitioner | 11602 Shady Ridge Dr, Little Rock, AR 72211-4595 | 2020-06-03 |
| 1518581115 | Ragan Arrison | Nurse Practitioner | 365 Mapleleaf Cir, Hot Springs, AR 71901-3371 | 2020-05-31 |
| 1639799240 | Jessica Lee Crump | Nurse Practitioner | 1996 Highway 31 N, Beebe, AR 72012-9784 | 2020-04-23 |
| 1477183176 | Jennifer Leann Jay | Nurse Practitioner | 1501 S Waldron Rd Ste 200, Fort Smith, AR 72903-2565 | 2020-01-22 |
| 1164069969 | Morgan Wilkerson | Nurse Practitioner | 41 Weaver Cir, Vilonia, AR 72173-9014 | 2019-11-30 |
| 1881256220 | Felica Shunta Johnson | Nurse Practitioner | 311 Carson St, Bono, AR 72416-9605 | 2019-07-06 |
| 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.