KATHLEEN JOY PRINNER


Address: 628 Hospital Dr, Suite 3e, Mountain Home, AR 72653-2953
Phone: 8705083200

KATHLEEN JOY PRINNER (NPI# 1386071785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386071785
Entity Type Individual
Full Name KATHLEEN JOY PRINNER
Credential ACNS-BC
Practice Address 628 Hospital Dr
Suite 3e
Mountain Home
AR 72653-2953
Practice Telephone 8705083200
Practice Fax Number 8705081359
Mailing Telephone 8705083200
Mailing Fax Number 8705081359
Enumeration Date 2013-09-30
Last Update Date 2013-09-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SA2200X Clinical Nurse Specialist
Specialization: Adult Health
S002282 AR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 628 HOSPITAL DR
SUITE 3E
City MOUNTAIN HOME
State AR
Zip Code 72653-2953

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801894555 Stephen C. Lattanzi Internal Medicine 628 Hospital Dr, Ground Floor, Suite A, Mountain Home, AR 72653-2953 2005-07-07
1265899363 Baxter County Regional Hospital, Inc Internal Medicine 628 Hospital Dr, Suit 1 A, Mountain Home, AR 72653-2953 2016-01-20
1720477086 Marcella Bobette Bramblett Nurse Practitioner 628 Hospital Dr, Ste E, Mountain Home, AR 72653-2953 2015-01-09
1598030579 Baxter County Regional Hospital Inc Clinic/Center 628 Hospital Dr, Suite E, Mountain Home, AR 72653-2953 2012-03-09
1639407323 M B Moore Md Orthopaedic Surgeon Pa Orthopaedic Surgery 628 Hospital Dr, Suite E, Mountain Home, AR 72653-2953 2009-11-18
1841422003 Aaron J Wallace, Md,pllc Orthopaedic Surgery 628 Hospital Dr, Suite E, Mountain Home, AR 72653-2953 2009-08-20
1912156068 Diana Sue Riley Physician Assistant 628 Hospital Dr, Suite G-c, Mountain Home, AR 72653-2953 2008-09-13
1013179498 Mcbride Orthopaedics, Pllc Orthopaedic Surgery 628 Hospital Dr, Ground Floor, Suite D, Mountain Home, AR 72653-2953 2008-06-27
1447420997 Baxter County Regional Hospital Inc Internal Medicine 628 Hospital Dr, Suite 3a, Mountain Home, AR 72653-2953 2008-03-11
1003086646 Baxter County Regional Hospital Inc. Urology 628 Hospital Dr, Suite 3a, Mountain Home, AR 72653-2953 2008-03-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619513934 Maranda Hickman Physical Therapy Assistant 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 2019-11-21
1659929156 Gale E Bacan Technician 1703 Monroe Ave, Mountain Home, AR 72653 2019-08-28
1891259321 Kidspiration Pediatric Therapy Services Clinic/Center 710 Bradley Dr., Mountain Home, AR 72653 2019-01-29
1093279275 Piper's Vision Xpress, LLC Optometrist 50 Paul Wood Lane, Mountian Home, AR 72653 2019-01-22
1346769155 Heather Bollinger Nurse Practitioner 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 2017-09-12
1447774989 Natalie D Ahrent Physical Medicine & Rehabilitation 804 Coley Dr, Mountain Home, AR 72653 2017-07-26
1417486028 Andrew David Hatman Case Manager/Care Coordinator 1349 Hampshire Circle, Mountain Home, AR 72653 2017-06-07
1568848315 Taylor Chiropractic Plc Health Maintenance Organization 103 S Main St Ste 5, Mountain Home, AR 72653 2015-08-04
1942606306 Harps Food Stores, Inc Pharmacy 2089 Highway 62 West, Mountain Home, AR 72653 2014-11-13
1972920726 Lavonne Armstrong Counselor 8 Medical Plaza, Mountain Home, AR 72653 2014-03-18
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Taxonomy Information

Taxonomy Code 364SA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255677027 Brandi Nicole Sharp Clinical Nurse Specialist 421 W Wade Ave, Mountain Home, AR 72653-4622 2012-12-21
1164979605 Jamie Parrott Clinical Nurse Specialist 624 Hospital Dr, Mountain Home, AR 72653-2955 2016-09-01
1679908545 Jessica Wynne Woodard Clinical Nurse Specialist 624 Hospital Dr, Mountain Home, AR 72653-2955 2013-09-10
1326320276 Tracy A Bollinger-fisher Clinical Nurse Specialist 230 Highway 5 N Ste 20, Mountain Home, AR 72653-3031 2011-09-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871126698 Sarah Lowtharp Clinical Nurse Specialist 225 East Washington Ave., Jonesboro, AR 72401 2020-02-20
1275182677 Central Arkansas Screening and Medical Services Clinical Nurse Specialist 801 W. Locust St, Cabot, AR 72023 2019-09-09
1487138608 Shonta Ellison Clinical Nurse Specialist 130 Lake Valley Dr, Maumelle, AR 72113-5939 2018-09-24
1740731660 Holly Bunn Clinical Nurse Specialist 41 Harding Dr, Searcy, AR 72143-5704 2016-10-14
1457808362 Candice Caldwell Clinical Nurse Specialist 1809 Ozarka College Dr, Mountain View, AR 72560-6455 2016-09-08
1548672413 Angela Pugsley Clinical Nurse Specialist 900 Enterprise Dr, Jonesboro, AR 72401-9239 2014-05-27
1104164706 Betty D Corley Clinical Nurse Specialist 4 Redhead Dr, Conway, AR 72032-9756 2013-01-17
1760744080 Elizabeth H Jarvis Clinical Nurse Specialist 500 S University Ave Ste 500, Little Rock, AR 72205-5307 2012-06-12
1134489842 Barbara Frances Gray Clinical Nurse Specialist 2020 Hytrol St, Jonesboro, AR 72401-6712 2012-05-29
1881913408 Nelson Andrew Seal Clinical Nurse Specialist 4 Charithcher Ln, Bella Vista, AR 72714-3247 2010-05-21
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Competitor

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City MOUNTAIN HOME
Zip Code 72653

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Dataset Information

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.

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