SUZANNE BUSHONG (NPI# 1417929316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417929316 |
Entity Type | Individual |
Full Name | SUZANNE BUSHONG |
Credential | APN |
Practice Address |
630 W Court St Paragould AR 72450-4247 |
Practice Telephone | 8702366911 |
Practice Fax Number | 8702368129 |
Mailing Telephone | 8702366911 |
Mailing Fax Number | 8702368129 |
Enumeration Date | 2006-02-03 |
Last Update Date | 2016-05-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A01023 | AR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 139748758 | 05 |
Street Address |
630 W COURT ST |
City | PARAGOULD |
State | AR |
Zip Code | 72450-4247 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124098587 | Samuel Scott Burchfield | Family Medicine | 630 W Court St, Paragould, AR 72450-4247 | 2006-01-26 |
1467908970 | Kimberly Roddy | Nurse Practitioner | 630 W Court St, Paragould, AR 72450-4247 | 2016-08-25 |
1285726869 | Jamie L Jordan | Nurse Practitioner | 630 W Court St, Paragould, AR 72450-4247 | 2006-09-29 |
1851331334 | Burchfield Family Medicine Pllc | Family Medicine | 630 W Court St, Paragould, AR 72450-4247 | 2006-06-07 |
1700845971 | Jimmy Darrell Bonner | Emergency Medicine | 630 W Court St, Paragould, AR 72450-4247 | 2006-03-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063029460 | Onward and Upward Counseling, Pllc | Counselor | 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 | 2020-09-29 |
1871104182 | Michele Lynn Jones | Technician | 2905 Stonegate Dr, Paragould, AR 72450 | 2020-08-11 |
1205457405 | Arkansas Methodist Hospital Corp. | Family Medicine | 1000 W. Kinshighway, Suite 14, Paragould, AR 72450 | 2020-04-29 |
1053968222 | Stewart Pediatric Therapy LLC | Occupational Therapist | 1908 Mockingbird Lane, Suite A, Paragould, AR 72450 | 2019-08-22 |
1821575911 | Ashley Brooke Mcleskey | Physical Therapy Assistant | 9504 Hwy 135 N, Paragould, AR 72450 | 2018-07-23 |
1437660925 | Susan Leigh Boling | Behavioral Analyst | 3171 Green 905 Road, Paragould, AR 72450 | 2017-10-24 |
1518481589 | Amy Elms | Nurse Practitioner | 1000 W Kingshighway Ste 3, Paragould, AR 72450 | 2017-08-01 |
1073065074 | Sarah Katherine Medley | Case Manager/Care Coordinator | 1101 West Morgan, Paragould, AR 72450 | 2016-10-26 |
1285097949 | Chelsea Lee Thompson | Family Medicine | 1110 W. Kingshighway, Paragould, AR 72450 | 2016-03-31 |
1609234269 | Bethel Burris Oliver | Dentist | 2713 W Kings Highway, Paragould, AR 72450 | 2016-02-10 |
Find all providers in zip 72450 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063010874 | Phillip Wayne Stokes Jr. | Nurse Practitioner | 31 Ashcraft Ct, Paragould, AR 72450-7592 | 2020-10-14 |
1285295865 | Allyssa Beall | Nurse Practitioner | 1110 W Kingshighway, Paragould, AR 72450-4164 | 2019-06-25 |
1629557582 | Courtney Jean Stewart | Nurse Practitioner | 2711 W Kingshighway Ste 6, Paragould, AR 72450-2645 | 2018-08-11 |
1780160085 | Mauri Rogers | Nurse Practitioner | 4000 Linwood Dr Ste A, Paragould, AR 72450-7224 | 2018-07-19 |
1518481589 | Amy Elms | Nurse Practitioner | 1000 W Kingshighway Ste 3, Paragould, AR 72450 | 2017-08-01 |
1174052690 | Matthew Robert Combs | Nurse Practitioner | 4000 Linwood Dr Ste I, Paragould, AR 72450-7224 | 2017-06-08 |
1063949345 | Lauren Elizabeth Cude | Nurse Practitioner | 165 Greene 7242 Rd, Paragould, AR 72450-7231 | 2017-05-17 |
1861825911 | Amber Winford | Nurse Practitioner | 3501 Carriage Hill Dr Ste B, Paragould, AR 72450 | 2013-08-13 |
1073823530 | Amy M Wynn | Nurse Practitioner | 2420 Linwood Drive Suite 3, Paragould, AR 72450 | 2010-10-18 |
1376879866 | Sarah Barbara Hitt | Nurse Practitioner | 1907 Linwood Dr, Suite 3, Paragould, AR 72450-6111 | 2009-10-19 |
Find all providers in PARAGOULD |
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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.