KATLEEN NICHELLE GAUSE (NPI# 1437776705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437776705 |
| Entity Type | Individual |
| Full Name | KATLEEN NICHELLE GAUSE |
| Practice Address |
1268 Electric Ave Springdale AR 72764-7498 |
| Mailing Address |
1900 Stillwater Dr Jonesboro AR 72404-9119 |
| Practice Telephone | 8709323600 |
| Mailing Telephone | 8709323600 |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Street Address |
1268 ELECTRIC AVE |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72764-7498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417512369 | Kids Unlimited Learning Academy of Springdale | Clinic/Center | 1268 Electric Ave, Springdale, AR 72764-7498 | 2019-05-07 |
| 1982205043 | Latasha Rena Van Heflin | Driver | 1268 Electric Ave, Springdale, AR 72764-7498 | 2020-11-05 |
| 1750999348 | Mildred Verdin | Day Training/Habilitation Specialist | 1268 Electric Ave, Springdale, AR 72764-7498 | 2020-07-20 |
| 1386269009 | Madison Anne Myers | Day Training/Habilitation Specialist | 1268 Electric Ave, Springdale, AR 72764-7498 | 2020-06-09 |
| 1366065906 | Lindsay Christine Rankin | Day Training/Habilitation Specialist | 1268 Electric Ave, Springdale, AR 72764-7498 | 2020-05-18 |
| 1396379699 | Steven D Eckard | Driver | 1268 Electric Ave, Springdale, AR 72764-7498 | 2020-02-25 |
| 1861057713 | Kids Unlimited Learning Academy of Springdale | Occupational Therapist | 1268 Electric Ave, Springdale, AR 72764-7498 | 2019-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
| 1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
| 1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
| 1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
| 1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
| 1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| 1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
| Find all providers in zip 72764 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255866604 | Race Cunningham | Day Training/Habilitation Specialist | 2871 American St, Springdale, AR 72764-6938 | 2017-04-24 |
| 1750999348 | Mildred Verdin | Day Training/Habilitation Specialist | 1268 Electric Ave, Springdale, AR 72764-7498 | 2020-07-20 |
| 1386269009 | Madison Anne Myers | Day Training/Habilitation Specialist | 1268 Electric Ave, Springdale, AR 72764-7498 | 2020-06-09 |
| 1366065906 | Lindsay Christine Rankin | Day Training/Habilitation Specialist | 1268 Electric Ave, Springdale, AR 72764-7498 | 2020-05-18 |
| 1043747611 | Tedda Bruder | Day Training/Habilitation Specialist | 3917 S Old Missouri Rd, Springdale, AR 72764-7321 | 2017-05-15 |
| 1215464946 | Jessica Walker | Day Training/Habilitation Specialist | 3917 S Old Missouri Rd, Springdale, AR 72764-7321 | 2017-05-12 |
| 1851828586 | Jennifer Smith | Day Training/Habilitation Specialist | 3917 S Old Missouri Rd, Springdale, AR 72764-7321 | 2017-05-12 |
| 1306373030 | Krista Bruder | Day Training/Habilitation Specialist | 3917 S Old Missouri Rd, Springdale, AR 72764-7321 | 2017-05-12 |
| 1639606312 | Shana Sayle | Day Training/Habilitation Specialist | 3917 S Old Missouri Rd, Springdale, AR 72764-7321 | 2017-05-12 |
| 1649707407 | Heather Tyler | Day Training/Habilitation Specialist | 3917 S Old Missouri Rd, Springdale, AR 72764-7321 | 2017-05-11 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72764 |
Please comment or provide details below to improve the information on KATLEEN NICHELLE GAUSE.
| 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.