SANDRA LYNN WOOD (NPI# 1467580647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467580647 |
| Entity Type | Individual |
| Full Name | SANDRA LYNN WOOD |
| Credential | RN NURSE PRACTITIONE |
| Practice Address |
110 Skyline Drive Russellville AR 72801 |
| Practice Telephone | 4799675570 |
| Practice Fax Number | 4798905364 |
| Mailing Telephone | 4799675570 |
| Mailing Fax Number | 4798905364 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
P00397 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R22102 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295023364 | Sandra L. Wood | Behavioral Analyst | 22170 Hernando Ave, Port Charlotte, FL 33952-5523 | 2011-07-11 |
| 1942453881 | Sandra Rene Wood | Counselor | 110 Winchester Dr, Dripping Springs, TX 78620-2701 | 2008-10-23 |
| 1477688778 | Sandra Gae Wood | Social Worker | 211 Sw 7th St, Dundee, OR 97115-9536 | 2007-02-23 |
| 1538611744 | Sandra Wood | Social Worker | 117 E 3rd St, Uhrichsville, OH 44683-1818 | 2016-11-04 |
| 1275996811 | Sandra Wood | Nurse Practitioner | 11200 Lincoln Hwy, Mokena, IL 60448-8208 | 2016-03-31 |
| 1174778195 | Sandra Lynn Wood | Registered Nurse | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2008-11-18 |
| 1215183017 | Sandra Lynn Wood | Occupational Therapy Assistant | 4560 Se International Way, Suite 100, Consonus Healthcare Services, Milwaukie, OR 97222 | 2008-08-12 |
| 1093906679 | Sandra Wood | Social Worker | 3830 S Cushman St, Fairbanks, AK 99701-7530 | 2007-08-07 |
| 1154512960 | Sandra Evelyn Wood | Physical Therapist | 45-691 Keaahala Rd, Room 3, Kaneohe, HI 96744-3569 | 2007-08-06 |
| 1770507477 | Sandra Gail Wood | Advanced Practice Midwife | 353 Blair Park Rd, Williston, VT 05495-7530 | 2006-07-26 |
| Street Address |
110 SKYLINE DRIVE |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649381120 | Counseling Associates Inc | Clinic/Center | 110 Skyline Drive, Russellville, AR 72801 | 2006-08-31 |
| 1215210992 | Brandon James Wolfe | Case Manager/Care Coordinator | 110 Skyline Drive, Russellville, AR 72801 | 2011-09-20 |
| 1386773323 | Rebecca Iwanski | Case Manager/Care Coordinator | 110 Skyline Drive, Russellville, AR 72801 | 2007-03-05 |
| 1356477707 | Charise Pruitt | Case Manager/Care Coordinator | 110 Skyline Drive, Russellville, AR 72801 | 2007-02-27 |
| 1972639326 | Beth Stevens | Counselor | 110 Skyline Drive, Russellville, AR 72801 | 2007-02-27 |
| 1053447409 | Melissa Slone | Case Manager/Care Coordinator | 110 Skyline Drive, Russellville, AR 72801 | 2007-02-27 |
| 1043346497 | Amy Douskurt | Case Manager/Care Coordinator | 110 Skyline Drive, Russellville, AR 72801 | 2007-02-27 |
| 1699802967 | Carrie Strack | Case Manager/Care Coordinator | 110 Skyline Drive, Russellville, AR 72801 | 2007-02-27 |
| 1841364072 | Richard H Sundermann Jr. | Psychiatry & Neurology | 110 Skyline Drive, Russellville, AR 72801 | 2006-11-20 |
| 1629168067 | Linda Elaine Phillips | Counselor | 110 Skyline Drive, Russellville, AR 72801 | 2006-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205359510 | Cody Layne Horn | Nurse Practitioner | 110 Skyline Dr, Russellville, AR 72801-3362 | 2017-07-18 |
| 1598011074 | Vickie L Mason | Nurse Practitioner | 110 Skyline Dr, Russellville, AR 72801-3362 | 2012-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647918 | Coco Psychiatric Services Pllc | Nurse Practitioner | 115 Bella Rosa Pl, Little Rock, AR 72223-4771 | 2020-10-23 |
| 1538767462 | Safe Harbor Behavioral Health Pllc | Nurse Practitioner | 11401 N Rodney Parham Rd Ste 4, Little Rock, AR 72212-4168 | 2020-10-13 |
| 1457968737 | Natural State Behavioral Health | Nurse Practitioner | 1401 Malvern Ave Ste 180, Hot Springs, AR 71901-6370 | 2020-09-30 |
| 1255944559 | The Clinic At The Forging Place | Nurse Practitioner | 1302 Cherry St, Van Buren, AR 72956-4543 | 2020-08-26 |
| 1508478066 | Jaleesa Shears | Nurse Practitioner | 880 Bayou Vista Dr, Marion, AR 72364-5006 | 2020-08-17 |
| 1306455860 | Wendy Michelle Ray | Nurse Practitioner | 1012 E Church St Ste A, Warren, AR 71671-3530 | 2020-07-29 |
| 1295352771 | Mindful Rx LLC | Nurse Practitioner | 501 Commerce Dr Unit 13341, Maumelle, AR 72113-7729 | 2020-06-30 |
| 1235755638 | Jason David Wallace | Nurse Practitioner | 2616 Gallaway Cv, Jonesboro, AR 72404-7827 | 2020-06-22 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1588299291 | Chastity Qg Stephens | Nurse Practitioner | 2607 Alford Cv, Bryant, AR 72022-7527 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
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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.