MRS. JULIE RENEE MARVIN (NPI# 1477503639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477503639 |
| Entity Type | Individual |
| Full Name | MRS. JULIE RENEE MARVIN |
| Credential | OCCUPATIONAL THERAPY |
| Practice Address |
1760 N Woodland Ave Fayetteville AR 72703-2549 |
| Mailing Address |
2442 Longwood St Springdale AR 72762-0580 |
| Practice Telephone | 4794434420 |
| Practice Fax Number | 4794430547 |
| Mailing Telephone | 4797503064 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | NBCOT 1049924 | AR | Other Service Providers |
| N | 174400000X | Specialist | OTR1619 | AR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS PROVIDER # | 5W513 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649768136 | Julie Marvin | Pharmacist | 2000 N Walnut St, Cameron, MO 64429-8800 | 2018-04-30 |
| Street Address |
1760 N WOODLAND AVE |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-2549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578520508 | The Elizabeth Richardson Center | Specialist | 1760 N Woodland Ave, Fayetteville, AR 72703-2549 | 2006-04-26 |
| 1770036782 | Rachel Ladymon | Occupational Therapist | 1760 N Woodland Ave, Fayetteville, AR 72703 | 2016-07-26 |
| 1801113261 | Jessica E Gallo | Occupational Therapist | 1760 N Woodland Ave, Fayetteville, AR 72703-2549 | 2010-04-26 |
| 1497907653 | Elizabeth Adele Donham | Speech-Language Pathologist | 1760 N Woodland Ave, Fayetteville, AR 72703-2549 | 2008-10-21 |
| 1104863752 | Anita Jo Roberts | Specialist | 1760 N Woodland Ave, Fayetteville, AR 72703-2549 | 2006-06-01 |
| 1780638866 | Ashley Land Mathias | Physical Therapist | 1760 N Woodland Ave, Fayetteville, AR 72703-2549 | 2006-05-21 |
| 1578511879 | Claire Elizabeth Kifer | Specialist | 1760 N Woodland Ave, Fayetteville, AR 72703-2549 | 2006-05-05 |
| 1578511531 | Julie A Green | Speech-Language Pathologist | 1760 N Woodland Ave, Elizabeth Richardson Center, Fayetteville, AR 72703-2549 | 2006-05-04 |
| 1801854112 | Ashley Nicole Dover | Speech-Language Pathologist | 1760 N Woodland Ave, Fayetteville, AR 72703-2549 | 2006-05-03 |
| 1033177159 | Kristin Noelle Wilson | Specialist | 1760 N Woodland Ave, Fayetteville, AR 72703-2549 | 2006-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1962062240 | Shenika Twanet Judd | Specialist | 724 N Reilly Rd Ste C, Fayetteville, NC 28303-6042 | 2019-06-18 |
| 1033676358 | Suzanne Lynn Washburn | Specialist | 307 Barcelona Drive 26e, Fayetteville, NC 28303-5768 | 2019-02-22 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1194203075 | Dominique A Hunter | Specialist | 100 Hay St Fl 6, Fayetteville, NC 28301-5676 | 2018-08-01 |
| 1699286260 | Carla Jai Simmons | Specialist | 1300 Bragg Blvd Ste 1318, Fayetteville, NC 28301-4296 | 2017-10-23 |
| 1952825838 | Mary L Hill | Specialist | 185 Thornton Dr., Fayetteville, GA 30214 | 2017-08-01 |
| 1295288215 | Jillian Diffenbaugh | Specialist | 1019 Hay St, Fayetteville, NC 28305-5315 | 2016-07-26 |
| 1437534633 | Mark Hinton | Specialist | 131 Barnhill Arena Office, Office 116a, Fayetteville, AR 72701 | 2015-07-29 |
| 1841600830 | Trimana LLC | Specialist | 2875 E Joyce Blvd, Fayetteville, AR 72703-4524 | 2014-04-30 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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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.