TBA TEXARKANA LLC (NPI# 1477813012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477813012 |
| Entity Type | Organization |
| Organization Name | TBA TEXARKANA LLC |
| Other Organization Name | VISTA HEALTH TEXARKANA (PRESCOTT GRP) |
| Practice Address |
1484 W 1st St N Prescott AR 71857-3339 |
| Mailing Address |
3352 N Futrall Dr Fayetteville AR 72703-4057 |
| Practice Telephone | 8708871078 |
| Practice Fax Number | 8708870281 |
| Mailing Telephone | 4795211427 |
| Mailing Fax Number | 4795216520 |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |
| Authorized Official Name | KYLE NAPLES (CEO) |
| Authorized Official Telephone | 4795211427 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMICARE BEHAVIORAL CENTERS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| VISTA HEALTH TEXARKANA (PRESCOTT GRP) | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104185966 | Tba Texarkana LLC | Clinic/Center | 1484 W 1st St N, Prescott, AR 71857-3339 | 2012-05-14 |
| 1336408301 | Tba Texarkana LLC | Day Training, Developmentally Disabled Services | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2012-05-11 |
| Street Address |
1484 W 1ST ST N |
| City | PRESCOTT |
| State | AR |
| Zip Code | 71857-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922120765 | Oliver Marc Scroggins | Case Manager/Care Coordinator | 1484 W 1st St N, Prescott, AR 71857-3339 | 2007-04-04 |
| 1598313686 | Emma Elaine Bissell | Nurse Practitioner | 1484 W 1st St N, Prescott, AR 71857-3339 | 2019-08-31 |
| 1164908034 | Deonna Lee Whatley | Nurse Practitioner | 1484 W 1st St N, Prescott, AR 71857-3339 | 2018-07-13 |
| 1497122113 | Daphne Lambert | Nurse Practitioner | 1484 W 1st St N, Prescott, AR 71857-3339 | 2015-08-28 |
| 1144697301 | Carol G Underwood | Nurse Practitioner | 1484 W 1st St N, Prescott, AR 71857-3339 | 2015-08-24 |
| 1104185966 | Tba Texarkana LLC | Clinic/Center | 1484 W 1st St N, Prescott, AR 71857-3339 | 2012-05-14 |
| 1700159415 | Heather Rowe | Case Manager/Care Coordinator | 1484 W 1st St N, Prescott, AR 71857-3339 | 2012-02-13 |
| 1144511809 | James M Riley | Case Manager/Care Coordinator | 1484 W 1st St N, Prescott, AR 71857-3339 | 2011-04-28 |
| 1184955007 | Joshua Griffin | Case Manager/Care Coordinator | 1484 W 1st St N, Prescott, AR 71857-3339 | 2010-01-15 |
| 1417107699 | Wendy Rochell Muldrew | Case Manager/Care Coordinator | 1484 W 1st St N, Prescott, AR 71857-3339 | 2008-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598915514 | Southwest Arkansas Counseling and Mental Health Center, Inc | Community/Behavioral Health | 1658 Highway 371 West, Prescott, AR 71857 | 2008-09-26 |
| 1366607897 | Texarkana Behavioral Associates | Clinic/Center | 1484 West 1st Street, North, Prescott, AR 71857 | 2008-07-24 |
| 1295949238 | Pnc, Inc. | Day Training, Developmentally Disabled Services | 504 East 4th St North, Prescott, AR 71857 | 2007-05-09 |
| 1659597698 | Charles Vermont, M.d., Pllc | Family Medicine | 1480 West First North, Prescott, AR 71857 | 2007-04-18 |
| 1255464699 | Donisha Lafae Samuels | Case Manager/Care Coordinator | 1658 Hwy 371 W, Prescott, AR 71857 | 2007-03-14 |
| 1699856278 | Audie M Teague O D P A | Optometrist | 204 E 2nd Sreet S, Prescott, AR 71857 | 2006-10-18 |
| 1154411379 | Michele Rhodes | Nurse Practitioner | 1501 West First Street, Ark Department of Health and Human Services, Prescott, AR 71857 | 2006-10-16 |
| 1821185091 | Audie M. Teague | Optometrist | 204 E 2nd Street S, Prescott, AR 71857 | 2006-10-06 |
| 1760402804 | Mary Lou Kaufman | Licensed Practical Nurse | 1658 Hyw 371 West, Prescott, AR 71857 | 2006-07-20 |
| 1073532388 | Cindie Dianne Mckamie | Registered Nurse | 1658 Hwy 371 West, Prescott, AR 71857 | 2006-07-18 |
| Find all providers in zip 71857 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003470840 | Katherine Cheeves Md, Pllc | Psychiatry & Neurology | 141 S Mccormick St Ste 112, Prescott, AZ 86303-4730 | 2019-04-26 |
| 1396187720 | Joan Liebenheim Webb | Psychiatry & Neurology | 2891 Ninta Dr, Prescott, AZ 86301-4894 | 2013-07-26 |
| 1861515108 | Karleen B Hammitt | Psychiatry & Neurology | 847 Valley Street, Prescott, AZ 86305-1825 | 2007-04-10 |
| 1235207424 | Katherine J Cheeves | Psychiatry & Neurology | 141 S Mccormick St Ste 200, Prescott, AZ 86303-4731 | 2006-12-04 |
| 1063590297 | Jeffrey Freeman Penney | Psychiatry & Neurology | 141 South Mccormick, Suite 200, Prescott, AZ 86303-4731 | 2006-11-02 |
| 1124136627 | Ed Gogek | Psychiatry & Neurology | 315g S. Cortez St, Prescott, AZ 86303 | 2006-08-26 |
| 1144280009 | Paul B Tilyou | Psychiatry & Neurology | 3112 Clearwater Dr, Suite B, Prescott, AZ 86205-7187 | 2006-03-24 |
| 1992787527 | Len Douglas Balke | Psychiatry & Neurology | 143 N Mccormick St Ste 103, Prescott, AZ 86301-2725 | 2005-11-18 |
| 1952398349 | Terry Anne Vaughan | Psychiatry & Neurology | 625 W Hillside Ave, Prescott, AZ 86301-1936 | 2005-09-30 |
| 1245227917 | Laura Ann Pieri | Psychiatry & Neurology | 642 Dameron Dr, Prescott, AZ 86301-2411 | 2005-09-28 |
| Find all providers in PRESCOTT | ||||
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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.