ARKANSAS STATE UNIVERSITY STUDENT HEALTH CENTER (NPI# 1487071478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487071478 |
| Entity Type | Organization |
| Organization Name | ARKANSAS STATE UNIVERSITY STUDENT HEALTH CENTER |
| Practice Address |
333 Stadium Blvd B Jonesboro AR 72401 |
| Mailing Address |
P.o. Box 1380 State University AR 72467 |
| Practice Telephone | 8709722054 |
| Practice Fax Number | 8709722131 |
| Mailing Telephone | 8709722054 |
| Mailing Fax Number | 8709722131 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |
| Authorized Official Name | VICTORIA WILLIAMS (DIRECTOR, APRN) |
| Authorized Official Telephone | 8709722054 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
261QS1000X | AR | Ambulatory Health Care Facilities |
| Street Address |
333 STADIUM BLVD B |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679785885 | Jackson Parish School Board | Clinic/Center | 401 Northeast St, Jonesboro, LA 71251-2545 | 2007-05-03 |
| 1326267204 | Jackson Parish Hospital School Based Health Center | Clinic/Center | 225 Pershing Hwy, Jonesboro, LA 71251-2427 | 2007-04-25 |
| 1619094364 | Jonesboro Cc School Dist 43 | Clinic/Center | 309 Cook Ave, Jonesboro, IL 62952 | 2007-03-26 |
| 1285805705 | Jonesboro School District 43 | Clinic/Center | 309 Cook Ave, Jonesboro, IL 62952-1118 | 2008-03-13 |
| 1275747370 | Jackson Parish School Board | Clinic/Center | 401 Northeast St, Jonesboro, LA 71251-2545 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316435548 | Adam Joseph Moon | Clinic/Center | 300 E Matthews St, Brookland, AR 72417 | 2018-04-24 |
| 1528459799 | Myra Jo Grantham | Clinic/Center | 2302 College Ave, Conway, AR 72034-6297 | 2015-02-10 |
| 1346676699 | University of Arkansas Little Rock | Clinic/Center | 2801 S University Ave, Little Rock, AR 72204-1000 | 2013-09-18 |
| 1619908787 | University of Arkansas | Clinic/Center | 525 N Garland Ave, Fayetteville, AR 72701-3110 | 2006-07-06 |
Please comment or provide details below to improve the information on ARKANSAS STATE UNIVERSITY STUDENT HEALTH CENTER.
| 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.