MR. NATHAN BECKLEY WARREN (NPI# 1508362245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508362245 |
| Entity Type | Individual |
| Full Name | MR. NATHAN BECKLEY WARREN |
| Credential | PA-C |
| Practice Address |
609 W Maple Ave Springdale AR 72764-5335 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 4798792393 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2019-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PT2018-022 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3000 Medical Center Pkwy, Bentonville, AR 727123217 | 4795531000 | 4795531519 |
| 603 N Progress Ave, Siloam Springs, AR 727614352 | 4795244141 | 4795492577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417360058 | Nathan Leslie Warren | Chiropractor | 7446 Shallowford Rd Ste 204, Chattanooga, TN 37421-8815 | 2014-06-10 |
| 1609955632 | Nathan Michael Warren | Physician Assistant | 5645 Main St, Dept. of Medicine, 2nd Floor., Flushing, NY 11355-5045 | 2006-11-02 |
| Street Address |
609 W MAPLE AVE |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72764-5335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689676272 | Regency Hospital of Northwest Arkansas, LLC | Long Term Care Hospital | 609 W Maple Ave, 6th Floor, Springdale, AR 72764-5335 | 2005-08-12 |
| 1356957799 | Victoria Ashley Sollestre | Physician Assistant | 609 W Maple Ave, Springdale, AR 72764-5335 | 2020-09-21 |
| 1588279475 | Ashley Early | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5394 | 2020-09-09 |
| 1710504931 | Sandra Lee Moore | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5335 | 2020-07-03 |
| 1386291656 | Dominique Ann Ertolacci | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-08-21 |
| 1861055204 | Dustin J Franklin | Nurse Anesthetist, Certified Registered | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-04-22 |
| 1407419278 | Samuel Tanner Burks | Registered Nurse | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-04-17 |
| 1285199133 | Shelby Lane Harrison | Registered Nurse | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-02-05 |
| 1750865929 | Teqienna Dianne Randall | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5335 | 2018-09-24 |
| 1588144182 | David R Massey Md Pllc | Psychiatry & Neurology | 609 W Maple Ave, Springdale, AR 72764-5335 | 2018-08-14 |
| Find all providers in the same location | ||||
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691678 | Laura T Bailey Aprn Pllc | Physician Assistant | 5320 W Sunset Ave Ste 176, Springdale, AR 72762-4415 | 2020-08-28 |
| 1548504327 | Jill S Harlan | Physician Assistant | 1085 Butler Rd, Springdale, PA 15144-1042 | 2012-11-19 |
| 1275168643 | Tommye Jones | Physician Assistant | 5501 Willow Creek Dr Ste 203b, Springdale, AR 72762-8708 | 2020-03-06 |
| 1508348798 | Jessica Annelise Brown | Physician Assistant | 3057 Springdale Ave, Springdale, AR 72762-4346 | 2018-09-04 |
| 1801333174 | Kristina Davis | Physician Assistant | 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 | 2017-01-25 |
| 1063878387 | Wesley Mcgehee | Physician Assistant | 2601 Gene George Blvd, Springdale, AR 72762-0845 | 2016-01-04 |
| 1336533140 | Anne Sheen | Physician Assistant | 1160 S 40th St, Springdale, AR 72762-4832 | 2015-03-19 |
| 1386058543 | Iftakhar Ahmad Sheikh | Physician Assistant | 609 W Maple Ave, Springdale, AR 72764-5335 | 2014-06-16 |
| 1245668292 | John Daniel Nicholas | Physician Assistant | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2013-10-29 |
| 1780010546 | Tanner C Mcginty | Physician Assistant | 609 W Maple Ave, Springdale, AR 72764-5335 | 2013-09-24 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72764 |
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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.