AMY DECLERK (NPI# 1518362227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518362227 |
| Entity Type | Individual |
| Full Name | AMY DECLERK |
| Credential | APRN |
| Practice Address |
2018 Highway 67 S Pocahontas AR 72455-4169 |
| Mailing Address |
2018 Hwy 67 N Pocahontas AR 72455-9438 |
| Practice Telephone | 8702021048 |
| Mailing Telephone | 8702021048 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2017-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
F1014430 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2018 HIGHWAY 67 S |
| City | POCAHONTAS |
| State | AR |
| Zip Code | 72455-4169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255598983 | Ashley Erin Taylor | Registered Nurse | 2018 Highway 67 S, Pocahontas, AR 72455 | 2008-05-20 |
| 1740765023 | Courtnay Loral Kincaid | Nurse Practitioner | 2018 Highway 67 S, Pocahontas, AR 72455-4169 | 2018-10-02 |
| 1790223709 | Kimberly Jane Buxton | Nurse Practitioner | 2018 Highway 67 S, Pocahontas, AR 72455-4169 | 2017-02-09 |
| 1982157020 | Five Rivers Medical Center Inc | Clinic/Center | 2018 Highway 67 S, Pocahontas, AR 72455-4169 | 2016-07-25 |
| 1184903023 | Latoya Jean Coward | Nurse Practitioner | 2018 Highway 67 S, Pocahontas, AR 72455-4169 | 2011-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043694920 | Puckett Dental LLC | Clinic/Center | 1041 Highway 67 North, Pocahontas, AR 72455 | 2015-07-10 |
| 1659676443 | Higginbotham Therapy Providers LLC | Speech-Language Pathologist | 42 Helter Rd, Pocahontas, AR 72455 | 2011-01-25 |
| 1083846059 | Amber Dawn Hudson | Speech-Language Pathologist | 84 Woodland Hill Circle, Pocahontas, AR 72455 | 2009-08-10 |
| 1174752125 | Sara Jocelyn Hubbell | Developmental Therapist | 410 Camp Road, Pocahontas, AR 72455 | 2009-07-13 |
| 1730332511 | Holly T Brigance | Nurse Practitioner | 2901 Medical Center Drive, Pocahontas, AR 72455 | 2008-10-24 |
| 1740405661 | Leslie Marie Malone | Speech-Language Pathologist | 2300 North Park St., Pocahontas, AR 72455 | 2007-04-16 |
| 1942354808 | D Mike Mcdaniel | Audiologist | 153 Country Club Road, Pocahontas, AR 72455 | 2007-01-22 |
| 1366518615 | University of Arkansas for Medical Sciences | Pediatrics | 300 Camp Rd, Pocahontas, AR 72455 | 2006-11-28 |
| 1275623035 | Families, Inc. of Arkansas | Counselor | 2305 Old County Road, Pocahontas, AR 72455 | 2006-10-13 |
| 1841309879 | Family Dental Care of Pocahontas Inc | Dentist | 412 W Broadway, Pocahontas, AR 72455 | 2006-08-30 |
| Find all providers in zip 72455 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336793611 | Jordan Brooke Fletcher | Nurse Practitioner | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2019-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611361 | Jamie L Cagle | Nurse Practitioner | 1500 Dodson Ave # 60, Fort Smith, AR 72901-5182 | 2020-02-21 |
| 1306489281 | Lawana Bradley | Nurse Practitioner | 296 Lake Rd, Atkins, AR 72823-7165 | 2019-10-23 |
| 1679116024 | Michelle Grant | Nurse Practitioner | 130 Mark Cir, Monticello, AR 71655-5617 | 2019-10-17 |
| 1780238782 | Chelsea D. Marquis | Nurse Practitioner | 4401 Sw Flagstone Blvd, Bentonville, AR 72713-4005 | 2019-07-29 |
| 1265094478 | Kristyn Clark | Nurse Practitioner | 210 S Thompson St, Springdale, AR 72764-4239 | 2019-07-08 |
| 1184194029 | Stephanie Lucille Converse | Nurse Practitioner | 326 Lee Rd # 601, Brickeys, AR 72320-8000 | 2018-12-04 |
| 1174026165 | Phoebe Grace Chandler | Nurse Practitioner | 3782 Solitude St, Springdale, AR 72764-6368 | 2018-03-15 |
| 1386143717 | Andrew Freeman Oliver | Nurse Practitioner | 650 United Dr Ste 200, Conway, AR 72032-7001 | 2018-02-12 |
| 1760908982 | Jamie Leigh Ferguson | Nurse Practitioner | 4301 W Markham St # 721-3, Little Rock, AR 72205-7101 | 2017-08-18 |
| 1336677731 | Robert Lee Mcgruder Jr. | Nurse Practitioner | 2308 Royal Ct Unit B, Bryant, AR 72022-4216 | 2017-05-30 |
| Find all providers with the same taxonomy | ||||
| City | POCAHONTAS |
| Zip Code | 72455 |
Please comment or provide details below to improve the information on AMY DECLERK.
| 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.