TRACY LYNNE BENNETT (NPI# 1548741895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548741895 |
| Entity Type | Individual |
| Full Name | TRACY LYNNE BENNETT |
| Credential | APRN |
| Practice Address |
6262 Highway 316 S Marvell AR 72366-9439 |
| Practice Telephone | 8707140453 |
| Mailing Telephone | 8707140453 |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A005840 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243444 | Tracy Travina Bennett | Registered Nurse | 10762 Wilson Ave, Alta Loma, CA 91737-2436 | 2020-07-23 |
| 1811379332 | Tracy Lynn Bennett | Nurse Practitioner | 3281 Kessock Ridge Trl, Snellville, GA 30039-3112 | 2015-06-20 |
| 1285790360 | Tracy S Bennett | Psychologist | 340 Rosewood Ave, Camarillo, CA 93010-5927 | 2006-12-31 |
| 1619449147 | Tracy Bennett | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2018-12-21 |
| 1457560419 | Tracy M Bennett | Physician Assistant | 360 Broadway, Bangor, ME 04401-3900 | 2007-05-22 |
| 1487869210 | Tracy W Bennett | Counselor | 95 India St, Portland, ME 04101-4250 | 2007-05-14 |
| Street Address |
6262 HIGHWAY 316 S |
| City | MARVELL |
| State | AR |
| Zip Code | 72366-9439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215436613 | East Arkansas Family Health Center, Inc | Clinic/Center | 1018 Us 49, Marvell, AR 72366 | 2018-02-12 |
| 1285861013 | Pillow Clinic, Pllc | Internal Medicine | 1008 Main Street, Marvell, AR 72366 | 2009-06-19 |
| 1952544538 | Pillow Clinic, Pllc | Internal Medicine | 1008 Main St., Marvell, AR 72366 | 2009-04-13 |
| 1396964730 | Marvell Public School | Local Education Agency (LEA) | 203 South Pine Street, Marvell, AR 72366 | 2007-04-24 |
| 1588632582 | Phillips Hospital Corporation | Clinic/Center | 1008 Main St, Marvell, AR 72366 | 2006-03-08 |
| 1295752376 | Marvell Clinic Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 406 S Mill St, Marvel, AR 72366-0217 | 2006-07-16 |
| 1922620483 | East Arkansas Family Health Center Pharmacy No. 3, LLC | Pharmacy | 406 S Mill St, Marvell, AR 72366-7236 | 2020-05-07 |
| 1508379249 | East Arkansas Family Health Center, Inc | Clinic/Center | 1008 W Main St, Marvell, AR 72366-9486 | 2017-11-15 |
| 1336642602 | Leigh Elizabeth Gschwend | Occupational Therapy Assistant | 3803 Highway 243 N, Marvell, AR 72366-9746 | 2018-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336642602 | Leigh Elizabeth Gschwend | Occupational Therapy Assistant | 3803 Highway 243 N, Marvell, AR 72366-9746 | 2018-03-13 |
| 1215436613 | East Arkansas Family Health Center, Inc | Clinic/Center | 1018 Us 49, Marvell, AR 72366 | 2018-02-12 |
| 1285861013 | Pillow Clinic, Pllc | Internal Medicine | 1008 Main Street, Marvell, AR 72366 | 2009-06-19 |
| 1952544538 | Pillow Clinic, Pllc | Internal Medicine | 1008 Main St., Marvell, AR 72366 | 2009-04-13 |
| 1396964730 | Marvell Public School | Local Education Agency (LEA) | 203 South Pine Street, Marvell, AR 72366 | 2007-04-24 |
| 1922620483 | East Arkansas Family Health Center Pharmacy No. 3, LLC | Pharmacy | 406 S Mill St, Marvell, AR 72366-7236 | 2020-05-07 |
| 1508379249 | East Arkansas Family Health Center, Inc | Clinic/Center | 1008 W Main St, Marvell, AR 72366-9486 | 2017-11-15 |
| 1588632582 | Phillips Hospital Corporation | Clinic/Center | 1008 Main St, Marvell, AR 72366 | 2006-03-08 |
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574555 | Brian Scott Burks | Nurse Practitioner | 4109 Hartford Hills Dr, Benton, AR 72019-2540 | 2020-10-05 |
| 1619574662 | Lindsey Paige Long | Nurse Practitioner | 3123 N Magnolia St, North Little Rock, AR 72116-9153 | 2020-10-02 |
| 1275151524 | Patricia Waller | Nurse Practitioner | 905 Long Branch Rd, Heber Springs, AR 72543-8305 | 2020-07-13 |
| 1659997351 | Amanda Cheatham | Nurse Practitioner | 16832 Prince Rd, Canehill, AR 72717-9415 | 2020-06-18 |
| 1073137212 | Lakeisha Shatara Falls | Nurse Practitioner | 11602 Shady Ridge Dr, Little Rock, AR 72211-4595 | 2020-06-03 |
| 1518581115 | Ragan Arrison | Nurse Practitioner | 365 Mapleleaf Cir, Hot Springs, AR 71901-3371 | 2020-05-31 |
| 1639799240 | Jessica Lee Crump | Nurse Practitioner | 1996 Highway 31 N, Beebe, AR 72012-9784 | 2020-04-23 |
| 1477183176 | Jennifer Leann Jay | Nurse Practitioner | 1501 S Waldron Rd Ste 200, Fort Smith, AR 72903-2565 | 2020-01-22 |
| 1164069969 | Morgan Wilkerson | Nurse Practitioner | 41 Weaver Cir, Vilonia, AR 72173-9014 | 2019-11-30 |
| 1881256220 | Felica Shunta Johnson | Nurse Practitioner | 311 Carson St, Bono, AR 72416-9605 | 2019-07-06 |
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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.