MEREDITH R KROHN (NPI# 1568958833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568958833 |
| Entity Type | Individual |
| Full Name | MEREDITH R KROHN |
| Other Name | MEREDITH R DAVIS |
| Credential | APRN |
| Practice Address |
3101 Se 14th St Bentonville AR 72712-4900 |
| Practice Telephone | 4796369234 |
| Mailing Telephone | 4796369234 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
A005736 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Mercy Way Ste 30, Bella Vista, AR 727143000 | 4796369234 | |
| 325 S 6th Pl, Lowell, AR 727459704 | 4796369234 | |
| 4100 Sw I St Ste 100, Bentonville, AR 727120200 | 4796369234 |
| Street Address |
3101 SE 14TH ST |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760447353 | Rickey L Mcgath | Family Medicine | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2006-04-18 |
| 1093273195 | Melinda S Tucker | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2019-03-07 |
| 1194210070 | Jaime Marie Holthaus | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2018-06-25 |
| 1154810612 | Paige Boles | Registered Nurse | 3101 Se 14th St, Bentonville, AR 72712 | 2018-05-09 |
| 1750800827 | Smile Shoppe Bentonville Jeffrey D Rhodes Dds Ms Pllc | Dentist | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2017-09-11 |
| 1750818894 | Tiffany Lynn Shanahan | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712 | 2017-05-19 |
| 1962937102 | Megan Elizabeth Owen | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2017-04-25 |
| 1982147765 | Tori Layne Abernathy | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2016-11-28 |
| 1972954600 | Rachel Angulo | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2016-06-23 |
| 1013381730 | Diana Rene Dunbar | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2015-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| Find all providers in zip 72712 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861005860 | Shon Lindsay Moudy | Nurse Practitioner | 2900 Medical Center Pkwy Ste 370, Bentonville, AR 72712-3214 | 2020-08-28 |
| 1962937102 | Megan Elizabeth Owen | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2017-04-25 |
| 1972954600 | Rachel Angulo | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2016-06-23 |
| 1306163159 | Julia D Smith | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2010-05-03 |
| 1912106493 | Shelly Marie Brown | Nurse Practitioner | 3101 Se 14th Street, Bentonville, AR 72712-4900 | 2007-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324216 | Taira Nicole Bernard | Nurse Practitioner | 6424 The Divide Pkwy Apt 106, Little Rock, AR 72223-5861 | 2020-04-07 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1386152163 | Sara Jane Brown | Nurse Practitioner | 4000 Linwood Dr Ste H, Paragould, AR 72450-7224 | 2018-01-16 |
| 1194178376 | Amy Hodges | Nurse Practitioner | 172 Highway 62 W, Salem, AR 72576-8059 | 2016-07-22 |
| 1265824841 | Ashley Gayle Vaughan | Nurse Practitioner | 7303 Rogers, Ave 201, Pediatric Partners, Fort Smith, AR 72903-4112 | 2015-02-19 |
| 1215333075 | Lisa Lavon Fields | Nurse Practitioner | 5434 W Walsh Ln, Rogers, AR 72758-8946 | 2014-11-06 |
| 1689923831 | Joanna Lowery | Nurse Practitioner | 3 Childrens Way, Little Rock, AR 72202-3500 | 2012-09-04 |
| 1881941417 | Denice Marie Bozeman | Nurse Practitioner | 1 Childrens Way # 707, Little Rock, AR 72202-3500 | 2012-08-14 |
| 1699038711 | Jennifer Ellen Murphree | Nurse Practitioner | 1 Children's Way, St # 653, Little Rock, AR 72202 | 2012-06-22 |
| 1255579124 | Kimberly Ann Grundy | Nurse Practitioner | 800 Marshall St # 512-3, Little Rock, AR 72202-3510 | 2009-01-29 |
| Find all providers with the same taxonomy | ||||
| City | BENTONVILLE |
| Zip Code | 72712 |
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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.