JUDITH GRACE FETTERS (NPI# 1578690756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578690756 |
| Entity Type | Individual |
| Full Name | JUDITH GRACE FETTERS |
| Credential | ARNP |
| Practice Address |
325 S 6th Pl Lowell AR 72745-9704 |
| Practice Telephone | 4796369234 |
| Practice Fax Number | 4797177557 |
| Mailing Telephone | 4796369234 |
| Mailing Fax Number | 4797177557 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2016-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
A004744 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
325 S 6TH PL |
| City | LOWELL |
| State | AR |
| Zip Code | 72745-9704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205832219 | Cheryl A Fulton | Family Medicine | 325 S 6th Pl, Lowell, AR 72745-9704 | 2005-06-23 |
| 1518410919 | Jason Traxson | Specialist | 325 S 6th Pl, Lowell, AR 72745-9704 | 2016-08-02 |
| 1487004461 | Kellie Ann Chacanaca | Nurse Practitioner | 325 S 6th Pl, Lowell, AR 72745 | 2016-06-21 |
| 1164740452 | Blake D Bryant | Family Medicine | 325 S 6th Pl, Lowell, AR 72745-9704 | 2010-05-11 |
| 1407084320 | Adegbenga Ademuyiwa Olayemi | Pediatrics | 325 S 6th Pl, Lowell, AR 72745-9704 | 2009-06-30 |
| 1205972130 | Diane Denice Erickson | Social Worker | 325 S 6th Pl, Lowell, AR 72745-9704 | 2007-01-29 |
| 1952357394 | William Wiley Jones Jr. | Psychologist | 325 S 6th Pl, Lowell, AR 72745-9704 | 2006-05-26 |
| 1194773861 | Thomas Hunter Youngblood | Pediatrics | 325 S 6th Pl, Lowell, AR 72745-9704 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518442706 | Harps Food Stores, Inc. | Pharmacy | 916 W Monroe Ave., Lowell, AR 72745 | 2018-10-03 |
| 1801300405 | Sarah Elizabeth Bright | Speech-Language Pathologist | 121 South Ave., Lowell, AR 72745 | 2017-11-20 |
| 1306398151 | Keegan Sutton | Occupational Therapist | 612 S Lincoln, Ste A, Lowell, AR 72745 | 2016-10-27 |
| 1922470368 | Sharon Hunter | Contractor | 14213 Edens Bluff Drive, Lowell, AR 72745 | 2015-10-26 |
| 1881959450 | Robert J. Tomlinson Md, Pa | Orthopaedic Surgery | 212 W. Monroe Ave., Ste A, Lowell, AR 72745 | 2012-07-10 |
| 1376806760 | Gretchen E Brannon | Nurse Practitioner | 114 Harrison Ave., Lowell Pharmacy Blds, Lowell, AR 72745 | 2012-06-20 |
| 1407094220 | Dr. Angela Moore Family Chiropractic, P.l.c. | Chiropractor | 117 S Dixieland St, Ste B, Lowell, AR 72745 | 2009-02-02 |
| 1104078302 | University of Arkansas for Medical Science | Developmental Therapist | 519 Latham Dr., Lowell, AR 72745 | 2008-10-21 |
| 1356593479 | University of Arkansas for Medical Sciences | Registered Nurse | 519 Latham Drive, Lowell, AR 72745 | 2008-10-21 |
| 1912039827 | Looper Chiropractic Pa | Chiropractor | 200 S Bloomington, Ste I, Lowell, AR 72745 | 2007-03-09 |
| Find all providers in zip 72745 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255307088 | Karen Pierce-conwell | Nurse Practitioner | Lowell Community Health Center, Lowell, MA 01854 | 2006-02-23 |
| 1467968693 | Catherine E. Hermann | Nurse Practitioner | 275 Varnum Ave, 204, Lowell, MA 01854-2141 | 2017-12-26 |
| 1013339308 | Nicole Flaherty | Nurse Practitioner | 295 Varnum Ave, Lowell, MA 01854-2134 | 2014-01-06 |
| 1558702332 | Kathleen Rebecca Fearon | Nurse Practitioner | 161 Jackson St, Lowell, MA 01852-2103 | 2013-07-09 |
| 1215289426 | Phoebe M Heffron | Nurse Practitioner | 275 Varnum Avenue, Suite 204, Lowell, MA 01854 | 2012-10-11 |
| 1932374998 | Elizabeth Ellen Applewhite | Nurse Practitioner | 519 Latham Dr, Lowell, AR 72745-8360 | 2008-04-29 |
| 1497882971 | Eileen Hegarty | Nurse Practitioner | 33 Bartlett St, Suite 305, Lowell, MA 01852-1334 | 2007-02-28 |
| 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 | ||||
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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.