MRS. TIFFANY EPPERSON (NPI# 1578970364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578970364 |
| Entity Type | Individual |
| Full Name | MRS. TIFFANY EPPERSON |
| Credential | APRN |
| Practice Address |
550 Club Ln Suite 1 Conway AR 72034-3681 |
| Practice Telephone | 5013291510 |
| Practice Fax Number | 5013272495 |
| Mailing Telephone | 5013291510 |
| Mailing Fax Number | 5013272495 |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
A004131 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
550 CLUB LN SUITE 1 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-3681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780748491 | Christopher Lee Throneberry | Physical Therapist | 550 Club Ln, Suite 2, Conway, AR 72034-3681 | 2006-12-20 |
| 1720620818 | Emily L Mckinney | Physician Assistant | 550 Club Ln, Conway, AR 72034-3681 | 2019-10-10 |
| 1679052559 | Aaron Baxter | Clinical Nurse Specialist | 550 Club Ln, Conway, AR 72034-3681 | 2018-08-10 |
| 1023532066 | Mattison Marie Weaver | Specialist/Technologist | 550 Club Ln, Conway, AR 72034-3681 | 2017-08-01 |
| 1851829667 | Alecia Elkins | Occupational Therapist | 550 Club Ln, Conway, AR 72034-3681 | 2017-05-24 |
| 1144766288 | Daniel Green | Physician Assistant | 550 Club Ln, Conway, AR 72034-3681 | 2017-01-12 |
| 1053765180 | Mitchell Reynolds | Occupational Therapist | 550 Club Ln, Conway, AR 72034-3681 | 2016-04-14 |
| 1386004653 | Charles Sibley | Physical Therapist | 550 Club Ln, Conway, AR 72034-3681 | 2016-03-01 |
| 1831575588 | Stewart Andrew Tackett | Specialist/Technologist | 550 Club Ln, Conway, AR 72034-3681 | 2015-08-05 |
| 1952797078 | Augusta Jean Nelson | Specialist/Technologist | 550 Club Ln, Suite 2, Conway, AR 72034-3681 | 2015-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336699941 | Michelle Kathleen Auld | Clinical Nurse Specialist | 120 Adcock Rd, Suite D, Hot Springs, AR 71913-8184 | 2016-10-06 |
| 1407209075 | Mirenda Martin | Clinical Nurse Specialist | 507 N Main Street, Salem Family Clinic 507 N Main Street, Salem, AR 72576 | 2016-07-19 |
| 1023461076 | Linda Dukes | Clinical Nurse Specialist | 3564 Albert Pike Rd, Hot Springs, AR 71913-9542 | 2016-07-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1720482482 | Ozark Wellness Clinic Pllc | Clinical Nurse Specialist | 102 W College St, Ozark, AR 72949-2850 | 2014-10-09 |
| 1376538090 | Marie Pham-russell | Clinical Nurse Specialist | 3202 N 6th St, Fort Smith, AR 72904-4164 | 2005-09-19 |
| 1114534369 | Madison Birdno | Clinical Nurse Specialist | 303 E Matthews Ave Ste 202, Jonesboro, AR 72401-3120 | 2020-09-30 |
| 1083148522 | Blakely Edmund | Clinical Nurse Specialist | 4301 W Markham St, Breast Cancer Clinic, Little Rock, AR 72205-7101 | 2017-04-11 |
| 1356884647 | Stephanie Hulett | Clinical Nurse Specialist | 700 S 52nd St, Rogers, AR 72758-8605 | 2016-11-18 |
| 1346693710 | Jennifer Sue Conry Jones | Clinical Nurse Specialist | 180 Medical Park Pl, Ste. 101, Hot Springs, AR 71901-8065 | 2016-07-20 |
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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.