VICKIE L MASON (NPI# 1598011074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598011074 |
| Entity Type | Individual |
| Full Name | VICKIE L MASON |
| Credential | APRN |
| Practice Address |
110 Skyline Dr Russellville AR 72801-3362 |
| Mailing Address |
2400 S 48th St Springdale AR 72762-6683 |
| Practice Telephone | 4799681298 |
| Practice Fax Number | 4799686053 |
| Mailing Telephone | 4797502020 |
| Mailing Fax Number | 4797504843 |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2020-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
A003748 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1808 W Main St, Russellville, AR 72801 | 4799670701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528440823 | Vickie Mason | Dental Hygienist | 37 Epping St, Raymond, NH 03077 | 2015-06-23 |
| 1457481699 | Vickie C Mason | Physical Therapist | 2125 Northpoint Blvd, Hixson, TN 37343-4072 | 2007-03-06 |
| Street Address |
110 SKYLINE DR |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801-3362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588769491 | Richard L Moore | Counselor | 110 Skyline Dr, Russellville, AR 72801-3362 | 2006-09-14 |
| 1720618267 | Chantal Doucet-brice | Counselor | 110 Skyline Dr, Russellville, AR 72801-3362 | 2020-01-23 |
| 1659921914 | Mercedes A Bender | Counselor | 110 Skyline Dr, Russellville, AR 72801-3362 | 2019-09-18 |
| 1730749995 | Sydney Nicole Allen | Case Manager/Care Coordinator | 110 Skyline Dr, Russellville, AR 72801-3362 | 2019-06-19 |
| 1205301645 | Melinda L Arnold | Licensed Practical Nurse | 110 Skyline Dr, Russellville, AR 72801-3362 | 2018-10-12 |
| 1134615404 | Trakia Tucker | Case Manager/Care Coordinator | 110 Skyline Dr, Russellville, AR 72801-3362 | 2018-07-10 |
| 1134621451 | Tanner Leigh Yates | Case Manager/Care Coordinator | 110 Skyline Dr, Russellville, AR 72801-3362 | 2018-03-02 |
| 1306352943 | Leilani Harmon | Licensed Practical Nurse | 110 Skyline Dr, Russellville, AR 72801-3362 | 2017-12-19 |
| 1205359510 | Cody Layne Horn | Nurse Practitioner | 110 Skyline Dr, Russellville, AR 72801-3362 | 2017-07-18 |
| 1043749682 | Lindsey Howard | Case Manager/Care Coordinator | 110 Skyline Dr, Russellville, AR 72801-3362 | 2017-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205359510 | Cody Layne Horn | Nurse Practitioner | 110 Skyline Dr, Russellville, AR 72801-3362 | 2017-07-18 |
| 1467580647 | Sandra Lynn Wood | Nurse Practitioner | 110 Skyline Drive, Russellville, AR 72801 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647918 | Coco Psychiatric Services Pllc | Nurse Practitioner | 115 Bella Rosa Pl, Little Rock, AR 72223-4771 | 2020-10-23 |
| 1538767462 | Safe Harbor Behavioral Health Pllc | Nurse Practitioner | 11401 N Rodney Parham Rd Ste 4, Little Rock, AR 72212-4168 | 2020-10-13 |
| 1457968737 | Natural State Behavioral Health | Nurse Practitioner | 1401 Malvern Ave Ste 180, Hot Springs, AR 71901-6370 | 2020-09-30 |
| 1255944559 | The Clinic At The Forging Place | Nurse Practitioner | 1302 Cherry St, Van Buren, AR 72956-4543 | 2020-08-26 |
| 1508478066 | Jaleesa Shears | Nurse Practitioner | 880 Bayou Vista Dr, Marion, AR 72364-5006 | 2020-08-17 |
| 1306455860 | Wendy Michelle Ray | Nurse Practitioner | 1012 E Church St Ste A, Warren, AR 71671-3530 | 2020-07-29 |
| 1295352771 | Mindful Rx LLC | Nurse Practitioner | 501 Commerce Dr Unit 13341, Maumelle, AR 72113-7729 | 2020-06-30 |
| 1235755638 | Jason David Wallace | Nurse Practitioner | 2616 Gallaway Cv, Jonesboro, AR 72404-7827 | 2020-06-22 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1588299291 | Chastity Qg Stephens | Nurse Practitioner | 2607 Alford Cv, Bryant, AR 72022-7527 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
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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.