ALYSSA DAWN STARK (NPI# 1609201110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609201110 |
| Entity Type | Individual |
| Full Name | ALYSSA DAWN STARK |
| Practice Address |
3204 E Moore Ave Searcy AR 72143-4826 |
| Mailing Address |
25 Gap Rd Batesville AR 72501-8679 |
| Practice Telephone | 5012687777 |
| Practice Fax Number | 5013055009 |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2014-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
3204 E MOORE AVE |
| City | SEARCY |
| State | AR |
| Zip Code | 72143-4826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932234960 | Wilbur D. Mills Treatment Center | Substance Abuse Rehabilitation Facility | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2007-02-22 |
| 1972083806 | Northeast Arkansas Community Mental Health Center Inc | Substance Abuse Rehabilitation Facility | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2018-08-20 |
| 1477953271 | Preferred Family Healthcare Inc | Community/Behavioral Health | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2014-08-28 |
| 1821423328 | Estrellita Jasmin Goss | Specialist | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2013-09-04 |
| 1437581543 | Samantha Yvonne Smith | Licensed Practical Nurse | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2013-07-31 |
| 1639511561 | Derek Chase | Case Manager/Care Coordinator | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2013-07-19 |
| 1043651201 | Lavonda Peters | Case Manager/Care Coordinator | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2013-07-16 |
| 1992146690 | Steven Erchien | Case Manager/Care Coordinator | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2013-07-10 |
| 1376989970 | Tina Renee Hicks | Case Manager/Care Coordinator | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2013-05-22 |
| 1801131560 | Jacqueline Henderson | Counselor | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2012-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188874 | Jessalyn Elise Tackett | Pharmacist | 200 E. Race Ave, Searcy, AR 72143 | 2020-09-14 |
| 1528697620 | Edward Lee | Student in an Organized Health Care Education/Training Program | 3214 E Race St, Searcy, AR 72143 | 2020-04-02 |
| 1700420338 | Rebecca Joanne Yauilla | Family Medicine | 3214 Race Avenue, Searcy, AR 72143 | 2019-11-06 |
| 1558913517 | The Forge Counseling Group LLC | Counselor | 505 S Elm St Suite C, Searcy, AR 72143 | 2019-07-10 |
| 1023584620 | Lisa Farley | Speech-Language Pathologist | 2918 Hawkins Drive, Searcy, AR 72143 | 2018-10-22 |
| 1144761719 | Christie Brooks | Dietitian, Registered | 91 Lakeway Drive, Searcy, AR 72143 | 2017-03-16 |
| 1639626112 | Kelly Walls | Pharmacist | 805 E Park Ave, Searcy, AR 72143 | 2016-09-01 |
| 1417316480 | Zach Wickes | Student in an Organized Health Care Education/Training Program | 506 N Van, Searcy, AR 72143 | 2016-02-18 |
| 1982081592 | Bethel Burris Oliver Pllc | Dentist | 3245 E. Race St, Searcy, AR 72143 | 2015-05-04 |
| 1053798116 | Ronnie Harlow | Rehabilitation Practitioner | 1005 East Park, Jim Citty Football and Athletic Training Facility, Searcy, AR 72143 | 2015-04-28 |
| Find all providers in zip 72143 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003224247 | Hunter Mason I | Specialist | 411 Hartsfield Dr, Searcy, AR 72143-4813 | 2014-07-31 |
| 1710199849 | Searcy Dermatology, P.a. | Specialist | 1903 E. Beebe Capps, Searcy, AR 72143 | 2007-05-03 |
| 1114971801 | Raul R Ramirez, Md, Pa | Specialist | 606 West Arch Ave, Suite A, Searcy, AR 72143-7323 | 2006-05-19 |
| 1447255823 | Julie C. Kissack | Specialist | 915 E Market Ave, Searcy, AR 72149-5615 | 2005-06-14 |
| 1457355166 | Stacie L Mccord | Specialist | 415 Rodgers Dr, Ste. A, Searcy, AR 72143-7434 | 2005-06-09 |
| 1588225593 | Mackenzie Darianna Braak | Specialist | 502 E Race Ave, Searcy, AR 72143-4417 | 2019-06-21 |
| 1578080123 | Mindy Campbell | Specialist | 502 E Race Ave, Searcy, AR 72143-4417 | 2017-08-24 |
| 1578087284 | Emmerie Miller | Specialist | 502 E Race Ave, Searcy, AR 72143-4417 | 2017-08-03 |
| 1043731698 | Amy Cowdrey | Specialist | 502 E Race Ave, Searcy, AR 72143-4417 | 2017-07-05 |
| 1386165835 | Austa Walton | Specialist | 502 E Race Ave, Searcy, AR 72143-4417 | 2017-07-05 |
| Find all providers in SEARCY | ||||
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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.