RAVEN SHELBY FALLS (NPI# 1629586573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629586573 |
| Entity Type | Individual |
| Full Name | RAVEN SHELBY FALLS |
| Credential | PA-C |
| Practice Address |
125 Arkansas Blvd Texarkana AR 71854-1963 |
| Mailing Address |
3515 Richmond Rd Texarkana TX 75503-0711 |
| Practice Telephone | 8707729355 |
| Practice Fax Number | 8707729360 |
| Mailing Telephone | 9037919355 |
| Mailing Fax Number | 9037930496 |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-759 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
125 ARKANSAS BLVD |
| City | TEXARKANA |
| State | AR |
| Zip Code | 71854-1963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780029892 | Healthcare Express, LLP | Family Medicine | 125 Arkansas Blvd, Texarkana, AR 71854-1963 | 2013-05-02 |
| 1639588601 | James Franklin Leach | Nurse Practitioner | 125 Arkansas Blvd, Texarkana, AR 71854-1963 | 2014-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962988253 | Holly Renee Snipe | Registered Nurse | 4700 Sunbury Dr, Texarkana, AR 71854 | 2018-07-19 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1326538810 | Chad Roldan | Occupational Therapy Assistant | 6402 Countryside Dr, Texarkana, AR 71854 | 2018-05-10 |
| 1649797481 | Alliance Counseling Agency LLC | Community/Behavioral Health | 819 Beech St, Texarkana, AR 71854 | 2017-08-23 |
| 1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
| 1295260040 | Seniors for Senior Care | Adult Companion | 4613 Parkway Dr., Texarkana, AR 71854 | 2017-04-28 |
| 1033650635 | Texarkana Eye Associates | Optometrist | 114 East 49th St, Texarkana, AR 71854 | 2017-03-15 |
| 1881064731 | Texarkana Group, P.l.l.c | Chiropractor | 2100 N. State Line Ave., Texarkana, AR 71854 | 2015-10-05 |
| 1528301819 | Megan Guercio | Specialist/Technologist | 1002 East 35th Street, Texarkana, AR 71854 | 2013-04-04 |
| 1831439116 | James Wesley Mcraven | Nurse Practitioner | 210 N. Stateline, Suite 301, Texarkana, AR 71854 | 2013-02-22 |
| Find all providers in zip 71854 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1962586636 | David A. Godwin | Physician Assistant | 5508 Deer Creek Dr, Texarkana, TX 75503-0012 | 2006-10-25 |
| 1083626493 | Tonya Dubois | Physician Assistant | 3725 Mall Drive, Texarkana, TX 75501-2658 | 2006-08-13 |
| 1508896465 | Katherine Elizabeth Owen | Physician Assistant | 5503 N State Line Ave, Texarkana, TX 75503-5303 | 2006-07-04 |
| 1578558961 | Theresa M Fontenot | Physician Assistant | 3939 Texas Blvd, Texarkana, TX 75503-3207 | 2005-09-13 |
| 1710443544 | Kaylee Keener | Physician Assistant | 3502 Richmond Rd, Texarkana, TX 75503-0705 | 2019-02-17 |
| 1699242347 | Brooke D Carr | Physician Assistant | 1408 College Dr, Texarkana, TX 75503-3534 | 2018-10-31 |
| 1588104590 | Liam Thornell | Physician Assistant | 3515 Richmond Rd, Texarkana, TX 75503-0711 | 2017-02-24 |
| 1265988208 | Kellie Lyn Flaherty | Physician Assistant | 2604 Saint Michael Dr, Suite 340, Texarkana, TX 75503-2379 | 2016-08-30 |
| 1013376201 | Veronica Newburn | Physician Assistant | 3510 Richmond Rd, Suite 100, Texarkana, TX 75503-0714 | 2016-02-16 |
| Find all providers in TEXARKANA | ||||
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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.