MRS. LEA SHANNON JACUZZI (NPI# 1649446279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649446279 |
| Entity Type | Individual |
| Full Name | MRS. LEA SHANNON JACUZZI |
| Credential | DPT |
| Practice Address |
9601 Interstate 630 Exit 7 Little Rock AR 72205-7202 |
| Mailing Address |
3515 N Olive St North Little Rock AR 72116-8769 |
| Practice Telephone | 5012027614 |
| Mailing Telephone | 5019930342 |
| Enumeration Date | 2008-05-04 |
| Last Update Date | 2008-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT 2684 | AR | Other Service Providers |
| Street Address |
9601 INTERSTATE 630 EXIT 7 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831183193 | Rodney H Mccarver | Anesthesiology | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2005-09-01 |
| 1356763734 | Seth Bunting | Nurse Anesthetist, Certified Registered | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2014-01-20 |
| 1629403654 | Cecile W Kimmer | Physical Therapist | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2013-09-10 |
| 1982037560 | Sarah Branscum | Occupational Therapy Assistant | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2013-08-19 |
| 1063845717 | Stacy Lynn Mitchell | Physical Therapist | 9601 Interstate 630 Exit 7, Physical Therapy Department, Little Rock, AR 72205-7202 | 2013-08-16 |
| 1033556691 | Brent Anthony Lea | Nurse Anesthetist, Certified Registered | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2013-05-22 |
| 1447591250 | David W Thornton | Nurse Anesthetist, Certified Registered | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2013-03-05 |
| 1518202233 | Sheryl Ann Lallemand | Registered Nurse | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2012-12-06 |
| 1205197191 | Andrew J Appler | Physical Therapist | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2012-06-06 |
| 1780943316 | Lydia Pauline Sartain | Dietitian, Registered | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2012-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| 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 |
|---|---|---|---|---|
| 1932627999 | Erin Walker | Specialist | 1500 N Mississippi St, Little Rock, AR 72207-5851 | 2017-08-30 |
| 1467837575 | Riverfront Doulas, LLC | Specialist | 114 Trelon Way, Little Rock, AR 72223-3988 | 2015-07-30 |
| 1831599661 | Lashanta Mccoy | Specialist | 110 N State St, Little Rock, AR 72201-1309 | 2014-08-29 |
| 1194063990 | Robert A. Porter | Specialist | 1900 Shadow Ln, Little Rock, AR 72207-2018 | 2013-01-29 |
| 1164767281 | Jamila Hall | Specialist | 231 Markwood Dr, Little Rock, AR 72205-2409 | 2012-11-29 |
| 1215221387 | Robin Richard Jones | Specialist | 7012 Shamrock Dr, Little Rock, AR 72205-2780 | 2011-06-06 |
| 1821399684 | Ashley Nicole Greene | Specialist | 500 Napa Valley Dr Apt 614, Little Rock, AR 72211-5012 | 2010-11-10 |
| 1932429594 | Arkansas Health Group | Specialist | 9501 Baptist Health Dr Ste 810, Little Rock, AR 72205-6233 | 2010-06-07 |
| 1922339514 | William Turner Harris | Specialist | 4816 Country Club Blvd, Little Rock, AR 72207-4720 | 2010-01-20 |
| 1558592543 | John Tyler Baber, M.d. P.a. | Specialist | 500 S University Ave Ste 103, Little Rock, AR 72205-5303 | 2009-08-07 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on MRS. LEA SHANNON JACUZZI.
| 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.