DANA KIM PULLIAM (NPI# 1659738250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659738250 |
| Entity Type | Individual |
| Full Name | DANA KIM PULLIAM |
| Credential | ARPN, NP-C |
| Practice Address |
301 S E St Ste A Fort Smith AR 72901-4316 |
| Practice Telephone | 4794313425 |
| Practice Fax Number | 4797830261 |
| Mailing Telephone | 4794313425 |
| Mailing Fax Number | 4797830261 |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A004618 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9755 W State Highway 22, Ratcliff, AR 729519000 | 4796355300 |
| Street Address |
301 S E ST STE A |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
| 1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| Find all providers in zip 72901 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018350 | Lacey Deshay Kennon | Nurse Practitioner | 7509 Red Pine Dr, Fort Smith, AR 72916-8809 | 2020-06-19 |
| 1275174518 | Michele Holland | Nurse Practitioner | 3300 S 70th St, Fort Smith, AR 72903-5052 | 2019-10-07 |
| 1831740125 | Shannan Deann Souza | Nurse Practitioner | 5901 Riley Park Dr Ste B, Fort Smith, AR 72916-6104 | 2019-09-27 |
| 1851948640 | Mindy Lebarr | Nurse Practitioner | 4850 Leigh Ave, Fort Smith, AR 72903-6018 | 2019-08-26 |
| 1457899338 | Ai-chau Hang Nguyen | Nurse Practitioner | 5428 Ellsworth Rd, Fort Smith, AR 72903-3220 | 2017-02-10 |
| 1558715987 | Amanda Day | Nurse Practitioner | 9207 Highway 71 S Ste 9, Fort Smith, AR 72916-9389 | 2016-04-21 |
| 1356716963 | Julie Rowland | Nurse Practitioner | 5100 Rosewood Cir, Fort Smith, AR 72903-7000 | 2015-12-08 |
| 1770712275 | Amy Marie Brown | Nurse Practitioner | 7001 Rogers Ave Ste 401a, Fort Smith, AR 72903-4034 | 2009-07-07 |
| 1356502710 | Jacqueline Goldsmith Phillips | Nurse Practitioner | 7215 Cameron Park Dr, Fort Smith, AR 72903-6167 | 2008-06-18 |
| 1750381489 | Carol L Erwin | Nurse Practitioner | 1623 Rogers Ave, Fort Smith, AR 72901 | 2005-07-22 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
Please comment or provide details below to improve the information on DANA KIM PULLIAM.
| 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.