MRS. HEATHER KRISTIN BRYAN (NPI# 1689823023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689823023 |
| Entity Type | Individual |
| Full Name | MRS. HEATHER KRISTIN BRYAN |
| Credential | LPC |
| Practice Address |
1704 Highway 69 West Trumann AR 72472-2029 |
| Mailing Address |
1815 Pleasant Grove Rd Jonesboro AR 72401-7870 |
| Practice Telephone | 8704834003 |
| Practice Fax Number | 8704834009 |
| Mailing Telephone | 8709336886 |
| Mailing Fax Number | 8709339395 |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2018-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
P1409067 | AR | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
P14409067 | AR | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS | 5EE62 | 01 |
| AR | 169864795 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922475516 | Heather Bryan | Physical Therapy Assistant | 7016 S Shore Dr S, South Pasadena, FL 33707-4605 | 2015-08-31 |
| 1245860279 | Heather Bryan | Massage Therapist | 820 Ocean Beach Hwy Ste 116, Longview, WA 98632-4081 | 2020-01-17 |
| 1811373228 | Heather Bryan | Pharmacist | 1740 Nicholasville Rd, Lexington, KY 40503-1431 | 2015-08-07 |
| 1376964288 | Heather Bryan | Physician Assistant | 663 Palisade Ave, Cliffside Park, NJ 07010-3012 | 2013-12-18 |
| 1366746794 | Heather Mctaggart Bryan | Counselor | 8626 Lee Hwy, Fairfax, VA 22031-2135 | 2010-12-28 |
| 1063662500 | Heather Kay Bryan | Massage Therapist | 19009 33rd Ave W, Suite 205, Lynnwood, WA 98036-4717 | 2008-09-21 |
| 1164503199 | Heather K Bryan | Registered Nurse | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2006-10-18 |
| Street Address |
1704 HIGHWAY 69 WEST |
| City | TRUMANN |
| State | AR |
| Zip Code | 72472-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851341010 | Dana Bevill Watson | Psychologist | 1704 Highway 69 West, Trumann, AR 72472-2029 | 2006-05-10 |
| 1093280554 | Sasha R O'guinn | Social Worker | 1704 Highway 69 West, Trumann, AR 72472-2029 | 2018-10-10 |
| 1447740915 | Hannah Booth | Case Manager/Care Coordinator | 1704 Highway 69 West, Trumann, AR 72472-2029 | 2018-05-10 |
| 1588052740 | Angela Renee Gean | Social Worker | 1704 Highway 69 West, Trumann, AR 72472-2029 | 2014-12-22 |
| 1548514839 | Ashley Deshae Madden | Social Worker | 1704 Highway 69 West, Trumann, AR 72472-2029 | 2012-11-08 |
| 1356696694 | Stephen Ray Evans | Social Worker | 1704 Highway 69 West, Trumann, AR 72472-2029 | 2012-07-23 |
| 1326333774 | Debra Hicks | Social Worker | 1704 Highway 69 West, Trumann, AR 72472-2029 | 2011-06-14 |
| 1174816151 | Floyd Shivers | Case Manager/Care Coordinator | 1704 Highway 69 West, Trumann, AR 72472-2029 | 2011-05-24 |
| 1083929624 | Wade Drury | Social Worker | 1704 Highway 69 West, Trumann, AR 72472-2029 | 2010-08-06 |
| 1639496722 | Sarah Kilgore | Case Manager/Care Coordinator | 1704 Highway 69 West, Trumann, AR 72472-2029 | 2010-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039980 | First Step Arkansas, LLC | Occupational Therapist | 528 Industrial Park Access Rd, Trumann, AR 72472 | 2020-06-26 |
| 1982254710 | Brent A Davis | Physical Therapist | 516 Industrial Park Access Rd, Trumann, AR 72472 | 2019-09-13 |
| 1760992911 | Lorraine Irene Devries | Technician | 1316 Industrial Acess Drive, Trumann, AR 72472 | 2017-10-02 |
| 1902326226 | Logan Michael Schmidt | Dentist | 1711 Hwy 69 Blvd, Trumann, AR 72472 | 2017-06-27 |
| 1619228830 | Daniel Edward Ward | Case Manager/Care Coordinator | 1704 Hwy, 69, Trumann, AR 72472 | 2012-09-27 |
| 1003197542 | Mashae D. Rolland | Nurse Practitioner | 808 Highway 463 N, Trumann, AR 72472 | 2011-08-29 |
| 1982984118 | Denise Jackson | Case Manager/Care Coordinator | 1704 Highway 69, Trumann, AR 72472 | 2011-08-19 |
| 1134410467 | Dalisha Lareece Smith | Clinical Ethicist | 1704 Hwy. 69, Trumann, AR 72472 | 2011-04-20 |
| 1164727202 | Margaret Ann Peters | Case Manager/Care Coordinator | 809 West Main Suite C, Trumann, AR 72472 | 2011-01-21 |
| 1134379357 | Jeremiah Daniel Dillehay | Counselor | 170 4 Hwy. 69, Trumann, AR 72472 | 2008-09-24 |
| Find all providers in zip 72472 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134379357 | Jeremiah Daniel Dillehay | Counselor | 170 4 Hwy. 69, Trumann, AR 72472 | 2008-09-24 |
| 1699942284 | Courtney Johnson | Counselor | 809 W Main St Ste C, Trumann, AR 72472-2634 | 2008-05-13 |
| 1679623763 | Evelyn Lorisa Taylor | Counselor | 1704 Hwy 69 West, Trumann, AR 72472-2029 | 2007-01-11 |
| 1356991343 | Jodiee Grubbs | Counselor | 809 W Main St Ste C-d, Trumann, AR 72472-2611 | 2019-09-12 |
| 1548745706 | Casondra Allen | Counselor | 809 W Main St Ste C-d, Trumann, AR 72472-2611 | 2018-10-03 |
| 1669985115 | Mariel Diaz | Counselor | 809 W Main St Ste C, Trumann, AR 72472-2634 | 2017-11-07 |
| 1578945499 | Janica Humphrey Patrick | Counselor | 1704 Hwy 69, Trumann, AR 72472 | 2015-06-27 |
| 1720319346 | Timothy Robert Mayfield | Counselor | 1704 Hwy 69 West, Trumann, AR 72472-2029 | 2010-01-21 |
| 1538318910 | Melinda Elrod | Counselor | 417 W Main St, Suite 100, Trumann, AR 72472-3116 | 2008-09-10 |
| 1255580692 | Jessica Sue Gordon | Counselor | 417 W Main St, Suite B, Trumann, AR 72472-3116 | 2008-09-10 |
| Find all providers in TRUMANN | ||||
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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.