MRS. MONICA KIDD (NPI# 1699057638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699057638 |
| Entity Type | Individual |
| Full Name | MRS. MONICA KIDD |
| Credential | LPN |
| Practice Address |
3204 E Moore Ave Searcy AR 72143-4826 |
| Practice Telephone | 5012687777 |
| Practice Fax Number | 5012785506 |
| Mailing Telephone | 5012687777 |
| Mailing Fax Number | 5012785506 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L44661 | AR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932763596 | Monica Kidd | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2019-04-29 |
| 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 |
| 1609201110 | Alyssa Dawn Stark | Specialist | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2013-09-04 |
| 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 |
| 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 | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093045148 | Anna Cori Haire | Licensed Practical Nurse | 3302 East Moore St., Searcy, AR 72143 | 2010-01-12 |
| 1275900995 | Elizabeth Money | Licensed Practical Nurse | 502 E Race Ave, Searcy, AR 72143-4417 | 2015-08-28 |
| 1437581543 | Samantha Yvonne Smith | Licensed Practical Nurse | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2013-07-31 |
| 1801178777 | Tonie Tharp | Licensed Practical Nurse | 3204 E Moore St, Searcy, AR 72143-4826 | 2011-09-15 |
| 1043592090 | Loura Simons | Licensed Practical Nurse | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2011-09-15 |
| 1578844916 | Wendy Michelle Watson | Licensed Practical Nurse | 3204 E Moore St, Searcy, AR 72143-4826 | 2011-08-30 |
| 1386924397 | Karen Lynn Hicks | Licensed Practical Nurse | 3204 E Moore St, Searcy, AR 72143-4826 | 2011-08-22 |
| 1649550856 | Laura Ann Ray | Licensed Practical Nurse | 3204 E Moore St, Searcy, AR 72143-4826 | 2011-08-18 |
| 1023397304 | Brenda Jo Harrison | Licensed Practical Nurse | 3302 E Moore Ave, Searcy, AR 72143-4886 | 2011-08-04 |
| 1467614412 | Joann Johnson | Licensed Practical Nurse | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2008-07-01 |
| 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.